Role of Physiotherapy in Public Health Domain: India Perspective

Sahu, Kirti Sundar; Bharati, Bhavna

doi:10.5958/0973-5674.2014.00026.4

Cited by 4 publications

(6 citation statements)

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“…Physiotherapy services constitute a principle part of health care systems in the world and involve treatment of functional restrictions commonly experienced by many people ( 1 ). Physiotherapy as a health profession focuses on rehabilitation of physical injuries ( 2 ) and pursues the aim of preservation, restoration, and improvement of optimal movement and functional abilities throughout life ( 3 ). The physiotherapy scope includes restoration of bodily movement that is affected by pain, injury, stress, pathological conditions, and even environmental factors ( 3 ).…”

Section: Introductionmentioning

confidence: 99%

“…Physiotherapy as a health profession focuses on rehabilitation of physical injuries ( 2 ) and pursues the aim of preservation, restoration, and improvement of optimal movement and functional abilities throughout life ( 3 ). The physiotherapy scope includes restoration of bodily movement that is affected by pain, injury, stress, pathological conditions, and even environmental factors ( 3 ). Physiotherapy services, through promoting the functional capabilities and higher independence in activities of daily living, empower the individual to live an independent and productive life ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

“…The decrease in the amount of OOP payment below 30% has been one of the objectives of the governments during the past 2 decades, and strong emphasis has been placed on them in the Fourth and Fifth Development Plans of Islamic Republic of Iran ( 14 , 15 ). Accordingly, the Ministry of Health has initiated a reform titled, ‘Health Transformation Plan’ in 2014 with three objectives: ( 1 ) decreasing OOP payment, ( 2 ) promoting service quality, and ( 3 ) enhancing equity in accessibility. However, this reform only includes the inpatient services of public hospitals, and besides the physician's consultation in the hospital- based clinics, other outpatient services are not included in the service package ( 16 ).…”

Section: Introductionmentioning

confidence: 99%

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Utilization and out of pocket (OOP) payment for physiotherapy services in public hospitals of Shahid Beheshti University of Medical Sciences

Zarei

Nikkhah

Pouragha

2018

Med. J. Islam. Republic Iran

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Background: Physiotherapy services constitute a principle part of health care systems, and interest in their use has increased in the recent decades. This study was conducted to investigate the utilization and OOP payment for physiotherapy services in public hospitals of Shahid Beheshti University of Medical Sciences in Tehran, Iran. Methods: This cross-sectional study was conducted using the data of physiotherapy department of three public hospitals. The study sample included 6528 patients who had received 7257 episodes of care. Data were extracted through hospital information systems and analyzed using multivariate regression analysis by SPSS17. Results: The average episode per patient was 1.11 and 12.6 session per episode. The average cost of each episode and treatment session was 1 784 660 IRR (USD 59) and 142 023 IRR (USD 4.7), respectively. The OOP payment share for physiotherapy was 31%. Age, OOP amount, having insurance coverage, insurance type, and service type significantly affected physiotherapy utilization. Number of treatment sessions, having insurance coverage, type of insurance coverage, and gender were related to OOP payment. Conclusion: There is a large variety in utilization and OOP payment in the insurance funds, which could restrict the accessibility and utilization of services by patients, leading to inequalities in utilization. Therefore, policymakers should conduct an overall review on the tariffs and service packages of insurer organizations to provide better conditions for the elderly, unhealthy, and vulnerable population to mitigate inequality in service utilization and decrease OOP payment.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Utilization and out of pocket (OOP) payment for physiotherapy services in public hospitals of Shahid Beheshti University of Medical Sciences

Zarei

Nikkhah

Pouragha

2018

Med. J. Islam. Republic Iran

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“…These surveys count physiotherapists among "other health workers" and do not provide precise data. Studies have reported that there are around 50,000 trained physiotherapists (PTs) in India, which would mean 1 physiotherapist for about 20, 000 people (Sahu & Bharati, 2014).…”

Section: Introductionmentioning

confidence: 99%

Training of Mid-Level Rehabilitation Workers for Community-Based Rehabilitation Programmes

Ghosh¹,

Palanivelu²,

Tebbutt³

et al. 2021

DCID

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Purpose: There is a lack of trained rehabilitation professionals, especially in the small towns and rural areas of low and middle income countries. In India, a cadre of mid-level rehabilitation workers, the Rehabilitation Therapy Assistants (RTAs), are being trained by Mobility India, a Non-Governmental Organisation (NGO). This paper aims to assess impact of their training and experiences after the training. Method: Data were collected from 3 different initiatives connected with the trained RTAs: an impact assessment of their training; interviews with RTAs during an evaluation; and a survey of 188 RTAs trained between 2002 and 2019.Results: RTAs were shown to have good skills to provide rehabilitation interventions in the field and are appreciated by clients and other stakeholders. Most of the RTAs work for NGOs in CBR programmes, and in private hospitals and clinics. There does not seem to be a role for them in government services in most countries. The number of trained RTAs remains small in spite of the large needs. This may be due to lack of an accreditation system for RTAs and the low priority given to rehabilitation services in general in some countries. Conclusions:The results provide useful information to strengthen RTA training courses. Training RTAs to provide rehabilitation services in smaller towns and rural areas of low and middle income countries can have a good impact through CBR programmes. However, this impact remains circumscribed to small areas where NGOs are active. Changes are needed in health systems for the inclusion of mid-level rehabilitation workers in primary health care services.

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“…Physiotherapy plays an important role in preventive and curative services for musculoskeletal health conditions in the community (Patrick, 1974;Penny et al, 2007). This speciality could also prove cost-effective in resource-constrained developing countries (Sahu and Bharati, 2014).…”

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confidence: 99%

Musculoskeletal Physiotherapy in the Community: Some successful strategies for India

Rajan

2016

DCID

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Role of Physiotherapy in Public Health Domain: India Perspective

Cited by 4 publications

References 0 publications

Utilization and out of pocket (OOP) payment for physiotherapy services in public hospitals of Shahid Beheshti University of Medical Sciences

Utilization and out of pocket (OOP) payment for physiotherapy services in public hospitals of Shahid Beheshti University of Medical Sciences

Training of Mid-Level Rehabilitation Workers for Community-Based Rehabilitation Programmes

Musculoskeletal Physiotherapy in the Community: Some successful strategies for India

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