Index assessment of outpatient physiotherapy financed from public funds at the disposal of the National Health Fund provided in 2017–2019 in Poland

Zbigniew Tytko, Dominik Dziurda, Dorota Mańkowska, Agata Bąk, Katarzyna Leoszkiewicz, Katarzyna Kędzior, Piotr Bednarski, Roman Topór-Mądry


Zbigniew Tytko, Dominik Dziurda, Dorota Mańkowska, Agata Bąk, Katarzyna Leoszkiewicz, Katarzyna Kędzior, Piotr Bednarski, Roman Topór-Mądry – Index assessment of outpatient physiotherapy financed from public funds at the disposal of the National Health Fund provided in 2017–2019 in Poland. Fizjoterapia Polska 2022; 22(1); 152-158

Abstract
Introduction. Our study aims to present the state of Polish outpatient physiotherapy covered by the National Health Fund (NHF) based on a set of original indices to parametrise the structure of services and the physiotherapy process.
Materials and methods. The study used the NHF reporting data on outpatient physiotherapy collected between January 2017 and October 2019. The analysis used a set of originally developed indices.
Results. Of all outpatient physiotherapy cycles, generally provided on consecutive working days, 70% lasted 10 days and 84% were provided to patients without a formal confirmation of severe disability. From the patient’s perspective, 41% of the time of services is provided in a one-on-one basis (index of the structure of services), while the kinesiotherapy accounted for 30% of total time of services. The dominant group of services, about 70% in quantitative terms, is physical therapy.
Conclusions. To satisfy the health needs of patients by publicly funded outpatient physiotherapy is still a challenge and creates a perspective to develop a new way of organising and financing outpatient physiotherapy. The proposed indices of service structure and process enable an accurate diagnosis of the current situation, development of optimal system solutions and monitoring their implementation.
Key words:
physiotherapy, index, population-based, real world data
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