Within the National Health Fund (NFZ) or privately? Advantages and disadvantages of the physiotherapy services system

Józefa Dąbek, Barbara Hebenstreit, Oliwia Kabalak, Monika Janowska, Magdalena Szynal, Halina Kulik

Józefa Dąbek, Barbara Hebenstreit, Oliwia Kabalak, Monika Janowska, Magdalena Szynal, Halina Kulik – Within the National Health Fund (NFZ) or privately? Advantages and disadvantages of the physiotherapy services system . Fizjoterapia Polska 2023; 23(5); 258-274

DOI: https://doi.org/10.56984/8ZG20BD9s

Abstract
Introduction. With the entry into force of the Act on the Physiotherapist Profession, the profession of physiotherapist became an independent medical profession. The amendment to the Act in 2019 significantly expanded the scope of competences of contractors of the mentioned profession and strengthened its position in the health care system
The aim of the study was to analyze the use of the physiotherapy services system within public and private health care.
Material and methods. A total of 606 people (100%) were included in the study. The vast majority were women (506; 83.5%). The average age of the respondents was 28 years. The research tool was an original survey questionnaire created and made available via a Google form.
Results. The most frequently used physiotherapy treatments within public health care included physical therapy (129; 34%) and kinesiotherapy (109; 28.8%), and the most frequently indicated reason for using the mentioned form was an injury or accident (83; 38.4%) and lifestyle-related pain (60; 27.8%). Most respondents considered the advantage of physiotherapy services provided as part of public health care to be the lack of fees for the visit (153; 63%) and the possibility of using the services of qualified specialists (42; 17.3%), while the greatest disadvantage was the long waiting time for the visit (138; 35.9%) and insufficient equipment of facilities (67; 17.4%). The most frequently used physiotherapy services in the private sector included: massage (179; 27.8%) and manual therapy (136; 21.1%), and the most common reasons for using these services were lifestyle-related pain (133; 36, 3%) and injury or accident (112; 30.6%). Most people considered short waiting times for services (218; 22.2%) and the involvement of a physiotherapist (211; 21.5%) as the greatest advantages of commercial services, and high prices of services (196; 61.1%) – a disadvantage.
Conclusions
1. More than half of the people included in the study used physiotherapy services, including the vast majority – commercial services.
2. Differences were observed regarding the reasons for using physiotherapy services and the type of therapies used in public and private health care: public services were most often used by the respondents due to an injury or accident, while private services were used due to lifestyle-related pain, and the respondents most often used public physiotherapy services included physical therapy and kinesiotherapy, while in the private sector: massage and manual therapy.
3. Most respondents considered the advantage of physiotherapy services provided within public health care the lack of fees for a visit and the possibility of using the services of qualified specialists, while in the private sector – short waiting times for services and greater involvement of the physiotherapist.
4. According to the respondents, the disadvantages of physiotherapy services within public health care were long waiting times for therapy and insufficient equipment of the facility, and in the private sector – high prices of services.

Key words:
physiotherapy, public sector, private sector

Pobierz/Download/下載/Cкачиваете Pobierz bezpłatnie artykuł w j. angielskim

Within the National Health Fund (NFZ) or privately? Use of health services provided by physiotherapists

Józefa Dąbek, Oskar Sierka, Joanna Frąckiewicz, Barbara Hebenstreit, Oliwia Kabalak, Monika Janowska, Halina Kulik


Józefa Dąbek, Oskar Sierka, Joanna Frąckiewicz, Barbara Hebenstreit, Oliwia Kabalak, Monika Janowska, Halina Kulik – Within the National Health Fund (NFZ) or privately? Use of health services provided by physiotherapists. Fizjoterapia Polska 2022; 22(4); 80-91

DOI: https://doi.org/10.56984/8ZG1A6xlA

Abstract
Aim of the study. The profession of a physiotherapist is still at the stage of shaping and strengthening its position, both in the group of medical professions and in social awareness. The study aimed to assess the scope of use and satisfaction with physiotherapy services provided as part of public and private health care.
Matherials and methods. The study covered a total of 606 people (100%). The vast majority were women (506; 83.5%). The research tool was an original questionnaire made available via a Google form. The survey consisted of 35 questions, 5 of which concerned some socio-demographic characteristics.
Results. Most of the respondents used commercial services financed from their own budget (258; 78.2%). The most frequently indicated criterion for selecting a public institution was the distance from the place of residence (97; 16,1%), and a private one – the opinion of friends (159; 26,24%). The largest number of respondents using physiotherapeutic services would choose commercial services if they had to be used again (224; 67.9%).
Conclusions. More than half of the surveyed people used the services provided by a physiotherapist, moreover vast majority of respondents used commercial services, financed from their resources. Criteria for selecting public and private institutions were varied and the assessed satisfaction with commercial physiotherapeutic services was higher than public.

Key words:
physiotherapy, public health care, private health care, use, satisfaction

Pobierz/Download/下載/Cкачиваете Download for free (only English version)