Tag: Józefa Dąbek

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

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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

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Kinesiology Taping as a therapeutic method in blood ecchymosis – a case study

E. Łebek, J. Dąbek, M. Szynal, A. Ostrowska

Ewelina Łebek, Józefa Dąbek, Magdalena Szynal, Agnieszka Ostrowska – Kinesiology Taping as a therapeutic method in blood ecchymosis – a case study. Fizjoterapia Polska 2021; 21(4); 236-244

Abstract
Kinesiology Taping (KT) is a comprehensive therapeutic method that allows to obtain a therapeutic effect 24 hours a day and supporting the rehabilitation process of various ailments. For this therapy, special, 100% cotton, dynamic tapes are used, covered with hypoallergenic acrylic glue activated with heat, arranged in layers of a sinusoidal shape, similar to the flexibility of human muscles, and to the parameters of human skin.  Various effects of Kinesiology Taping are described in the medical literature, for example: muscle facilitation, reduction of muscle fatigue, reducing the soreness of the skeletal muscles with delayed pain, the so-called DOMS (delayed onset muscle soreness), supporting treatment aimed at eliminating edema and improving blood flow, reducing the pressure on mechanical receptors changes the feeling of pain as a result of the activation of the endogenous anesthetic system and limiting accumulation of chemical factors released after tissue trauma. The aim of the study was to describe two cases of using the Kinesiology Taping method in blood ecchymosis in patients after hip arthroplasty and after soft tissue injury.
Key words:
Kinesiology Taping, bloody ecchymosis, arthroplasty
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Overcoming the disability – brief history of protetics and mechatronics of overcoming barriers

Józefa Dąbek, Halina Kulik, Magdalena Szynal, Karolina Stolorz

Józefa Dąbek, Halina Kulik, Magdalena Szynal, Karolina Stolorz – Overcoming the disability – brief history of protetics and mechatronics of overcoming barriers. Fizjoterapia Polska 2021; 21(2); 100-115

Abstract
The oldest found and identified prosthesis was the Egyptian mummy’s wooden big toe from approx. 3000 B.C. With the invention of gunpowder and the use of firearms, the number of limb amputations increased significantly, which consequently increased the number of disabled people. A field surgeon in the French army, A. Paré, designed movable prostheses that were very modern for those times. Simple machines used in their construction made it possible to perform bending and straightening movements, and his artificial hand called: ‘Le petit Lorrain’ with movable, spring fingers, even to perform a grip. Presently 15% of the population are people with disabilities. This is the biggest yet the most diverse minority in the world. Modern technologies allow the human brain to be used to control the prosthesis by connecting it to the nervous system. The innervation of the amputated limb is introduced to any muscles on which electrodes are placed that receive signals sent from the brain, activating the motors in the prosthesis responsible for its movement. To move such an advanced prosthesis, it is enough to think about the movement as in the case of a healthy limb. There are reports that in the future it will be possible to prosthetics the brain and lost memory, but research involving humans in this area remains a vision of the future. This study aims to present a brief history of prosthetics and the use of mechatronics in overcoming disability.
Key words:
disability, history of prosthetics, modern prostheses
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