Markwick Rachel, Singleton Christine, Conduit Jacky
Department of Physiotherapy, Great Western Hospital , Swindon , UK .
Disabil Rehabil. 2014;36(2):131-5. doi: 10.3109/09638288.2013.782357. Epub 2013 May 7.
In 2008, the Royal College of Physicians (RCP) and MS Trust conducted a second audit of NHS services for people with MS (PwMS). Using the free text comments obtained from the RCP and MS Trust audit, this study aimed to perform content analysis on the views of PwMS about MS services, focussing on physiotherapy provision.
A total of 757 PwMS included a free text comment on MS services and an additional 41 commented separately about physiotherapy services. The data were analysed using content analysis, which identified three main themes, positive, negative and neutral and subsequent categories and sub-categories. Intra- and inter-rater reliability were assessed and the data were manipulated to address the research aim.
This study found that the majority of the free text comments on MS services were negative (55%). Physiotherapy provision was rated the most negative of NHS services (38%), with the primary complaints being lack of information about services and excessive waiting times for appointments.
This study has revealed that NHS physiotherapy provision is not meeting the needs of PwMS.
2008年，皇家内科医师学院（RCP）和多发性硬化症信托基金对国民保健服务体系（NHS）为多发性硬化症患者（PwMS）提供的服务进行了第二次审计。本研究利用从RCP和多发性硬化症信托基金审计中获得的自由文本评论，旨在对多发性硬化症患者对MS服务的看法进行内容分析，重点关注物理治疗服务的提供情况。
共有757名多发性硬化症患者对MS服务发表了自由文本评论，另有41人单独对物理治疗服务发表了评论。使用内容分析法对数据进行分析，确定了三个主要主题，即积极、消极和中性，以及随后的类别和子类别。评估了评分者内部和评分者之间的信度，并对数据进行了处理以实现研究目的。
本研究发现，大多数关于MS服务的自由文本评论是负面的（55%）。物理治疗服务被评为NHS服务中最负面的一项（38%），主要投诉是缺乏服务信息和预约等待时间过长。
本研究表明，NHS提供的物理治疗服务无法满足多发性硬化症患者的需求。
