Bath Brenna, Jakubowski Megan, Mazzei Darren, McRae Jessica, McVittie Natalie, Stewart Sarah, Grona Stacey Lovo
School of Physical Therapy, College of Medicine, University of Saskatchewan.
Pasqua Hospital, Regina Qu'Appelle Health Region.
Physiother Can. 2016;68(3):260-266. doi: 10.3138/ptc.2015-50.
To explore which socio-demographic, clinical, and other factors are associated with reduced perceived access to physiotherapy among people with low back disorders. A cross-sectional study design was used to evaluate perceived access to physiotherapy services in a convenience sample of 111 people with low back disorders presenting to a spinal triage service. Participants were asked whether they felt that they had reduced access to physiotherapy as a result of cost, wait time, or location. Bivariate and multivariate logistic regression were used to explore the association between perceived access to physiotherapy and a range of socio-demographic, clinical, and other factors. Overall reduced perceived access to physiotherapy was reported by 27.9% of the sample; 13.5% reported reduced access resulting from cost, 9.9% from wait time, and 10.8% from location. A variety of socio-demographic and clinical variables were found to be associated with reduced perceived access, including the presence of other health conditions, rural residence, and no prior physiotherapy use. Perceived access to physiotherapy among people with low back disorders may be associated with a diverse range of factors. Further research is required to determine the relationship between these variables and actual use of physiotherapy services.
探讨哪些社会人口学、临床及其他因素与腰痛患者感觉获得物理治疗的机会减少有关。采用横断面研究设计，在一个便利样本中评估111名到脊柱分诊服务部门就诊的腰痛患者获得物理治疗服务的情况。参与者被问及是否因费用、等待时间或地点而感觉获得物理治疗的机会减少。采用双变量和多变量逻辑回归来探讨感觉获得物理治疗的机会与一系列社会人口学、临床及其他因素之间的关联。样本中27.9%的人报告感觉获得物理治疗的机会总体减少；13.5%的人报告因费用导致获得治疗的机会减少，9.9%因等待时间，10.8%因地点。发现多种社会人口学和临床变量与感觉获得治疗的机会减少有关，包括存在其他健康状况、居住在农村以及之前未接受过物理治疗。腰痛患者感觉获得物理治疗的机会可能与多种因素有关。需要进一步研究来确定这些变量与物理治疗服务实际使用之间的关系。
