Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.
Menzies Health Institute Queensland, Griffith University, Brisbane & Gold Coast, Australia.
J Eval Clin Pract. 2023 Feb;29(1):69-82. doi: 10.1111/jep.13729. Epub 2022 Jul 13.
Physiotherapy is a relatively young profession in Nepal. Education standards, and workforce organization and representation have improved in recent years, but there is no detailed workforce data to support decision-making and long-term planning. Therefore, this study aimed to describe the demographic characteristics, physiotherapy practice areas, settings and employment characteristics of physiotherapists in Nepal; and to document job satisfaction and the factors that influence it.
In a cross-sectional survey, we asked Nepali physiotherapists about their sociodemographic characteristics, employment or physiotherapy practice area and settings, and job satisfaction. We assessed the associations between sociodemographic factors and job satisfaction among physiotherapists using univariable and multivariable logistic regressions. We invited all Nepali physiotherapists to participate via email, social media and visits to hospitals.
Of the 1120 physiotherapists who were contacted, 52% (female: 287; male: 293) completed the survey. The majority of the participants (75%) were less than 30 years old. The majority (73%) held a Bachelor of Physiotherapy degree. Eighty percent were employed at the time of data collection; 58% had 1-4 years of experience. The majority (77%) practiced in or near the capital Kathmandu. Most physiotherapist worked either in private hospitals (46%) or in private physiotherapy practices (26%), rehabilitation centres (19%) and 11% practiced in public hospitals. The most common areas of practice were musculoskeletal physiotherapy (90%) and adult neurology (67%). More than half of the physiotherapist (53%) felt that they were underpaid and 41% were not satisfied with their current job status. The majority of the physiotherapists (67%) reported that they participated in continuing professional development activities. Multivariable logistic regression showed that physiotherapists who had a higher remuneration were more likely to be satisfied with their job.
The majority of the physiotherapy workforce in Nepal is well-educated, young and at an early career stage. Most physiotherapists work in musculoskeletal and adult neurological physiotherapy, in private practices or private hospitals near Kathmandu. Job dissatisfaction was common and was related to low annual income. This first nationwide survey described the current physiotherapy workforce and provides comparison data for future physiotherapy workforce surveys.
在尼泊尔，物理治疗是一个相对年轻的专业。近年来，教育标准、劳动力组织和代表性都有所提高，但没有详细的劳动力数据来支持决策和长期规划。因此，本研究旨在描述尼泊尔物理治疗师的人口统计学特征、物理治疗实践领域、工作场所和就业特征；并记录工作满意度及其影响因素。
在横断面调查中，我们询问了尼泊尔物理治疗师的社会人口统计学特征、就业或物理治疗实践领域和工作场所，以及工作满意度。我们使用单变量和多变量逻辑回归评估了人口统计学因素与物理治疗师工作满意度之间的关系。我们通过电子邮件、社交媒体和访问医院向所有尼泊尔物理治疗师发出邀请。
在联系的 1120 名物理治疗师中，有 52%（女性：287 人；男性：293 人）完成了调查。大多数参与者（75%）年龄在 30 岁以下。大多数（73%）拥有物理治疗学士学位。80%的人在数据收集时受雇；58%有 1-4 年的经验。大多数（77%）在首都加德满都或其附近工作。大多数物理治疗师在私人医院（46%）或私人物理治疗诊所（26%）、康复中心（19%）工作，11%在公立医院工作。最常见的治疗领域是肌肉骨骼物理治疗（90%）和成人神经病学（67%）。超过一半的物理治疗师（53%）认为自己薪酬过低，41%对目前的工作状况不满意。大多数物理治疗师（67%）报告说他们参加了继续教育活动。多变量逻辑回归显示，薪酬较高的物理治疗师更有可能对工作满意。
尼泊尔的物理治疗师队伍大多受过良好教育，年轻且处于职业生涯早期。大多数物理治疗师从事肌肉骨骼和成人神经病学的物理治疗，在加德满都附近的私人诊所或私人医院工作。工作满意度普遍较低，与年收入低有关。这是首次全国性调查，描述了目前的物理治疗师队伍，并为未来的物理治疗师队伍调查提供了比较数据。
