GENDER DISTRIBUTION OF OUTPATIENT CARE PHYSIOTHERAPY SERVICES FOR LOW BACK PAIN IN HUNGARY
Author(s)
Járomi M1, Hanzel A1, Rátgéber L2, Juhász K3, Sebestyén A1, Boncz I1, Csákvári T4, Vajda R1, Molics B1
1University of Pécs, Pécs, Hungary, 2Ratgeber Academia, Pécs, Hungary, 3National Health Insurance Fund Administration, Pécs, Hungary, 4University of Pécs, Zalaegerszeg, Hungary
OBJECTIVES: The aim of our study is to assess the utilization of out-patient care physiotherapy services related to the Low Back Pain according to gender. METHODS: Data were derived from the countrywide database of Hungarian National Health Insurance Fund Administration (NHIFA), based on official reports of outpatient care institutes in 2009. The total numbers of different physiotherapy services were determined by selecting the reported specific diagnoses codes and counting the number treatments provided for that specific diagnosis code. The different types of treatment codes are listed in the chapter of the Guidelines of NHIFA for `Physiotherapists, massage-therapists, conductors and other physiotherapy practices`. The Low Back Pain was reported according to WHO ICD diagnosis code M5450. Population distribution was taken into account on the basis of the data of the Central Statistical Office from January 1st 2009. RESULTS: The total number of the 151 different physiotherapy services was 433319 cases in male and 803924 cases in female. The 10 most frequent treatments accounts for 58.74% in male, and 57.68% in female of total services. Frequency of the top-10 medical procedures were the following in male and female: 1) Ultrasound therapy (10.17%; 9.3%), 2) Iontophoresis (8.91%; 7.73%), 3) Passive movement (6.11%; 6.71%), 4) Mid-frequency treatment (6.73%; 6%), 5) Muscle strengthening exercises (4.38%; 6.36%), 6) Hand Massage (4.88%; 5.08%), 7) Ergo therapy (4.77%; 4.95%), 8) Spinal Mobilization 4.42%; 4.78%), 9) Diadynamic interference management (4.98%; 4.04%), 10) Training for circulation improvement (3.38%; 3.72%). CONCLUSIONS: The list of the 10 most frequent types of services reflects to the demand for the combination of active and passive exercises. Frequency of the top-10 medical procedures were similar in both gender in Hungary.
Conference/Value in Health Info
2015-05, ISPOR 2015, Philadelphia, PA, USA
Value in Health, Vol. 18, No. 3 (May 2015)
Code
PHS109
Topic
Health Policy & Regulatory
Topic Subcategory
Health Disparities & Equity
Disease
Musculoskeletal Disorders