Po339 The Trends Of Usage Of Physiotherapy Service In Croatia From 2008 To 20012: Could It Serve As Quality Indicator In Family Practice

Conference: 
Author(s): 
Gordana Prljevic1, Josip Buljan2 e Mladenka Vrcic Keglevic
1Family Medicine Practice, Krapinske Toplice; 2Family Medicine Practice, Velika Kopanica
Text: 
Introduction: Family doctors (FD) in Croatia are very often confronted with the requests for the referrals to the physiotherapy. What are the reasons and weather those referrals could be used as quality indicator in Croatian family practice we tried to answer by this pilot study based on routinely collected data.
Aim: The aims of the study were to survey the referrals and the trends of consumption of physiotherapy service (PS) in Croatia during five year period, from 2008 to 2012.
Method: It is an observational and population based study. Three routinely collected data-bases were used: a) Croatian health-statistics yearbooks (2008-2012), data related to FP and PS; b) Register of the consultants (including PS) contracting with the Croatian institute of health insurance; c) 2001 and 2011 Census. The number of patients referred from FP was compared with the number seen in consultant practices including PS, for Croatia and 20 counties separately. Furthermore, the number of inhabitants per one PS’ team was calculated yearly.
Results: Only the total number, but not the structure of referrals, was available from the routinely collected data. The differences were found between of referrals and the number of patients seen at consultants’ service. The differences among the counties were large, from 1.1 patient referred and 2.8 patients seen in consultants’ service. The percentage of the PS consultations was 14.7% of the total number registered at the consultation service. PS was at the first place in the Croatia and in eight counties, with the differences from 6.0% to 35.3% of all speciality consultations. Together with the private service (not contracted with the insurance), almost every second Croatian inhabitant was seen in the PS in certain years. The women and the people age 20-64 were frequent users. The contracting standards for PS was established at the level of 35 000 inhabitants per one PS team. Average number of inhabitants per one PS’ team under the contract was 24 031.9, with county variations in between 46 233.6 and 11 555.8 inhabitants.
Conclusions: The results indicate that the usage of PS in Croatia is high. But, it is not clear from the routinely collected data whether it could serve as quality indicator in FP or the answers come from over-accessibility of PS or patients’ preferences. Therefore, the new research is needed.
Literature: 
PO339 THE TRENDS OF USAGE OF PHYSIOTHERAPY SERVICE IN CROATIA FROM 2008 TO 20012: COULD IT SERVE AS QUALITY INDICATOR IN FAMILY PRACTICE
Keywords: 
family practice; referrals; physiotherapy service; quality indicator