Willingness-to-pay for physiotherapy services and its determinant among Nigerian stroke survivors

Abstract

Purpose

This study was aimed to examine willingness-to-pay (WTP) for physiotherapy services among stroke survivors, and to explore the determinants of WTP in terms of socio-demographic factors, satisfaction with treatment and Health Related Quality of Life (HRQoL).

Methods

A total of 68 stroke survivors had their WTP, HRQoL and satisfaction with physiotherapy treatment assessed using Willingness-to-pay questionnaire, Stroke Specific Quality of Life Questionnaire, and Physical Therapy Outpatient Satisfaction Survey, respectively. Data was analysed using descriptive and inferential statistics.

Results

A total of 63.2% expressed WTP for physiotherapy per visit. Majority of the respondents had high HRQoL (66.2%) and satisfaction with physiotherapy (55.9%) respectively. There was a significant association between WTP for physiotherapy and educational status (χ²=6.248; p = 0.044). Stroke survivors with tertiary education were six times more likely to have WTP for physiotherapy services compared with those who had primary education (OR = 6.009, CI = 1.528–23.630, p = 0.01). Stroke survivors with right side affectation were five times more likely to have WTP for physiotherapy compared with those with left side affectation (OR = 5.109, CI = 1.305–19.997, p = 0.019). There was no significant association between WTP for physiotherapy and each of HRQoL and satisfaction with treatment (p > 0.05).

Conclusion

A high proportion of Nigerian stroke survivors attending public health facility expressed WTP for physiotherapy and it is influenced by educational status and side of affectation.

Keywords:

• Stroke
• willingness-to-pay
• health-related quality of life
• satisfaction
• physiotherapy

Data availability statement

The data that support the findings of this study are available from the corresponding author, [OOO], upon reasonable request.

Disclosure statement

No potential competing interest was reported by the authors.

Declaration of interest statement

The authors report no conflicts of interest

Funding

The author(s) reported there is no funding associated with the work featured in this article.

Additional information

Notes on contributors

Olufemi O. Oyewole

Dr. Olufemi O. Oyewole is a Deputy Director of Physiotherapy at Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria. He is a clinician and a researcher with research interest focuses on neuromusculoskeletal, quality of life, outcomes and disability research. Dr. Oyewole has more than 66 scientific publications in reputable peerreviewed journals.

Adetola C. Adebayo

Adetola Adebayo is a graduate of Physiotherapy from Obafemi Awolowo University, Ileife. She is also a research assistant and presently working at Olabisi Onabanjo University Teaching Hospital, Sagamu.

Taofeek O. Awotidebe

Dr. Taofeek Oluwole Awotidebe is a Senior Lecturer in the Department of Medical Rehabilitation, College of Health Sciences, Obafemi Awolowo University, Ile – Ife, Nigeria. His research interest focuses on cardiopulmonary exercise rehabilitation which covers exercise stress testing, cardio-respiratory fitness training, physical in/activity and leisure time recreational activities in apparently healthy individuals and patients with cardiac challenges, type-2 diabetes, stroke and metabolic syndrome. He has contributed to knowledge in the assessment of factors responsible for the decline in physical activity and obesity related risk factors for cardiovascular disease among adolescents and adults.

Chidozie E. Mbada

Dr. Chidozie E. Mbada (BMR, P T, MSc PhD) is a Senior Lecturer at the Department of Health Professions, Manchester Metropolitan University, United Kingdom. He has made novel contributions in musculoskeletal, women's health and outcomes research, as well as digital health applications' development and implementations, and community physiotherapy. Dr. Mbada has more than 200 scientific publications in reputable peerreviewed journals, and he is a recipient of awards and grants.

Clara Fatoye

Clara Fatoye is a Lecturer in Health and Social Care at the University Campus Oldham (UCO), United Kingdom. She is a registered Social Worker with Social Work England (SWE) and a member of the British Association of Social Workers (BASW). Clara is PhD candidate at the Manchester Metropolitan University. Her research interests include disability including medical and social model of disability, asylum and refugees, personalisation and market access. She is a reviewer for some reputable journals including Physical & Occupational Therapy in Pediatrics.

Blessing S. Ige

Ige Blessing Samuel is a graduate of Physiotherapy from the Obafemi Awolowo University, Ile-Ife. He is into Clinical practice and a Researcher. He presently works as a Physiotherapist at the Olabisi Onabanjo University Teaching Hospital, Sagamu.

Tadesse Gebrye

Tadesse Gebrye (MSc, MP H), is a Research Associate, Health Economics and Outcomes, Department of Health Professions, Faculty of Health and Education.

Francis Fatoye

Francis Fatoye is a Professor of Health Economics, and Director Centre for Health, Psychology and Communities at the Manchester Metropolitan University, UK. His research interests include musculoskeletal disorders, health economics, economic evaluations and real-world evidence. His research studies have been published widely and presented at prestigious international conferences.