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130 APPENDICES Physiotherapy KCE reports vol.40 Overall, the mean length of a session is 29 ± 4 minutes. Thirty minutes are the most frequent length observed in the questionnaire. Almost no sessions were allocated for consultative examination and written report (see Section 4.2.2.3). A high prevalence of common pathologies is observed in musculoskeletal and genitourinary diseases. Heavy pathologies are generally encountered in neurological (high prevalence of hemiplegia/hemiparesis, Parkinson, multiple sclerosis, and cerebral palsy) and circulatory (high prevalence of stroke/cardiovascular diseases) disorders. Perinatal pathologies are classified in factors influencing health status and contact with health service category (high prevalence of pre- and post-natal physiotherapy). Pathologies of acute FA list are frequent in injuries (high prevalence of fractures, sprain/strain of knee, internal derangement of knee, and rotator cuff syndrome) and factors influencing health status and contact with health service (high prevalence of orthopaedic joint implants). Pathologies of chronic FB list are mainly encountered in mental/behavioural diseases (high prevalence of developmental disorder of scholastic skills) and in symptoms/signs/abnormal clinical and laboratory findings not elsewhere classified category (high prevalence of gait disorders). Finally, fee cost for a session is on average equivalent to 16.72 ± 3.13 euros; 18.00 euros being the most frequent fee cost observed in the questionnaire. Validity of the results according to the INAMI/RIZIV The validity of the data relative to the physiotherapeutic sessions has been investigated by comparing the Belgian physiotherapeutic nomenclature codes recorded in the questionnaire (n = 5244 out of the 5300 recorded sessions) with the benefits payments recorded by the INAMI/RIZIV during the year 2005 (n = 29,198,425). Descriptive and comparative statistics are presented in Table 4.5. In both the questionnaire and the INAMI/RIZIV data: physiotherapists office is the most frequent rehabilitation place and nursing home is the least 30 minutes is the most common length of the physiotherapeutic sessions whereas there are very few codes allocated to written reports common pathologies are the most frequent pathology type while perinatal pathologies are the least 18 euros is the most regular fee cost and 16.17 euros is rarely asked.
KCE reports vol. 40 APPENDICES Physiotherapy 131 Table 5 Comparison between the nomenclature data of the survey and those of the INAMI/RIZIV (2004) Belgian nomenclature data Survey* INAMI/RIZIV* Comparison Difference** (n = 5 244) (n = 29 198 425) Statistic p-value Place of the rehabilitation ² = 79.92, df = 2 < 0.001 Physiotherapist's office 3369 (64.24 ± 1.30%) 17030198 (58.33 ± 0.02%) 5.91% z = 08.68 < 0.001 Patient's home 1530 (29.18 ± 1.23%) 9789962 (33.53 ± 0.02%) 4.35% z = 06.66 < 0.001 Nursing home for elderly people 345 (6.58 ± 0.67%) 2378265 (8.15 ± 0.01%) 1.57% z = 04.12 < 0.001 Length of the physiotherapeutic sessions ² = 107.26, df = 8 < 0.001 10 minutes 59 (1.13 ± 0.29%) 724720 (2.48 ± 0.01%) 1.35% z = 06.27 < 0.001 15 minutes 31 (0.59 ± 0.21%) 289516 (0.99 ± 0.00%) 0.40% z = 02.86 0.004 20 minutes 285 (5.43 ± 0.61%) 1609158 (5.51 ± 0.01%) 0.08% z = 00.21 0.832 30 minutes 4828 (92.07 ± 0.73%) 26004000 (89.06 ± 0.01%) 3.01% z = 06.96 < 0.001 60 minutes 26 (0.50 ± 0.19%) 123846 (0.42 ± 0.00%) 0.08% z = 00.69 0.489 Second session 11 (0.21 ± 0.12%) 308105 (1.06 ± 0.00%) 0.85% z = 05.92 < 0.001 Not related to the length notion 2 (0.04 ± 0.05%) 45134 (0.15 ± 0.00%) 0.11% z = 01.97 0.049 Consultative examination 1 (0.02 ± 0.04%) 6861 (0.02 ± 0.00%) 0.00% z = -00.24 0.809 Written report 1 (0.02 ± 0.04%) 87085 (0.30 ± 0.00%) 0.28% z = 03.58 < 0.001 Type of pathology ² = 221.80, df = 4 < 0.001 C: common pathology 2170 (41.38 ± 1.33%) 11687511 (40.03 ± 0.02%) 1.35% z = 01.99 0.047 E: heavy pathology 1488 (28.38 ± 1.22%) 10711831 (36.69 ± 0.02%) 8.31% z = 12.47 < 0.001 P: perinatal pathology 36 (0.69 ± 0.22%) 224337 (0.77 ± 0.00%) 0.08% z = 00.60 0.549 FA: pathology of acute FA list 1083 (20.65 ± 1.10%) 4737490 (16.23 ± 0.01%) 4.42% z = 08.68 < 0.001 FB: pathology of chronic FB list 467 (8.91 ± 0.77%) 1837256 (6.29 ± 0.01%) 2.62% z = 07.76 < 0.001 * Number of nomenclature codes (proportion ± accuracy corresponding to the 95% confidence interval) ** Proportion ² = Chi-Square Test; df = degree of freedom; z = z-test.
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