QUALITY MEASUREMENT OF PHYSIOTHERAPY SERVICE IN PHYSICAL REHABILITATION CENTER IN KOMPONG SPEU, CAMBODIA

Suth S1, Song S1
1International Committee of the Red Cross (ICRC), Physical Rehabilitation Program, Phnom Penh, Cambodia

Background: In global countries, Physiotherapists are played important roles in providing rehabilitation service both in the hospitals and the Physical Rehabilitation Centers (PRCs). In Cambodia, Physiotherapy is recognized by two ministries: Ministry of Health (take over hospitals), and Ministry of Social Affair, Veterans and Youth (take over Physical rehabilitation centers). There are 11 PRCs providing Physiotherapy service but all of them have never done any studies on quality of PT service. Therefore, Kompong Speu PRC is one of all PRCs provided rehabilitation service to total 11,088 Service Users (SU=PWD) such as amputation and non-amputation (Cerebral palsy, Polio, Adult neurological deficit, fracture). Among of total 11,088 SUs, 3761 SUs were received Physiotherapy service from the center (Kompong Speu Annual Statistic in 2017). However, since 1991 there was no proper assessment on quality of physiotherapy services in this PRC in Cambodia.

Purpose: The objective was to assess the quality of the PT service provided at Kampong Speu PRC.

Methods: Three PT quality measurement tools of ICRC PT standard were used to assess the quality. Service User Feedback with 10 yes/no questions was interviewed with the users. Quality Measurement Checklist (QMC) with 23 yes/no questions was scored by the researcher while observing the physiotherapists apply their intervention with the user. PT Gap Analysis tool of 23 standards with 95 sub-standards was used to score the physiotherapy services by researcher together with all physiotherapists at the center. The four numeric scale was applied for scoring. 1 is never met, is hardly ever met, 3 is met some of the time and 4 is met all or most of the time.

Results: Five users were interviewed with Service User Feedback tool in March 2018 and six SUs in April 2018, five SUs in May 2018, five SUs in June 2018 And 6 SUs in July 2018. There were dramatically increased the yes score from 30 baseline in March 2018 to 155. 30 yes in March, 41 yes in April, 34 yes in May, 36 yes in June and 44 yes in July 2018. Five users were interviewed with Quality Measurement Checklist tool in March 2018 and three SUs in April 2018, three SUs in May 2018, five SUs in June 2018 and three SUs in July 2018. There were dramatically increased the yes score from 73 baseline in March 2018 to 220. 73 yes in March, 44 yes in April, 47 yes in May, 85 yes in June and 44 yes in July 2018. PTGA average score was also increased 0.05 by comparing in January 2018 to June 2018.

Conclusion(s): The quality of physiotherapy services at Kampong Speu was good in term of the feedback from the users, physiotherapy intervention process and physiotherapy standard evaluation.

Implications: To maintain the quality of the physiotherapy services at rehabilitation, the sufficient of physiotherapy human resources should be balanced to the scope of physiotherapy work, service outputs and quality standard. The professional expert and management team should find the concrete balance on them.

Keywords: Physiotherapy, Quality measurement, Rehabilitation

Funding acknowledgements: International Committee of the Red Cross

Topic: Professional practice: other

Ethics approval required: No
Institution: N/A
Ethics committee: N/A
Reason not required: Manager of the Physical Rehabilitation center provided their acceptances through emails on implementing this study and ICRC gave clearance from ethical approval as routinely collected retrospective anonymised data were used for analysis.


All authors, affiliations and abstracts have been published as submitted.

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