Characteristics of the study area:

Location: (Nablus) districts, which located in the northern area of the West Bank. Nablus district is the center of the northern area.

 

 

 

 

Description of the settings:

        In this study, the researcher selected all settings. The Major part of the Physiotherapy care/services in north districts in Nablus is delivered by the NGOS, and private sectors. Services offered in these centers.

 

1-UNRWA Services:

          The Physiotherapy services are distributed in three refugee camps (Balata, Asqar, and Alain) camps. The centers provide their preventive & curative rehabilitation services to the Palestinian refugees who live in Nablus districts.  

 

                   

 

2- Public/ Government:

           The public /government physiotherapy therapy services are operated by the Palestinian Ministry of Health, and Ministry of Social Affairs. The center provides its curative physiotherapy services to the insured Palestinians who live in the north districts.

 

 3-NGOS:

 The NGO’s Physiotherapy services are distributed in all north districts .The major part of the services is in Nablus district. These centers often physiotherapy, Services provided at minimal cost and free of charge for the social cases.

                                                                                                            

4-Private:                                                                                                                                                                          

The private physiotherapy services are distributed in Nablus in the north districts .The major part of the services is also in Nablus district. Most services are located in the center of the cities. Physiotherapy is the major part of the services in this sector.

 

 

 

 

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METHODOLOGY

 

A.   Research Design:

        In this study the researcher has utilized a descriptive quantitative design utilizing a structured questionnaire with face-to-face interviewing to technique to describe the Physiotherapy services in the in Nablus district. The face-to-face technique will be most appropriate in order to include all providers of services with different service levels and to achieve high response rate.

 

        The study will cover all operating Physiotherapy centers at the primary, secondary, and tertiary levels.

 

B. Identification of Population and Sample:

The target population includes all the providers of Physiotherapy services in the north districts of Palestine in Nablus district. Responses will be provided by each centers manger or responsible.

 

Sampling Methods:

        The researcher by them self made the interview and collected the survey from the centers.

 

 

 

 

 

C.  Setting:

            The researcher had chosen four sectors, (Government, UNRWA, NGOS, Private) which provided Physiotherapy services to conduct the study. These clinics and centers were selected according to specific criteria, which had located in the north districts in Nablus district.

 

 

 

 

D.  Ethical Consideration:

       

  A formal Letter: Not used, because the cooperation of the administrator of Physiotherapy department.

  Explanatory Form: Every eligible manger or responsible in the study was given a full explanation about the research. Including the purpose, nature of study, importance of participation in addition to assuring of confidentiality of information and voluntary participation and that the providers was given the total freedom or accept or reject participate in the research .

 

E. Instrument:

         For the purpose of conducting face-to-face interview, the researcher designed a semi-structured questionnaire. The

Questionnaire aimed at exploring to evaluate the Physiotherapy services. The questionnaire was written in Arabic language to be easily understood by providers. The instrument was divided into (10) questions; each question consisted of several items (Appendix1). It was designed to collect information falling under the categories of: -

.

Question1: Related to the quality and quantity of the physiotherapy

                   services in the centers.

Quation2: Items related to the size of physiotherapy services in the

                 centers.

Question3: Items related to the funding of the physiotherapy services in the Centers.

Question4: Items related to the human resources in the physiotherapy  centers.

      Question5:  Items related to the administration systems in the

                         physiotherapy Centers.

Question6: Items related to the referral system and cooperation and

                   Coordination Between centers.

Question7: Items related to the general policies of the physiotherapy.

Question8: Items related to the priorities of the physiotherapy.

Question9: Items related to the believes, that we needs to develop

                    the physiotherapy policies.

.

Question10: Items related to the improvement the quality of the

                  physiotherapy services.

 

 

 

 

F.  Pilot Testing:

        These items in the questionnaire were evaluated by advisors who had research back ground and by two qualified Physiotherapy for validity purposes.

 

G.  Data Collection: 

         The researcher had planned to spend five days in the field in Nablus district for interview and collect data from the providers. The providers was first given a complete explanation about the purpose, nature of the study in addition to assure her/his confidentiality and that providers was free to accept or reject to participate in the study, the interview was conducted. 

 

        Before starting the interview, the questionnaire forms were prepared and serial by numbers. That was to secure the availability of all forms all the time. At the end of each interview, the researcher scanned the questionnaire to ensure adequate completion of all information.

 

8.  Methodological Limitation:    

           Limitation of this study were related to

        1-A relatively small size from one district where by the finding can only represent the situation in the district.

        2-The responses of institution in some topics are too high, because the Presented institution wants to give a good picture about institution in this Study.

 

I.  Method of Data Analysis:

The data was entered into the computer, while utilizing the statistical program SPSS. Descriptive statistics such as mean, percentage, frequency distribution, and ranks.   

 

SUMMARY:

           This chapter gave an overview of the methodology that was used to answer the research questions, which included the research design, the target population, sampling, setting, instrument and methods of data collection and analysis.

 

 

 

Table (3) Distributions of Physiotherapy Institutions as follows Palestinian physiotherapy Association, 2018)

Distribution

North districts

South districts

Middle districts

Gaza Strip

Total

Number

85

52

65

87

289

 

Table (3) Distributions of Physiotherapy Institutions as follows CNCFR In Nablus, 2018)

Distribution

City

Camps

Village

Total

Number

24

3

4

31

                                                                                                        

Table (3) Distributions of Physiotherapy Institutions as follows CNCFR In Nablus, 2018)

Distribution

Private

NGOS

Government

Total

Number

22

6

3

31

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CHAPTAR VII

RESULTS

 

 

 

A.   Data Analysis Procedure:

        Data collection was carried out in the period in March 2018. The population of the study different subjects. The subjects were from Government centers and clinic, Non Government centers, UNRWA centers, and Private centers in the Nablus district. Face to face interview technique was carried out, and all questionnaires were completed ensuring 100% response rate.

 

Descriptive statistics for closed-ended questions was carried out using the (SPSS) program indicating Mean, Frequencies, and percentages.

 

        For data analysis, the researcher used the following percentages:

(80%) as above was considered very high degree of strong agree.

(70-79.9%) as above was considered high degree of agree.

(60-69.9%) as above was considered moderate degree of

 Physiotherapy services.

(50-59.9%) as above was considered low degree of disagree.

(Less than 50%) as above was considered very low degree of

very disagree.

 

B.  Presentation of Results:

       The presentation of data covered the 10 parts of the questionnaire. The part one presents descriptive analysis of types of PT services. The third part presents descriptive analysis of respondents assessment of  PT services in relation to several aspects of quality and quantity of services, size of services, financial, human resources, administrative system, referral system, cooperation and coordination between the institutions, PT policies, priority of PT, serious, development of PT policies, and suggestions needed to develop PT policies to improve PT services quality. The findings are presented in a tabular form.

 

1. Classification Variables:

         For this part, frequency distributions were developed for each of the descriptive variables of the population.

 

 

 

3. Summary:

This chapter has presented an overview of the results of 31 providers from 31 PT services institutions and centers. The purpose was to describe PT services. Data collected in the period January 2018, and was analyzed using percentages, Frequencies distribution, and rank.

                    Results were presented in the thirteen parts: the descriptive responses related to the types of PT services, quality and quantity of PT services, size of PT services, financial matters, human resources, administrative system, patient-referring system, cooperation and coordination between institutions.

 

 

 

 

B.  Conclusion.

          This study aimed at describing the PT services in districts in Nablus district.

Information in this regard was collected, and pointed out important aspects that need be considered by various PT care providers in the Nablus districts were pointed out can be summarized as follows:

1. The majority of PT services are conducted by the private and NGOs sectors. The government should increase the PT services.
2. It is important to work on improving quality and quantity of physiotherapy services. Also the feedback from the employees and beneficiaries on evaluating PT services is very necessary to improve the quality and quantity of these PT services.
3. The majority of provider’s responses that there is unjustified duplication in providing services by different institutions, (94%).
4. Collaboration between institutions services is necessary to improve PT services by exchanging the expertise and preventing duplication.
5. The results showed there was a weakness in the administrative system.
6. The results of the study showed there was a weakness in the patients-referring system and cooperation and coordination.
7. The provider’s points of view on developing the PT policies nation-wide were very important and necessary.
8.  Social assimilation of the disabled in society was the top priority and the most serious problem that restricted the development of physiotherapy services.
9. The results of this study revealed, that the majority of providers believe that physiotherapy policies should be developed, and the percentage was (90.7%) and the providers, responses on studying the factors that affect policy-making in the field of physiotherapy, scored the percentage of (86%).

 

 

 

 

C.   Recommendations for Further Research.

       This study was descriptive in its nature to collect information regarding the characteristics of PT services in the north districts in Nablus district. It serves as base line data for further studies related to PT services. Based on this study, it is recommended that the future studies in this area use other variables in addition to those in this study, which would be of great advantage to PT planning programmers. The population size can be increased in order to cover all West Bank as well as Palestine as a whole, to allow for the general is ability of the findings.

 

The areas recommended to be tacked include: -

• Recommendation for types of PT services.

• The planner and decision maker should be encourage the institution to have new services needed such as (PT therapy).

 

 

 

• Recommendation for improving quality and quantity of

     PT services.

•      The planner and decision maker should be participate the

        beneficiaries in evaluating of PT services provided at

        The institution continually.

 

 

• Recommendation improving the size of PT services.

• The planner and decision maker should be preventing the unjustified duplication in providing services by different institutions.
• The quality of PT programs should be effective and meets needs of society.

 

 

• Recommendation for developing and improving the human resource in the institutions.

• The planner and decision maker should be putting a budget for work promotion.
• Regulations in the institution should be enabling employees to involve in progressive education activities.

 

 

 

 

• Recommendation for patient-referring system, cooperation and coordination between institutions.
• Cooperation and coordination between institutions is essential to improve PT services especially the exchange expertise.
• The planners and decision-makers should develop the patient-referring system nation-wide.

 

• Recommendation for top priority of PT.

• There should be social assimilation of the disabled in Palestinian society.
• Planner and decision makers should be cooperating, distributing services, and improving patient’s-referring systems in Palestine.
• The planner, decision maker, and providers should be improving quality and quantity of PT services provided.

 

• Recommendation for improving the quality of PT services.

• Governmentally should be supporting PT institution in Palestine.
• The planner and decision maker should be distributing PT services fairly in Nablus district.
• The planner and decision maker should be increasing investment in the field of PT.

 

 

 

 

 

Title

د. قيس نعيرات

Publisher

المؤتمر الدولي الرابع للعلاج الطبيعي

Publisher Country

Jordan

Publication Type

Both (Printed and Online)

Volume

4

Year

2018

Pages

35