Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Issue: 2016, vol. 22, issue 4
Subject Area: Medicine
Pages: 1338-1343
DOI: 10.5272/jimab.2016224.1338
Published online: 06 October 2016

J of IMAB 2016 Oct-Dec;22(3):1338-1343
Gergana Nenova1 Corresponding Autor, Paraskeva Mancheva1, Todorka Kostadinova2,
1) Training and research sector of Rehabilitation, Medical Collеge - Varna, Medical University of Varna, Bulgaria
2) Department of Health Economics and Management, Faculty of Public Health, Medical University of Varna, Bulgaria.

INTRODUCTION:  The research of patient satisfaction with arthrosis from multidisciplinary cooperation is related to clarifying  the position and the role of the physiotherapist in public health and in the development of integrated care.
AIM OF THE STUDY:  To investigate the satisfaction of patients with arthrosis from multidisciplinary cooperation.
MATERIAL AND METHODS:  In this research study participated 30 patients of the Department of Orthopedics and Traumatology of University Hospital "St. Marina" EAD - Varna for the period 2012-2016 of which 13 were men and 17 women. A feedback from these patients was sought based on the 5-point Likert scale regarding their satisfaction after the completion of the work of the multidisciplinary task team that provides integrated care at home. The questionnaire includes 12 questions, grouped in the following areas: awareness, attitude / communication, time, physical activity, professionalism and benefit / effectiveness. The data were compared with the results from a study of the satisfaction of a control group of 30 patients who were treated in the same ward, but chose to continue their rehabilitation with NHIF.
RESULTS: The respondents from the test group are highly satisfied in the "awareness" area (respectively 4.80 and 4.90). They say that they have more freedom in daily activities after the procedure conducted by physiotherapist (4.93) and would seek the same physiotherapist if they need rehabilitation in the future. Patients appreciate the quality behavior/approach and communication skills displayed by the physiotherapist during the rehabilitation process (5.00), which enables them to better understand their illness (4.93). The respondents from the test group felt much better after each procedure performed by the physiotherapist (5.00) and would recommend him/her to other patients who have the same need (5.00). The satisfaction from the work of the physiotherapist is appreciated by patients extremely high, but only within the model of the multidisciplinary team providing integrated care, in contrast with the very low levels of satisfaction with the quality of rehabilitation provided by the NHIF (control group - 2:43 to issue "8" and 2.40 for question "10").
the leading role of the physiotherapist is definitely essential for the patient in the model of the integrated care provided by the multidisciplinary task team at home. The health problem is solved by a patient-centered approach in an environment that is familiar and close to him with almost identical costs in terms of money, time, emotions, etc. in comparison with the costs provided by NHIF.

Key words: integrated care, multidisciplinary team, physiotherapy,

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Please cite this article in PubMed Style or AMA (American Medical Association) Style:
DOI: 10.5272/jimab.2016224.1338.

Correspondence to: Gergana Nenova, Department of Orthopedics and Traumatology, University Hospital for Active Treatment "St. Marina" Varna and Training and research sector of Rehabilitation, Medical Collеge - Varna, Medical University of Varna; 1, Hristo Smirnenski Str., 9002 Varna, Bulgaria; E-mail:

1. Milkova T, Stavrev D, Stamova K, Ktajcheva E. Create, deploy and stabilize Center "Home Care" at GM of the Red Cross – Varna. Proceedings of the Union of Scientists Varna.  2011;  ХVІ (2) [in Bulgarian].
2. Developer Program CINDI, Intervention program for integrated prevention of chronic non-communicable diseases, MH, NCPHA. 2011-2020. [in Bulgarian]. [Internet]
3. Stamova K, Milkova T, Stavrev D. Dynamics of satisfaction of the beneficiaries of their care from "Home Care Center" to GM of the Red Cross – Varna. Proceedings of the Union of Scientists – Varna. 2011; ХVІ(2)32 [in Bulgarian].
4. Jacobsson LT, Frithiof M, Olofsson Y, Runesson I, Strombeck B, Wikstrom I. Evaluation of a structured multidisciplinary day care program in rheumatoid arthritis. A similar effect in newly diagnosed and long-standing disease. Scand J Rheumatol. 1998; 27(2):117-24. [PubMed]
5. Petersson IF. Evolution of team care and evaluation of effectiveness. Curr Opin Rheumatol. 2005 Mar;17(2):160-3. [PubMed]
6. Mancheva P, Delejski M, Zabunov A. Effectiveness of team work in Primary Health Care. General medicine, 2003; 5(3):3-5(in Bulgarian).
7. Appleby NJ, Dunt D, Southern DM, Young D. General practice integration in Australia. Primary health services provider and consumer perceptions of barriers and solutions. Aust Fam Physician. 1999 Aug;28(8):858-63. [PubMed]
8. Starfield B. Is patient-centered care the same as person-focused care? Perm J. 2011 Spring;15(2):63-9. [PubMed]
9. Cronbach L. Internal consistency of tests: Analyses old and new. Psychometrika. 1988; 53(1):63 – 70.5
10. Djonev S. Social Psychology. SOFY-P. 2004; 5 [in Bulgarian].

Received: 18 July 2016
Published online: 06 October 2016

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