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

Oyewole, Olufemi O, Adebayo, Adetola C, Awotidebe, Taofeek O, Mbada, Chidozie E, Fatoye, Clara, Ige, Blessing S, Gebrye, Tadesse ORCID: https://orcid.org/0000-0001-7976-2013 and Fatoye, Francis ORCID: https://orcid.org/0000-0002-3502-3953 (2022) Willingness-to-pay for physiotherapy services and its determinant among Nigerian stroke survivors. Physical Therapy Reviews, 27 (5). pp. 376-383. ISSN 1083-3196

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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.