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

Abstract

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.