title: Patient satisfaction with private physiotherapy for musculoskeletal pain.
abstract: BACKGROUND
  Despite emphasis on patient centred healthcare, healthcare professionals have been slow to use validated measurements of patient satisfaction in physiotherapy practice. The aim of this cross sectional survey was to measure patient satisfaction with private physiotherapy in Ireland, for patients with musculoskeletal pain, using a previously validated survey instrument.
  
  
  METHODS
  A multidimensional patient satisfaction questionnaire 'PTOPS', which assesses patient satisfaction with outpatient physiotherapy treatment, was translated from American English to European English, and relevant demographic and global satisfaction items were included. This was then circulated to patients with musculoskeletal pain (n = 240) for anonymous completion and return to the research team. Data were analysed using the Statistical Package for the Social Sciences (SPSS, v.12).
  
  
  RESULTS
  In total 55% (n = 131/240) of questionnaires were returned. Just over half of the respondents were male (53.4%, n = 70), with a mean age (SD) of 37.7 years (12.4), and had previous experience of physiotherapy (65.6%, n = 86). The most common site of musculoskeletal pain was spinal (51.5% n = 66). The mean (SD) number of treatments was 8.3 (8.3), at a mean total cost (SD) of 350.2 euros (322.8 euros). The 'PTOPS' questionnaire categorised and scored satisfaction items under four domains, Enhancer, Detractor, Location and Cost. The mean score (SD), optimum score, and scoring range for each domain were: 'Enhancer' 41.2 (3.8), 50, 10-50; 'Detractor' 19.4 (4.4), 10, 10-50; 'Location' 28.0 (4.1), 35, 7-35; 'Cost' 18.9 (2.8), 7, 7-35. "Overall satisfaction with physiotherapy experience" was scored on a five-point scale "excellent to poor", with a modal response of "Very Good" (42%; n = 55).
  
  
  CONCLUSIONS
  This study measured patient satisfaction with private physiotherapy treatment for musculoskeletal pain in Ireland using a previously validated outcome measure and provides a template for future studies of this increasingly important topic. Results demonstrated high levels of satisfaction with all components of physiotherapy treatment, except cost, and provided valuable patient feedback regarding their physiotherapy treatment for musculoskeletal pain. Results can be used by physiotherapists to improve future patient experiences with a view to improving patient attendance and compliance with physiotherapy treatment protocols for patients with musculoskeletal pain.
authors.affiliation: School of Physiotherapy & Performance Science, University College Dublin, Ireland. sarah.casserley@ucd.ie
authors.forename: Sarah N
authors.initials: SN
authors.lastname: Casserley-Feeney
authors.forename: Martin
authors.initials: M
authors.lastname: Phelan
authors.forename: Fionnuala
authors.initials: F
authors.lastname: Duffy
authors.forename: Susan
authors.initials: S
authors.lastname: Roush
authors.forename: Melinda C
authors.initials: MC
authors.lastname: Cairns
authors.forename: Deirdre A
authors.initials: DA
authors.lastname: Hurley
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007494:Ireland; D008297:Male; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000628:therapy*; D010045:Outpatients / Q000706:statistics & numerical data; D059408:Pain Management; D017060:Patient Satisfaction; D026741:Physical Therapy Modalities / Q000458:organization & administration / Q000706:statistics & numerical data*; D017149:Private Sector / Q000706:statistics & numerical data*; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires / Q000592:standards