Equity of Physical Therapy Services for Patients with Stroke in Nakhonnayok Province

Main Article Content

Mingkhwan Tientananuruk
Sukhontha Kongsin
Somchart Torugsa


This research was a cross-sectional survey research to study equity of physical therapy service for 137 patients with stroke in Nakhonnayok, Thailand, using questionnaires and interviews from June to December 2011. The analyses consisted of frequency distributions, percentage, and chi-square. The assumption that equal treatment for equal need.

The results show that physical therapy services for stroke patients at Nakhonnayok showed horizontal equity in three-dimensions of physical therapy (number of treatment, time for treatment and frequency of treatment). There were statistically significant relationship between the level of illness and 1) number of physical therapy types (P = 0.001); and 2) time and frequency of physical therapy (P = 0.045).

To achieve equity for physical therapy among stroke patients, policy makers are recommended to use findings from this specify and consider physical therapy for activity plan or development of standard practice guideline on physical therapy for patients with stroke by physiotherapy such as passive exercise training and transfer on bed for patient’s severity type treatment time 30 - 45 minutes, 3 times per week. General exercise, balance training in sitting or standing, ambulation training for patient’s mild type treatment time 45 - 90 minutes, 3 times per week.

Article Details

How to Cite
Tientananuruk, M., Kongsin, S., & Torugsa, S. (2014). Equity of Physical Therapy Services for Patients with Stroke in Nakhonnayok Province. Ramathibodi Medical Journal, 37(3), 138–144. Retrieved from https://he02.tci-thaijo.org/index.php/ramajournal/article/view/98011
Original Articles


Srithamrongsawat S. Equity of health care service of the elderly (30 baht health care scheme). Journal of Health Science. 2006;15:5.

Pannarunothai S. Health economics in health systems reform. Center for Health Equity Monitoring. Faculty of Medicine, Naresuan University; 2001:100.

Na Ranong V, Na Ranong A. Impact of the universal health coverage and the 30 baht health care scheme. Thailand Development Research Institute Foundation; 2007.

Penchansky R, Thomas JW. The concept of access: definition and relationship to consumer satisfaction. Med Care. 1981;19(2):127-140.

Aday LA, Andersen R. A framework for the study of access to medical care. Health Serv Res. 1974;9(3):208-220.

World Health Organization. Prevention of cardiovascular disease: guideline for assessment and management of total cardiovascular risk. 2007.

The American Heart Association. Heart disease and stroke statistics_2010 update: a report from the American. American Heart Association. 2010.

Strategy and Planning Division, Ministry of Public Health. Public Health Statistics 2008. Bangkok; 2008.

National Health Security Office (NHSO). Manual of capital health plan in health insurance. 2nd. Nonthaburi; 2009:73.

Vichathai J. Intermediate care service management of the universal health coverage. Health Insurance System Research Office. Health Systems Research Institute; 2009.