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Determinants of Utilization of Health Services Provided for Children with Cerebral Palsy in Jordan

  • Nihad A. AlmasriEmail author
  • Carl J. Dunst
  • Maysoun Saleh
  • Rasha Okasheh
ORIGINAL ARTICLE
  • 26 Downloads

Abstract

Enhancing services utilization for children with cerebral palsy is a national priority particularly in middle and low income countries. Based on Andersen’s (1995) Behavioral Model of Health Services Use and previous research findings, a conceptual model was developed to identify child, family, and service determinants of utilization of services by children with cerebral palsy in Jordan. 1 hundred and 16 families of children with cerebral palsy agreed to participate in the study. Children were 4.6 ± 4.3 years of age. The most common types of cerebral palsy were spastic quadriplegia followed by spastic diplegia. Data were collected in 2 sessions. Physiotherapists’ research assistants administered the Gross Motor Classification System, the Gross Motor Function Measure-66-Item Set Version, Child Information Questionnaire, the Family Support Scale, the Family Resources Scale, Family Information Questionnaire, Services Questionnaire, and the Measure of Processes of Care-20 Item Version. Hierarchical multiple regression analysis by blocks was used to determine the predictors of the utilization of services. The model explained 57.5% of the variance in access to services. Satisfaction with services was the most influential determinant of utilization of services followed by family resources, child needs for services, associated health problems, father employment, and processes of care. Professionals and policy makers are encouraged to attend to parents’ satisfaction with services, processes of care, and family resources as key indicators of improving access and utilization of services by families of children with cerebral palsy.

Keywords

Utilization of service Cerebral palsy Jordan Anderson model Satisfaction Children 

Notes

Acknowledgements

The authors would like to thank the participant families and children for their time and commitment. A special gratitude for the participant sites including Albasheer Hospital, the Cerebral Palsy Foundation, and the University of Jordan Hospital for support during data collection.

Author’s Contributions

All authors participated in designing the study. NA and MS supervised data collection, NA and CD performed data analysis and prepared the first draft of the manuscript. All authors edited and approved the final manuscript.

Compliance with Ethical Standards

Funding

This study is funded by the Deanship of Scientific Research – The University of Jordan Amman- Jordan.

Ethical Approval

This study was approved by the Institutional Review Boards of the University of Jordan Hospital and the Ministry of Health.

Informed Consent

Informed consent was obtained from all participants included in the study.

Conflict of Interests

The authors declare no conflict of interest.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Physiotherapy, School of Rehabilitation SciencesThe University of JordanAmmanJordan
  2. 2.Orelena Hawks Puckett InstituteAshevilleUSA

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