Abstract

The aim of our study is to assess the utilization of out-patient care physiotherapy services related to the shoulder and upper arm injuries according to age and gender. Data were derived from the countrywide database of Hungarian Health Insurance Administration (HHIA), based on official reports of outpatient care institutes in 2009. The activity list was provided by the rulebook on the application of the activity code list in out-patient care. The shoulder and upper arm injuries were reported in diagnosis code S40-S49. The number of cases in physiotherapy activities related to for shoulder and upper arm injuries were determined per 10,000 persons by age and gender in outpatient care. Population distribution was taken into account on the basis of the data of the Central Statistical Office from January 1st 2009. The total number of the 151 different physiotherapy services was 697.896 cases at the shoulder and upper arm injuries in the year of 2009. The average number of cases of physiotherapy activities per 10,000 persons accounted for 695,54 cases. The average number of cases per 10,000 persons for males and females were 675,69 cases for males and 712,95 cases for females. The number of cases of the shoulder and upper arm injuries were higher than the average in the 40-84. age groups in males and in the 50-84. age groups in females. The number of cases were the highest in the 55-59 age group in males (1.298,54), and in 65-69. age group (1.897,72) in female. In case of the shoulder and upper arm injuries, the highest demand of the outpatient care physiotherapy services occurred older injured patients. The differences in young males vary with the physical activity and the type of recreation activities, and with the condition of osteoporosis in elderly females.

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