What Influences the Cost-Effectiveness of Physiotherapeutic Intervention on Patients with Low Back Pain? Literatur Review

As well as addressing the question which factors influence the effectiveness of physiotherapeutic management in relation to costs and treatment outcome this literature review aims to illustrate the difficulties in collecting economic studies related to the treatment of lumbar complaints and to outline the physiotherapist's area of responsibility in health-care policy. Influence on cost-effectiveness takes place on various levels: Data collection and statistic analysis method used are decisive for the illustration of the intervention's effectiveness (operational level). The currently not standardised methods for the calculation of additional costeffectiveness or cost-benefit ratio are another possible influencing factor (economic level). The third level includes the perspective from which the evaluation of the intervention's effectiveness was made. In this process the maximal sum paid for the intervention by the responsible body plays a vital role (health-policy level).