Factors Affecting Delay in Receiving Hand Therapy in Bangladesh: a cross-sectional study

Abstract

Background: Hand therapy plays a crucial role in the rehabilitation of the upper limb, especially for patients recovering from hand injuries, surgeries, or chronic conditions. Timely access to therapy is crucial for effective rehabilitation. However, delays in receiving hand therapy are common, particularly in Bangladesh, due to various barriers such as don’t know about HT, financial constraints, cultural beliefs, and systemic inefficiencies. These delays often result in prolonged recovery, increased disability, and lower patient satisfaction. Aim: This study aims to identify and understand the factors contributing to delays in receiving hand therapy in Bangladesh, focusing on the socio-economic, cultural, and healthcare-related barriers. Methods: A cross-sectional quantitative study was conducted at the Centre for the Rehabilitation of the Paralysed (CRP), involving 96 participants with hand conditions. Data was collected through face-to-face survey by structured questionnaires addressing various factors such as financial constraints, lack of awareness, cultural beliefs, and healthcare system inefficiencies. Descriptive statistical methods were used to analyze the collected data. Results: The study identified key factors responsible for delayed hand therapy: lack of awareness (43.8%), financial barriers (11.5%), and perceived mild condition (55.2%). Most participants (59.4%) reported severe symptoms before therapy, and 56.3% experienced significant work impact. Functional improvements were noted, with 63.5% reporting reduced pain and 70.8% rating daily activities as "good." Participants emphasized the need for affordable therapy (54.2%), early recommendations (64.6%), and integrated healthcare services (59.4%). Addressing these barriers can enhance timely access to hand therapy and improve patient outcomes. Conclusion: The study identifies key factors such as financial distress, cultural perceptions, and a lack of awareness as major contributors to delays in receiving hand therapy in Bangladesh. Addressing these barriers through public education, improving access to affordable services, and integrating mental health support could significantly reduce delays, improving patient outcomes and satisfaction. Keywords: Hand therapy, delays, rehabilitation, financial barriers, cultural beliefs, healthcare system, patient satisfaction, Bangladesh.