A comparison of health care use for physician-referred and self-referred episodes of outpatient physical therapy

Health Services Research

Volumn 47, Issue 2, 2012, Pages 633-654

  Pendergast, Jane ^a   Kliethermes, Stephanie A ^a   Freburger, Janet K ^b   Duffy, Pamela A ^c  

^a UNIVERSITY OF IOWA   (United States)

^b UNIVERSITY OF NORTH CAROLINA   (United States)

^c DES MOINES UNIVERSITY   (United States)

Author keywords

Access to care; direct access; physical therapy; physician referral

Indexed keywords

ADULT; ARTICLE; CONTROLLED STUDY; FEMALE; HEALTH CARE UTILIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; OUTPATIENT CARE; PHYSICIAN; PHYSICIAN SELF-REFERRAL; PHYSIOTHERAPIST; PHYSIOTHERAPY; RETROSPECTIVE STUDY;

ADOLESCENT; ADULT; AGE FACTORS; AMBULATORY CARE; CROSS-SECTIONAL STUDIES; DELIVERY OF HEALTH CARE; DIAGNOSIS-RELATED GROUPS; FEMALE; HUMANS; MALE; MIDDLE AGED; OUTCOME ASSESSMENT (HEALTH CARE); PHYSICAL THERAPY MODALITIES; PROPENSITY SCORE; REFERRAL AND CONSULTATION; SELF CARE; SEX FACTORS; YOUNG ADULT;

EID: 84858324188     PISSN: 00179124     EISSN: 14756773     Source Type: Journal    
DOI: 10.1111/j.1475-6773.2011.01324.x     Document Type: Article

References (22)

1. Agency for Healthcare Research and Quality (AHRQ). 2009a. " Clinical Classifications Software (CCS) for ICD-9-CM " [accessed on February 25, 2010]. Available at http://www.hcup-us.ahrq.gov/toolssoftware/ccs/ccs.jsp.
2. Agency for Healthcare Research and Quality (AHRQ). 2009b. " MEPS HC-110F Codebook 2007 Outpatient Department Visits " [accessed on February 25, 2010]. Available at http://www.meps.ahrq.gov/mepsweb/data-stats/download- data/pufs/h110f/h110fcb.pdf.
3. Agency for Healthcare Research and Quality (AHRQ). 2009c. " MEPS HC-110G Codebook 2007 Office-based Medical Provider Visits " [accessed on February 26, 2010]. Available at http://www.meps.ahrq.gov/mepsweb/data-stats/ download-data/pufs/h110g/h110gcb.pdf.
4. American Physical Therapy Association. 2004. " Position on Principles and Objectives for the United States Health Care System and the Delivery of Physical Therapy Services HOD P06-04-17-16 " [accessed on July 8, 2010]. Available at http://www.apta.org/uploadedFiles/APTAorg/About-Us/ Policies/HOD/Health/Principles.pdf.
5. American Physical Therapy Association. 2011. " A Summary of Direct Access Language in State Physical Therapy Practice Acts: Direct Access to Physical Therapy Laws " [accessed on August 25, 2011]. Available at http://www.apta.org/uploadedFiles/APTAorg/Advocacy/State/Issues/Direct-Access/ DirectAccessbyState.pdf.
6. BlueCross BlueShield Association (BCBSA). 2011. " Healthcare Coverage Glossary " [accessed on February 17, 2011]. Available at http://www.bcbs.com/coverage/glossary.
7. Childs, J. D., J. M. Whitman, P. S. Sizer, M. L. Pugia, T. W. Flynn, and, A. Delitto,. 2005. " A Description of Physical Therapists' Knowledge in Managing Musculoskeletal Conditions." BMC Musculoskeletal Disorders 6: 32.
8. Ciolek, D. E., and, W. Hwang,. 2008. Outpatient Therapy Alternative Payment Study 2 (OTAPS 2) Task Order; CY 2006 Outpatient Therapy Cap Report. Baltimore, MD: Computer Sciences Corporation.
9. Freburger, J. K., G. M. Holmes, and, T. S. Carey,. 2003. " Physician Referrals to Physical Therapy for the Treatment of Musculoskeletal Conditions." Archives of Physical Medicine and Rehabilitation 84 (12): 1839-49. (Pubitemid 37509796)
10. Iowa Code. 2010. " Title IV Public Health, Subtitle 3 Health-Related Professions, Chapter 148A Physical Therapy, Section 148A1 Definitions-referral- authorization " [accessed May 30, 2010]. Available at http://search.legis. state.ia.us/nxt/gateway.dll/ar/iac?f=templates$fn=default.htm.
11. © System, Version 8.2, December 2008. Baltimore, MD. Available at http://acg.jhsph.edu.
12. Leemrijse, C. J., I. C. S. Swinkels, and, C. Veenhof,. 2008. " Direct Access to Physical Therapy in the Netherlands: Results from the First Year in Community-Based Physical Therapy." Physical Therapy 88 (8): 936-46.
13. Martin, B. I., R. A. Deyo, S. K. Mirza, J. A. Turner, B. A. Comstock, W. Hollingworth, and, S. D. Sullivan,. 2008. " Expenditures and Health Status among Adults with Back and Neck Problems." Journal of the American Medical Association 299 (6): 656-64. (Pubitemid 351252723)
14. Medicare Payment Advisory Commission. 2004. Glenn M. Hackbarth, Chairman. Letter to the Honorable Richard Cheney on Direct Access to Outpatient Physical Therapy Services, Dated December 30. Washington, DC: MedPAC [accessed May 30, 2010]. Available at http://www.medpac.gov/publications/congressional-reports/ Dec04-PTaccess.pdf.
15. Mirabito, A. M., and, L. L. Berry,. 2010. " Lessons That Patient-Centered Medical Homes Can Learn from the Mistakes of HMOs." Annals of Internal Medicine 152 (3): 182-6.
16. Mitchell, J. M., and, G. de Lissovoy,. 1997. " A Comparison of Resource Use and Cost in Direct Access Versus Physician Referral Episodes of Physical Therapy." Physical Therapy 77 (1): 10-18. (Pubitemid 27034275)
17. Moore, J. H., D. L. Goss, R. E. Baxter, T. M. DeBerardino, L. T. Mansfield, D. W. Fellows, and, D. C. Taylor,. 2005a. " Clinical Diagnostic Accuracy and Magnetic Resonance Imaging of Patients Referred by Physical Therapists, Orthopaedic Surgeons, and Nonorthopaedic Providers." Journal of Orthopaedic & Sports Physical Therapy 35 (2): 67-71. (Pubitemid 40270480)
18. Moore, J. H., D. J. McMillian, M. D. Rosenthal, and, M. D. Weishaar,. 2005b. " Risk Determination for Patients with Direct Access to Physical Therapy in Military Health Care Facilities." Journal of Orthopaedic & Sports Physical Therapy 35 (10): 674-8. (Pubitemid 41475875)
19. Miller, R. H., and, H. S. Luft,. 2002. " HMO Plan Performance Update: An Analysis of the Literature, 1997-2001." Health Affairs 21 (4): 63-86.
20. Overman, S. S., J. W. Larson, D. A. Dickstein, and, P. H. Rockey,. 1988. " Physical Therapy Care for Low Back Pain. Monitored Program of First-Contact Nonphysician Care." Physical Therapy 68 (2): 199-207. (Pubitemid 18053558)
21. South Dakota Codified Laws. 2010. Title 36, Chapter 10, Section 18.1 [accessed May 12, 2010]. Available at http://legis.state.sd.us/statutes/ DisplayStatute.aspx?Statute=36019-18.1&Type=Statute.
22. Springer, B. A., R. A. Arciero, J. J. Tenuta, and, D. C. Taylor,. 2000. " A Prospective Study of Modified Ottawa Ankle Rules in a Military Population." American Journal of Sports Medicine 28 (6): 864-8.