Use of Outpatient Physical Therapy Services by People With Musculoskeletal Conditions

Carter, Stephanie K; Rizzo, John A.

doi:10.2522/ptj.20050218

Cited by 74 publications

(60 citation statements)

References 42 publications

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“…The high percentage of adult patients with musculoskeletal conditions was not surprising, as current literature reports the majority of outpatient physical therapy is used by patients with musculoskeletal conditions ranging in age from 18 to 64 years. 29 It is likely that as physical therapists in the United States become recognized as experts in neuromuscular and musculoskeletal conditions and as experts in movement and function, the type of patients they see may diversify.…”

Section: Discussionmentioning

confidence: 99%

Direct Access: Factors That Affect Physical Therapist Practice in the State of Ohio

McCallum

DiAngelis

2012

Physical Therapy

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Section: Discussionmentioning

confidence: 99%

Direct Access: Factors That Affect Physical Therapist Practice in the State of Ohio

McCallum

DiAngelis

2012

Physical Therapy

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“…5,38 This model has been used in physical therapy to define the antecedents of utilization for persons with LBP 25 and other musculoskeletal conditions. 9 In the Andersen model, predisposing, enabling, and need factors are the constructs that explain use of health services at the individual or patient level (FIGURE 1). Predisposing factors include demographic variables, enabling factors include income and insurance variables, and need factors are related to variables that define individual health issues, including comorbidities and health status.…”

Section: Conceptual Frameworkmentioning

confidence: 99%

Factors Associated With Care Seeking From Physicians, Physical Therapists, or Chiropractors by Persons With Spinal Pain: A Population-Based Study

Chevan¹,

Riddle²

2011

J Orthop Sports Phys Ther

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Low back pain (LBP) and neck pain (NP) account for as much as a third of all visits to outpatient physical therapy practices. 34,35 Despite providing this apparently high proportion of care, physical therapists rank third behind physicians and chiropractors in patient care-seeking rates among the major clinician types who provide care for patients with LBP, 7,8 with the majority of persons seeking care for LBP from a physician. 7,21,28 Deyo and Tsui Wu 21 found that 59% of all persons with LBP seek care from a physician. In ambulatory care medical settings, LBP ranks fifth among all diagnoses as a reason for a physician visit and second among symptomatic complaints for a physician visit, accounting for 2.3% to 2.8% of all visits to physicians. 20,28 After physicians, chiropractors are the next major provider group, accounting for a substantial proportion of care. 7,8,21 In chiropractic, 40% to 68% of all patients report LBP as the primary reason for seeking care and NP as the second most common reason. 17,30,40 Among these 3 major types of care providers for LBP and NP, physicians and chiropractors are similar because both provide primary care, while physical therapists and chiropractors are similar because both provide manipulative and corrective care. The conceptual and philosophical basis of care for physical therapists and chiropractors does differ, and 2 older studies conducted in the UK and Sweden indicate that chiropractors use more manipulation and physical therapists provide both manipulation and mobilization, as well as exercise, modality-based treatment, and education. 36,43 Variation in the attributes that determine care seeking for LBP has been docu-T T STUDY DESIGN: Secondary analysis of longitudinal population-based survey data. T T OBJECTIVES:To investigate factors associated with care seeking for physician-referred physical therapy (MD/PT), as compared to physician-only (MD) or chiropractic-only (DC) care for spinal pain. T T BACKGROUND:Although a large proportion of ambulatory physical therapy visits are related to spinal pain, physical therapists are not the most commonly seen provider. The majority of visits are to physicians, followed by chiropractors. We attempted to understand more about this disparity by examining social and demographic factors that differentiate between persons who see these providers. T T METHODS:Episodes of care were constructed from participants in 2 panels from the Medical Expenditure Panel Survey who had spinal pain. The provider of care was identified for each episode, and logistic regression was used to determine factors associated with MD/PT use compared to MD use, and MD/PT use compared to DC use. T T RESULTS:The majority of patients (61%) received MD care for spinal pain, followed by those who received DC (28%) and MD/PT (11%) care. Female sex, higher levels of education, and higher income were significantly associated with MD/ PT care over MD care. Increased age, female sex, lower self-health rating, and presence of at least 1 disability day were all significa...

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“…Much of the work has focused on the delivery of physical therapy in the outpatient setting. [1][2][3][4] Some studies also have focused on physical therapy use by Medicare beneficiaries 5,6 and patients in skilled nursing facilities. 7 Few studies have been conducted on physical therapy use in the acute care setting.…”

mentioning

confidence: 99%

Delivery of Physical Therapy in the Acute Care Setting: A Population-Based Study

et al. 2012

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Use of Outpatient Physical Therapy Services by People With Musculoskeletal Conditions

Abstract: The results of this study indicate that health- and non-health-related factors influence outpatient physical therapy use.

Cited by 74 publications

References 42 publications

Direct Access: Factors That Affect Physical Therapist Practice in the State of Ohio

Direct Access: Factors That Affect Physical Therapist Practice in the State of Ohio

Factors Associated With Care Seeking From Physicians, Physical Therapists, or Chiropractors by Persons With Spinal Pain: A Population-Based Study

Delivery of Physical Therapy in the Acute Care Setting: A Population-Based Study

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