| Direct Access: Factors That Affect Physical Therapist Practice in the State of Ohio. | |
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MedLine Citation:
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PMID: 22247405 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BackgroundDirect access physical therapy (DAPT) practice is permitted by law in the majority of states and across all practice settings. Ohio enacted legislation in 2004, however it was unknown how DA had impacted actual clinical practice.ObjectivesThe purpose of this study was to describe physical therapist and physical therapy practice environment factors that impact DA practice.DesignA 2-phase, mixed method descriptive study was conducted. METHODS:/b>First, focus group interviews were completed with 32 purposively selected physical therapists which resulted in eight themes for an electronically distributed questionnaire. Second, surveys were distributed to PTs with an email address on file with the Ohio licensing board. An adjusted return rate of 23% was achieved. Data were analyzed using PASW Statistic 18 for descriptive statistics. A constant comparative method assessed open ended questions for common themes and patterns. RESULTS: /b>Thirty one percent of respondents reported using DAPT, however 80% reported they would practice direct access if provided the opportunity. PTs who practiced DA were more likely to be in practice 6 or more years, hold advanced degrees beyond entry level, were APTA members, and had supportive management and organizational practice policies. (p<.05). The DAPT practice was generally a locally owned suburban private practice or a school based clinic that saw approximately 6-10% of its patients in by DA. The majority of patients treated were adults with musculoskeletal or neuromuscular impairments. Limitations: Non-response from e-mail may be associated with sample frame bias. CONCLUSIONS:/b>Implementation of a DAPT practice model is evident in Ohio. Factors related to reimbursement and organizational policy appears to impede the process. |
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Authors:
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Christine A McCallum; Tom Diangelis |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-1-12 |
Journal Detail:
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Title: Physical therapy Volume: - ISSN: 1538-6724 ISO Abbreviation: - Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2012-1-16 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0022623 Medline TA: Phys Ther Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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C.A. McCallum, PT, PhD, GCS, Division of Physical Therapy, Walsh University, 2020 E Maple St, North Canton, OH 44720 (USA). |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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