Use of outpatient physical therapy services by people with musculoskeletal conditions.

Abstract:

BACKGROUND AND PURPOSE:Because musculoskeletal conditions contribute to functional decline and activity limitation, physical therapy intervention may be an appropriate health care resource. The purpose of this research was to identify determinants of outpatient physical therapy use by people with musculoskeletal conditions. SUBJECTS:The subjects were adult noninstitutionalized civilians who participated in the Medical Expenditure Panel Survey from 1996 to 2000 and who had at least one musculoskeletal condition (N=18,546). METHODS:Logistic regression was used to identify predisposing, need, and enabling variables associated with receiving outpatient physical therapy services. RESULTS:Factors that were positively associated with receiving physical therapy services were having more than one musculoskeletal condition, having some limitation in function, having 7 or more ICD-9 (International Classification of Diseases, 9th Revision) codes, having a college or advanced degree, and residing in an urban area. Factors that were negatively associated with receiving physical therapy services were being older than 65 years of age, having no high school degree, Hispanic ethnicity, African-American race, having public insurance or no insurance, and living in any US census region besides the Northeast. DISCUSSION AND CONCLUSION:The results of this study indicate that health- and non-health-related factors influence outpatient physical therapy use.

journal_name

Phys Ther

journal_title

Physical therapy

authors

Carter SK,Rizzo JA

doi

10.2522/ptj.20050218

subject

Has Abstract

pub_date

2007-05-01 00:00:00

pages

497-512

issue

5

eissn

0031-9023

issn

1538-6724

pii

ptj.20050218

journal_volume

87

pub_type

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