Off-campus Pacific University users: To download campus access theses and dissertations, please log into our proxy server with your PUNet ID and password.

Non-Pacific University users: Please talk to your librarian about requesting this thesis or dissertation through interlibrary loan.

Theses or dissertations that have a specific embargo period indicated below will not be available to anyone until the date indicated.

Date of Award

5-1991

Degree Type

Thesis (On-Campus Access Only)

Degree Name

Master of Physical Therapy (MPT)

First Advisor

Ann Williams, PhD, PT

Second Advisor

Daiva Banaitis, PhD, PT

Abstract

In order to determine how direct access (DA) has been utilized and how it has impacted the practice of physical therapy in Idaho, surveys were mailed to each member of the Idaho Physical Therapy Association (n = 138). There was a 59% return rate (n = 81) and 63 of the surveys met the requirements for this study. Seventy percent of the respondents had treated patients without physician referral, and of those respondents, a mean of 8.2% of their patients were seen without referral. The primary reasons for not treating without referral were that employers did not allow it (56.3%) and that insurance companies did not reimburse for treatment without referral (18.8%). The results of this survey indicated that PTs who treat DA patients worked most often in the outpatient setting (x2= 10.1, p= .007) and that orthopedic patients were the patient type most often treated without referral (m = 65.8%). Male physical therapists (PTs) worked more hours in the outpatient setting (t= 2.8, p= .007) than female PTs and treated without referral more often (x2= 6.0, p= .029). The primary means of reimbursement for DA patients was insurance (55.9%), followed by direct "out-of-pocket" payment by the patients (34.7%). The results of this survey indicated that many PTs in Idaho treated patients without referral. Employer permission and third party reimbursement might increase PT evaluation and treatment without referral.

Comments

The digital version of this project is currently unavailable to off-campus users not affiliated with Pacific University; however, it may be accessed on campus or through interlibrary loan (for eligible borrowers) from Pacific University Library. Pacific University Library is a free lender.

Share

COinS