Skip to main content
  • Other Publications
  • Subscribe
  • Contact Us
Advertisement
JCORE Reference
this is the JCORE Reference site slogan
  • Home
  • Most Read
  • About Us
    • About Us
    • Editorial Board
  • More
    • Advertising
    • Alerts
    • Feedback
    • Folders
    • Help
  • Patients
  • Reference Site Links
    • View Regions
  • Archive

The American Physical Therapy Association's Top Five Choosing Wisely Recommendations

Nancy T. White, Anthony Delitto, Tara Jo Manal, Sarah Miller
DOI: 10.2522/ptj.20140287 Published 1 January 2015
Nancy T. White
N.T. White, PT, DPT, OCS, Clinical Practice and Research Department, American Physical Therapy Association, 1111 N Fairfax St, Alexandria, VA 22314 (USA).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Anthony Delitto
A. Delitto, PT, PhD, FAPTA, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Tara Jo Manal
T.J. Manal, PT, PhD, Physical Therapy Department, University of Delaware, Newark, Delaware.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Sarah Miller
S. Miller, BS, Clinical Practice and Research Department, American Physical Therapy Association.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
  • PDF
Loading

Improving health care in our country requires simultaneous pursuit of 3 aims: improving the effectiveness of care, improving the health of our population, and reducing the per capita costs of health care.1 As our nation focuses on ways to achieve this triple aim, the unwarranted overuse of health care resources is a significant concern. The continuing rise in health care costs, estimated at $2.8 trillion or 17.2% of gross domestic product in 2012, puts financial pressure on our national economy. Consequently, individuals are burdened by rising insurance premiums, deductibles, and copayments, often in addition to lost wage increases due to rising costs of premiums incurred by employers.2 Proponents of the triple aim have suggested there is ample capacity in our current health care system to achieve these goals by reducing unnecessary tests, treatments, and procedures.1 In fact, the Institute of Medicine estimates that in 2009 alone more than $750 billion (or 1 in 3 dollars spent on health care) was spent on unnecessary medical tests, procedures, and missed prevention opportunities.3

Implementing strategies that reduce unnecessary tests and procedures becomes a challenge, particularly when considering that most of these tests and procedures are covered by insurance. The federal government and private payers have attempted to control health care expenditures and utilization by increasing the number and complexity of regulations and requirements that govern the provision of care. Although the intent may be to improve patient care, these frequently changing and increasingly intricate regulations have led to a burdensome practice environment, challenging the ability of clinicians and administrators to remain compliant. Additionally, attempts to control utilization and costs have led to a significant increase in audits and investigations.4 Because of the complexity of the regulatory environment, even the most diligent health care professionals may find themselves the …

View Full Text
PreviousNext
Back to top
Vol 95 Issue 1 Table of Contents
Physical Therapy: 95 (1)

Issue highlights

  • APTA's Top Five Choosing Wisely Recommendations
  • Play-Based Assessments of Motor and Cognitive Skills for Infants and Young Children
  • Minority Applicants to Physical Therapist Education Programs
  • Impaired Object Exploration Behaviors in Infants Born Preterm
  • Associations of Upper Limb Disability Measures on Different ICF Levels in Multiple Sclerosis
  • TENS Decreases Postoperative Allodynia
  • Physical Activity Scale for the Elderly Questionnaire
  • Dual Tasking With the Timed “Up & Go” in People With Parkinson Disease
  • Upper Extremity Fugl-Meyer Assessment Wrist/Hand Mobility Scales
  • Massage-Induced Brachial Plexus Injury
  • Manual Therapy and Exercise in Patients With Muscle Tension Dysphonia
  • FAST Protocol
Email

Thank you for your interest in spreading the word on JCORE Reference.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
The American Physical Therapy Association's Top Five Choosing Wisely Recommendations
(Your Name) has sent you a message from JCORE Reference
(Your Name) thought you would like to see the JCORE Reference web site.
Print
The American Physical Therapy Association's Top Five Choosing Wisely Recommendations
Nancy T. White, Anthony Delitto, Tara Jo Manal, Sarah Miller
Physical Therapy Jan 2015, 95 (1) 9-24; DOI: 10.2522/ptj.20140287

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Download Powerpoint
Save to my folders

Share
The American Physical Therapy Association's Top Five Choosing Wisely Recommendations
Nancy T. White, Anthony Delitto, Tara Jo Manal, Sarah Miller
Physical Therapy Jan 2015, 95 (1) 9-24; DOI: 10.2522/ptj.20140287
del.icio.us logo Digg logo Reddit logo Technorati logo Twitter logo CiteULike logo Connotea logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
  • Article
    • Method
    • Results
    • Discussion
    • Conclusion
    • Appendix 1.
    • Appendix 2.
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • PDF

Related Articles

Cited By...

More in this TOC Section

  • Outcome Measure Recommendations From the Spinal Cord Injury EDGE Task Force
  • Physical Therapy as Treatment for Childhood Obesity in Primary Health Care: Clinical Recommendation From AXXON (Belgian Physical Therapy Association)
  • Interpreting Effectiveness Evidence in Pain: Short Tour of Contemporary Issues
Show more ProfessionWatch

Subjects

  • ProfessionWatch

Footer Menu 1

  • menu 1 item 1
  • menu 1 item 2
  • menu 1 item 3
  • menu 1 item 4

Footer Menu 2

  • menu 2 item 1
  • menu 2 item 2
  • menu 2 item 3
  • menu 2 item 4

Footer Menu 3

  • menu 3 item 1
  • menu 3 item 2
  • menu 3 item 3
  • menu 3 item 4

Footer Menu 4

  • menu 4 item 1
  • menu 4 item 2
  • menu 4 item 3
  • menu 4 item 4
footer second
footer first
Copyright © 2013 The HighWire JCore Reference Site | Print ISSN: 0123-4567 | Online ISSN: 1123-4567
advertisement bottom
Advertisement Top