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Hospital-Based Outpatient Direct Access to Physical Therapist Services: Current Status in Wisconsin

William G. Boissonnault, Karen Lovely
DOI: 10.2522/ptj.20150540 Published 1 November 2016
William G. Boissonnault
W.G. Boissonnault, PT, DPT, DHSc, FAPTA, Professional Affairs Unit, American Physical Therapy Association, 1111 N Fairfax St, Alexandria, VA 22314-1488 (USA). At the time of the study, Dr Boissonnault was affiliated with the Department of Orthopedics and Rehabilitation, University of Wisconsin–Madison, Madison, Wisconsin.
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Karen Lovely
K. Lovely, PT, DPT, Presbyterian Healthcare Services, Albuquerque, New Mexico. At the time of the study, Dr Lovely was affiliated with the Department of Orthopedics and Rehabilitation, University of Wisconsin–Madison.
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Tables

Table 5.
Table 5.

Physical Therapist Services Offered via the Direct Access Model (n=20)

Table 6.
Table 6.

Reported Obstacles to Direct Access Utilization (n=19)a

  • ↵a n=19; 1 respondent did not answer the survey questions inquiring about obstacles to model utilization.

  • b Number of respondents indicating that the factor hinders current utilization of direct access services (scoring 4 or 5 on a 5-point Likert scale).

  • c Number of respondents indicating a neutral response regarding whether the factor hinders current utilization of direct access services (scoring 3 on a 5-point Likert scale).

  • d Number of respondents indicating that the factor does not hinder current utilization of direct access services (scoring 1 or 2 on a 5-point Likert scale).

  • e n=15; 5 respondents did not answer this question.

Table 2.
Table 2.

Reported Obstacles to Direct Access Implementation

  • a n=20 because one survey respondent did not answer the survey questions inquiring about obstacles to model implementation. The facility in the implementation process is included here.

  • b n=25 because one survey respondent did not answer the survey questions inquiring about obstacles to model implementation.

  • c Number of respondents scoring 4 or 5 on a 5-point Likert scale.

  • d Number of respondents scoring 3 on a 5-point Likert scale.

  • e Number of respondents scoring 1 or 2 on a 5-point Likert scale.

  • f This survey question was answered only by respondents representing facilities that have not implemented a direct access model.

  • g n=24 for facilities without direct access because one respondent did not answer this question.

  • h n=16 for facilities with direct access because 4 respondents did not answer this question.

Table 3.
Table 3.

Resources Utilized During Direct Access Implementation and Perceived Usefulness of the Resources During Future Direct Access Implementation

  • a n=21; includes the one facility that had approved the direct access model but was still in the implementation process.

  • b Data represent the usefulness of resources as perceived by survey respondents representing facilities without direct access. Two respondents did not answer survey questions regarding resource utilization; therefore, n=24.

  • c Number of respondents scoring 1 or 2 on a 5-point Likert scale.

  • d Number of respondents scoring 3 on a 5-point Likert scale.

  • e Number of respondents scoring 4 or 5 on a 5-point Likert scale.

  • f n=23 for “Perceived usefulness of resources during future direct access implementation.”

  • g n=20 for “Resources utilized during direct access implementation.”

Table 4.
Table 4.

Reasons for Implementing a Direct Access Model (n=21)a

  • ↵a n=21; includes the one facility that had approved the direct access model but was still in the process of implementation.

Table 1.
Table 1.

Hospital and Medical Center Demographics (n=47)

  • a n=21; includes the one facility that had approved the direct access model but was in the process of implementation.

Supplementary Data

eAppendix

Files in this Data Supplement:

  • eAppendix (PDF) (80 KB) - This PDF contains the following supplement:
    • eAppendix. Survey for Wisconsin Hospitals and Health Systems: Status of Outpatient Direct Access to Physical Therapist Services
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Vol 96 Issue 11 Table of Contents
Physical Therapy: 96 (11)

Issue highlights

  • Physical Therapist Student Loan Debt
  • Exercise for Osteoarthritis of the Hip
  • Hospital-Based Outpatient Direct Access to Physical Therapist Services: Current Status in Wisconsin
  • Understanding the Relationship Between Physical Therapist Participation in Interdisciplinary Rounds and Hospital Readmission Rates: Preliminary Study
  • The 2015 Nepal Earthquake(s): Lessons Learned From the Disability and Rehabilitation Sector's Preparation for, and Response to, Natural Disasters
  • Icelandic Physical Therapists' Attitudes Toward Adoption of New Knowledge and Evidence-Based Practice: Cross-Sectional Web-Based Survey
  • Objective Gait and Balance Impairments Relate to Balance Confidence and Perceived Mobility in People With Parkinson Disease
  • Newly Identified Gait Patterns in Patients With Multiple Sclerosis May Be Related to Push-off Quality
  • Physical Rehabilitation Interventions for Post-mTBI Symptoms Lasting Greater Than 2 Weeks: Systematic Review
  • Fitkids Treadmill Test: Age- and Sex-Related Normative Values in Dutch Children and Adolescents
  • Joint-Specific Play Controller for Upper Extremity Therapy: Feasibility Study in Children With Wrist Impairment
  • Three Faces of Fragile X
  • Synergic Effects of Rehabilitation and Intravenous Infusion of Mesenchymal Stem Cells After Stroke in Rats
  • Structural Validity of the Mini-Balance Evaluation Systems Test (Mini-BESTest) in People With Mild to Moderate Parkinson Disease
  • Validity, Reliability, and Ability to Identify Fall Status of the Berg Balance Scale, BESTest, Mini-BESTest, and Brief-BESTest in Patients With COPD
  • Measurement Properties of the Quebec Back Pain Disability Scale in Patients With Nonspecific Low Back Pain: Systematic Review
  • Outcome Measure Recommendations From the Spinal Cord Injury EDGE Task Force
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Hospital-Based Outpatient Direct Access to Physical Therapist Services: Current Status in Wisconsin
William G. Boissonnault, Karen Lovely
Physical Therapy Nov 2016, 96 (11) 1695-1704; DOI: 10.2522/ptj.20150540

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Hospital-Based Outpatient Direct Access to Physical Therapist Services: Current Status in Wisconsin
William G. Boissonnault, Karen Lovely
Physical Therapy Nov 2016, 96 (11) 1695-1704; DOI: 10.2522/ptj.20150540
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  • Reliability and Validity of Force Platform Measures of Balance Impairment in Individuals With Parkinson Disease
  • Predictors of Reduced Frequency of Physical Activity 3 Months After Injury: Findings From the Prospective Outcomes of Injury Study
  • Effects of Locomotor Exercise Intensity on Gait Performance in Individuals With Incomplete Spinal Cord Injury
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Subjects

  • American Physical Therapy Association
    • Policies, Positions, and Standards
  • Health Policy & Administration
    • Health Care System
  • Physical Therapist Practice
    • Professional Issues
    • Direct Access

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