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

Impact of Out-of-Pocket Expenditure on Physical Therapy Utilization for Nonspecific Low Back Pain: Secondary Analysis of the Medical Expenditure Panel Survey Data

Janet Dolot, Deborah Viola, Qiuhu Shi, Matthew Hyland
DOI: 10.2522/ptj.20150028 Published 1 February 2016
Janet Dolot
J. Dolot, PT, DPT, DrPH, OCS, Department of Physical Therapy, School of Health Sciences and Practice, New York Medical College, 30 Plaza W, Valhalla, NY 10595 (USA).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Deborah Viola
D. Viola, PhD, Center for Regional Healthcare Innovation, Westchester Medical Center, Hawthorne, New York.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Qiuhu Shi
Q. Shi, PhD, Department of Epidemiology and Community Health, School of Health Sciences and Practice, New York Medical College.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Matthew Hyland
M. Hyland, PT, PhD, MPA, Rye Physical Therapy & Rehabilitation, Rye, New York.
  • 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

Abstract

Background Physical therapy decreases low back pain, improves function, and may lead to decreased use of medical services. However, factors predicting physical therapy utilization for patients with low back pain are not well understood.

Objectives The purpose of this study was to identify the impact of out-of-pocket expenditure on physical therapy utilization for US adults with nonspecific low back pain.

Design This study was a secondary analysis of retrospective Medical Expenditure Panel Survey data.

Methods The participants were US adults with nonspecific low back pain. The outcome variable was the number of visits per episode of care. The research variable was out-of-pocket expenditure. Covariate variables were Medical Outcomes Study 12-Item Short-Form Health Survey (SF-12) component scores. Descriptive statistics and multiple linear regression analyses were performed.

Results Three hundred fourteen adults met the inclusion criteria and submitted SF-12 scores, representing nearly 4 million adults. Out-of-pocket expenditure, physical component score, and the age-insurance category “18–64 years with public coverage only for all of the year or uninsured all of the year” negatively predicted visits per episode of care in the final regression model.

Limitations Limitations of the study included use of a nonexperimental design, lack of information about symptom severity and content of physical therapy, and SF-12 scores were not taken coincidental with the episode of care.

Conclusions Out-of-pocket expenditure negatively predicts physical therapy utilization. More research is needed to identify all factors influencing physical therapy utilization so that effective health policies may be developed.

Footnotes

  • Dr Dolot, Dr Viola, and Dr Shi provided concept/idea/research design. Dr Dolot and Dr Viola provided writing. Dr Dolot and Dr Shi provided data analysis. Dr Dolot and Dr Hyland provided project management. Dr Viola and Dr Hyland provided consultation (including review of manuscript before submission).

  • Received January 21, 2015.
  • Accepted November 18, 2015.
  • © 2016 American Physical Therapy Association
View Full Text
PreviousNext
Back to top
Vol 96 Issue 2 Table of Contents
Physical Therapy: 96 (2)

Issue highlights

  • Pragmatic Clinical Trials: Implementation Opportunity, or Just Another Fad?
  • Unpacking Payment Bundles
  • Role of Physical Therapists in the Management of Individuals at Risk for or Diagnosed With Venous Thromboembolism: Evidence-Based Clinical Practice Guideline
  • Association of Varus Thrust With Pain and Stiffness and Activities of Daily Living in Patients With Medial Knee Osteoarthritis
  • Assessing the Reliability and Validity of a Physical Therapy Functional Measurement Tool—the Modified Iowa Level of Assistance Scale—in Acute Hospital Inpatients
  • Predictors of Independent Walking in Young Children With Cerebral Palsy
  • Telehealth Implementation in a Skilled Nursing Facility: Case Report for Physical Therapist Practice in Washington
  • Hospital Readmission Following Discharge From Inpatient Rehabilitation for Older Adults With Debility
  • Examining the Association Between Comorbidity Indexes and Functional Status in Hospitalized Medicare Fee-for-Service Beneficiaries
  • Which Children Are Not Getting Their Needs for Therapy or Mobility Aids Met? Data From the 2009–2010 National Survey of Children With Special Health Care Needs
  • Impact of Out-of-Pocket Expenditure on Physical Therapy Utilization for Nonspecific Low Back Pain: Secondary Analysis of the Medical Expenditure Panel Survey Data
  • Utilization and Payments of Office-Based Physical Rehabilitation Services Among Individuals With Commercial Insurance in New York State
  • Sitting and Activity Time in People With Stroke
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.
Impact of Out-of-Pocket Expenditure on Physical Therapy Utilization for Nonspecific Low Back Pain: Secondary Analysis of the Medical Expenditure Panel Survey Data
(Your Name) has sent you a message from JCORE Reference
(Your Name) thought you would like to see the JCORE Reference web site.
Print
Impact of Out-of-Pocket Expenditure on Physical Therapy Utilization for Nonspecific Low Back Pain: Secondary Analysis of the Medical Expenditure Panel Survey Data
Janet Dolot, Deborah Viola, Qiuhu Shi, Matthew Hyland
Physical Therapy Feb 2016, 96 (2) 212-221; DOI: 10.2522/ptj.20150028

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
Impact of Out-of-Pocket Expenditure on Physical Therapy Utilization for Nonspecific Low Back Pain: Secondary Analysis of the Medical Expenditure Panel Survey Data
Janet Dolot, Deborah Viola, Qiuhu Shi, Matthew Hyland
Physical Therapy Feb 2016, 96 (2) 212-221; DOI: 10.2522/ptj.20150028
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
    • Abstract
    • Method
    • Results
    • Discussion
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • PDF

Related Articles

Cited By...

More in this TOC Section

  • 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
Show more Health Services Research Special Series

Subjects

  • Special Series and Special Issues
    • Health Services Research Special Series
  • Musculoskeletal System/Orthopedic
    • Injuries and Conditions: Low Back
  • Physical Therapist Practice
    • Professional Issues
  • Health Services Research
  • Health Policy & Administration
    • Health Policy & Administration: Other
    • Economics

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