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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).
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Deborah Viola
D. Viola, PhD, Center for Regional Healthcare Innovation, Westchester Medical Center, Hawthorne, New York.
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Qiuhu Shi
Q. Shi, PhD, Department of Epidemiology and Community Health, School of Health Sciences and Practice, New York Medical College.
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Matthew Hyland
M. Hyland, PT, PhD, MPA, Rye Physical Therapy & Rehabilitation, Rye, New York.
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Figure.

Flow diagram (unweighted participants). NSLBP=nonspecific low back pain, PCS-12 and MCS-12=Physical Component Score and Mental Component Score, respectively, of the Medical Outcomes Study 12-Item Short-Form Health Survey (SF-12).

Tables

Table 1.
Table 1.

Categorized Demographic Variables (Weighted Participants) (N=3,711,145)a

  • ↵a Asterisk indicates may not sum to N due to rounding.

Table 2.
Table 2.

Demographic, Outcome, Research, and Covariate Variables: Mean, Standard Deviation, and 95% Confidence Intervala

  • ↵a PCS-12 and MCS-12=Physical Component Score and Mental Component Score, respectively, of the Medical Outcomes Study 12-Item Short-Form Health Survey (SF-12).

Table 3.
Table 3.

Visits per Episode of Care by Strata: Mean, Standard Deviation, and 95% Confidence Intervala

  • ↵a Asterisk indicates reference category for regression equations.

Table 4.
Table 4.

Final Regression Model: Natural Log of Physical Therapy Visits per Episode of Carea

  • ↵a PCS-12 and MCS-12=Physical Component Score and Mental Component Score, respectively, of the Medical Outcomes Study 12-Item Short-Form Health Survey (SF-12); HRQL=health-related quality of life. Asterisk indicates significant at P<.05.

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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
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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

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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
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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

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