Institut Régional de Formation aux Métiers de Rééducation et de Réadaptation des Pays de la Loire.
Centre de documentation
Détail de l'auteur
Auteur John Magel
Documents disponibles écrits par cet auteur
Faire une suggestion Affiner la recherche
Associations Between Physical Therapy Continuity of Care and Health Care Utilization and Costs in Patients With Low Back Pain: A Retrospective Cohort Study / John Magel in Physical Therapy, Vol. 98 n° 12 (December 2018)
[article] Associations Between Physical Therapy Continuity of Care and Health Care Utilization and Costs in Patients With Low Back Pain: A Retrospective Cohort Study [texte imprimé] / John Magel, Auteur ; Jaewhan Kim, Auteur ; Anne Thackeray, Auteur . - 2018 . - p. 990-999.
Langues : Français (fre)
in Physical Therapy > Vol. 98 n° 12 (December 2018) . - p. 990-999
Catégories : PATHOLOGIE
Résumé : Background: Patients who consult a physical therapist for low back pain (LBP) may receive initial and subsequent management from different therapists. The impact that physical therapy provider continuity has on health care use in patients with LBP is insufficiently studied.
Objective: The objective of this study was to examine the impact of continuity of the physical therapy provider on health care use and costs in patients with LBP referred from primary care.
Design: The study design included a retrospective analysis of claims data.
Methods: Data from an all-payer claims database were examined. Logistic regression was used to evaluate the association between physical therapy provider continuity and health care use during the 1-year period following a visit with a primary care provider for LBP.
Results: Patients who experienced greater physical therapy provider continuity had a decreased likelihood of receiving lumbar surgery. They also paid less (mean = $
1737 [95% confidence interval, $1602$1871]) than those who experienced less physical therapy provider continuity (mean = $2577 [95% confidence interval, $2008$
Limitations: The degree of causality between any predictor and outcome variables cannot be determined due to the observational nature of the study.
Conclusions: Greater continuity of the physical therapy provider appears to be associated with a decreased likelihood of surgical treatment for LBP and lower health care costs related to LBP.
En ligne : https://academic.oup.com/ptj Permalink : [article]