Use of Physical Therapy Following Total Knee Replacement Surgery: Implications of Orthopedic Surgeons' Ownership of Physical Therapy Services
Use of Physical Therapy Following Total Knee Replacement Surgery: Implications of Orthopedic Surgeons' Ownership of Physical Therapy Services
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DOI：
10.1111/1475-6773.12465
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发表时间：
2016-10-01
影响因子：
3.4
通讯作者：
Reicherter, Elizabeth Anne
中科院分区：
文献类型：
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作者：
Mitchell, Jean M.;Reschovsky, James D.;Reicherter, Elizabeth Anne
Objective.检查接受全膝关节置换术（TKR）手术的患者接受的物理治疗过程是否因骨科医生是否在物理治疗服务中拥有经济利益而有所不同。2007- 2009年期间接受TKR手术的医疗保险受益人样本。研究设计。我们使用回归分析来评估医生自我转诊对以下结果的影响：（1）从出院到第一次物理治疗就诊的时间;（2）发作长度;（3）每次发作的物理治疗就诊次数;（4）每次发作的物理治疗服务单位数量;（5）以相对值单位表示的每次发作的物理治疗服务数量。在医生拥有的诊所接受物理治疗的TKR患者平均接受物理治疗的次数是由骨科医生进行TKR手术的患者的两倍（多8.3次），而骨科医生没有自我推荐物理治疗服务（p
Objective. To examine whether the course of physical therapy treatments received by patients who undergo total knee replacement (TKR) surgery differs depending on whether the orthopedic surgeon has a financial stake in physical therapy services.Data. Sample of Medicare beneficiaries who underwent TKR surgery during the years 2007-2009.Study Design. We used regression analysis to evaluate the effect of physician self-referral on the following outcomes: (1) time from discharge to first physical therapy visit; (2) episode length; (3) number of physical therapy visits per episode; (4) number of physical therapy service units per episode; and (5) number of physical therapy services per episode expressed in relative value units.Principal Findings. TKR patients who underwent physical therapy treatment at a physician-owned clinic received on average twice as many physical therapy visits (8.3 more) than patients whose TKR surgery was performed by a orthopedic surgeon who did not self-refer physical therapy services (p