Author
Listed:
- Mitchell Jean M.
(Georgetown University – McCourt School of Public Policy, Old North 314, 37th & “O” Sts, NW Washington, DC 20057, United States of America)
- Reschovsky James D.
(Mathematica Policy Research, Washington, District of Columbia, United States of America)
- Franzini Luisa
(University of Maryland School of Public Health – Health Services Administration, College Park, MD, United States of America)
- Reicherter Elizabeth Anne
(AFR Rehabilitation, Edgewater, MD, United States of America)
Abstract
Prior research on treatment of low back pain has documented large increases in use of spinal surgery, MRIs and lumbosacral injections linked to physician self-referral arrangements. No recent research has examined whether physician ownership of physical therapy services results in greater use of physical therapy to treat low back pain. The objective of this study is to investigate whether physician ownership of physical therapy services affects frequency of use, visits and types of physical therapy services received by patients with low back pain. Using claims records from insured patients covered by Blue Cross Blue Shield of Texas (2008–2011) we compared several metrics of use of physical therapy services for low back pain episodes controlling for self-referral status. We identified 158,151 low back pain episodes, 27% met the criteria to be classified as “self-referral.” Only 10% of “non-self-referral” episodes received physical therapy compared to 26% of self-referral episodes (p
Suggested Citation
Mitchell Jean M. & Reschovsky James D. & Franzini Luisa & Reicherter Elizabeth Anne, 2016.
"Physician Self-Referral of Physical Therapy Services for Patients with Low Back Pain: Implications for Use, Types of Treatments Received and Expenditures,"
Forum for Health Economics & Policy, De Gruyter, vol. 19(2), pages 179-199, December.
Handle:
RePEc:bpj:fhecpo:v:19:y:2016:i:2:p:179-199:n:2
DOI: 10.1515/fhep-2015-0026
Download full text from publisher
As the access to this document is restricted, you may want to
for a different version of it.
Corrections
All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bpj:fhecpo:v:19:y:2016:i:2:p:179-199:n:2. See general information about how to correct material in RePEc.
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
We have no bibliographic references for this item. You can help adding them by using this form .
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Peter Golla (email available below). General contact details of provider: https://www.degruyterbrill.com .
Please note that corrections may take a couple of weeks to filter through
the various RePEc services.