Master of Physical Therapy (MPT)
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College of Health Care Sciences - Physical Therapy Department
Publication Date / Copyright Date
Nova Southeastern University
Cami Diezel. 1998. Effects of Managed Care on the Professional Autonomy of Board Certified Physical Therapy Specialist's Practice. Master's thesis. Nova Southeastern University. Retrieved from NSUWorks, College of Health Care Sciences - Physical Therapy Department. (109)
Purpose: Identify perceptions of professional autonomy of Board Certified Physical Therapy Specialists (BCPTS) who practiced in managed care environments.
Guiding questions: Do BCPTS perceive an increase in professional autonomy as a specialist than as a generalist? How do the perceptions of professional autonomy vary among each specialization? What variables affect perceptions of professional autonomy among BCPTS?
Method: Two-hundred BCPTS throughout the country were randomly chosen as participants. One-hundred-eight respondents were used as subjects.
Data analysis: Frequency distributions and Pearson's correlation coefficient statistic were utilized.
Results: Majority of respondents reported no increase in professional autonomy as a specialist. Greater than three-quarters of the respondents reported a decrease in professional autonomy such as "clinical decisions were overriden by decisions of insurance companies". Correlational analysis revealed that "percent of patients covered by managed care insurance" had a major influence upon how respondents practiced and perceived their professional autonomy.
Conclusion: While there were reported differences in perceptions of professional autonomy among each specialization, there was an overall perceived decrease of professional autonomy due to managed care.