•  
  •  
 

Abstract

Purpose: The purpose of this study was to compare the cost of physical therapist (PT) management of patients with musculoskeletal (MSK) disorders to management by traditional primary care managers (PCMs); medical doctors (MDs), doctors of osteopathic medicine (DOs), advanced registered nurse practitioners (ARNPs), and physician assistants (PAs). Methods: This is a retrospective study of electronic medical records using an exploratory, non-experimental, cross-sectional, and quantitative design method. The records of patients with MSK disorders were assessed at an Air Force military medical clinic for 18 months from January 2016 through June 2017. Results: PT management of MSK patients resulted in a significantly lower rate of imaging studies, NSAIDS, and cost of care when compared to MDs, DOs, PAs, or ARNPs. Patients with MSK disorders managed by PTs had no significant difference in return-to-work rate when compared to MDs, DOs, PAs, or ARNPs. Conclusions:The military model of physical therapy direct access care has been shown to be cost effective when compared to care provided by traditional primary care managers.

Author Bio(s)

Troy McGill, Lt Col, BSC, USAF (ret), PT, PhD, SCS, Dip MDT. Dr. McGill is a retired USAF Lt Col, He currently serves as the Director of Therapies and Health Management departments for Alaska Regional Hospital.

Debra F. Stern, PT, DPT, DBA. is the Director of Clinical Education in the Physical Therapy Department at Nova Southeastern University in the Dr. Pallavi Patel College of Health Care Science, Ft Lauderdale FL

Morey J. Kolber, PT, PhD, is a Professor, Department of Physical Therapy with Nova Southeastern University in the Dr. Pallavi Patel College of Health Care Science, Ft Lauderdale FL

John McGee, Lt Col, BSC, USAF (ret) PT, PhD, MBA, OCS, ATC, is an Assistant Professor in the Doctor of Physical Therapy Program at Marist College in Poughkeepsie, NY

Share

Submission Location

 
COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.