Out-of-Pocket Spending for Ambulatory Physical Therapy Services From 2008 to 2012: National Panel Survey.
Background. Out-of-pocket (OOP) expenditures are incurred as insurers and employers shift some of the burden of health care costs onto consumers. As cost-sharing increases, OOP expenditures could be a barrier to physical therapy care. Objective. The purposes of this study were: (1) to identify facto...
| Publicado en: | Physical Therapy Vol. 95; no. 12; pp. 1680 - 1692 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Dec2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=111245968&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 111245968 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00319023 PTH jtl: Physical Therapy issn: 00319023 maglogo: N pubinfo: dt: Dec2015 vid: 95 iid: 12 pid: 10398 pub: Oxford University Press / USA artinfo: ui: 111245968 111245968 111245968 10.2522/ptj.20150018 111245968 ppf: 1680 ppct: 12 formats: fmt: @attributes: type: P tig: atl: Out-of-Pocket Spending for Ambulatory Physical Therapy Services From 2008 to 2012: National Panel Survey. aug: au: Chevan, Julia Riddle, Daniel L. Reed, Shelby D. affil: Department of Physical Therapy, Springfield College, 263 Alden St, Springfield, MA 01109 (USA) sug: subj: Physical Therapy Economics Ambulatory Care Health Care Costs Human Retrospective Design Health Services Accessibility Multivariate Analysis Models, Statistical Logistic Regression Questionnaires Costs and Cost Analysis Adolescence Adult Middle Age Male Female Descriptive Statistics Geographic Locations Data Analysis Software Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background. Out-of-pocket (OOP) expenditures are incurred as insurers and employers shift some of the burden of health care costs onto consumers. As cost-sharing increases, OOP expenditures could be a barrier to physical therapy care. Objective. The purposes of this study were: (1) to identify factors associated with any OOP physical therapy spending and (2) to identify factors associated with higher spending among individuals incurring OOP costs. Design. The study was a retrospective analysis using the 4 most recently available panels of data from the Medical Expenditure Panel Survey (MEPS) encompassing 2008-2012. Methods. A data file containing episodes of physical therapy care for 2,189 people was created. Logistic regression was used to identify factors related to having an OOP expenditure. A multivariable generalized linear model was used to identify factors related to mean OOP expenditures. Results. On average, an episode of care encompassed 9.9 visits, with mean total expenditures of $ 1,708 (median: $792). Fifty-four percent of episodes of care had an OOP expenditure. For individuals with OOP expenditures, the mean OOP expenditure for an episode of care was $351 (median: $144). Being female or non-Hispanic and having a higher income were associated with higher odds of incurring an OOP expenditure, whereas being in worse general health, >65 years of age, or nonwhite and having public funding were associated with lower odds of incurring an OOP expenditure. Amounts of OOP spending were higher in urban areas and in all census geographic regions relative to the Northeast region. Limitations. Estimates are based on household-reported survey data, limited to ambulatory care, and do not include institutionalized individuals. Conclusions. At 54%, the proportion of individuals with OOP expenditures for physical therapy is lower than for general medical care. Several predictors were found of having OOP expenditures and of the magnitude of those expenditures. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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