Factors influencing physical therapy utilization after shoulder surgery: a retrospective review.
Copays
Healthcare costs
Insurance types
Physical therapy
Shoulder surgery
Utilization
Journal
JSES reviews, reports, and techniques
ISSN: 2666-6391
Titre abrégé: JSES Rev Rep Tech
Pays: Netherlands
ID NLM: 9918316187406676
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
medline:
6
11
2023
pubmed:
6
11
2023
entrez:
6
11
2023
Statut:
epublish
Résumé
Postoperative physical therapy (PT) is a cornerstone to achieve optimal patient outcomes. Access to postoperative PT can be limited by insurance type, coverage, and cost. With copayments (CP) for PT as high as $75 per visit, PT can be costprohibitive for patients. The purpose of this study was to evaluate factors affecting PT utilization among patients that underwent shoulder surgery. A retrospective analysis was performed of 80 shoulder surgery patients with postoperative PT sessions attended at a single institution from 2017 to 2019. Patients were divided based on insurance type: private insurance (PI), and Medicare with or without supplemental insurance (MI), and CP or no copayment. Demographics, CP, total, and postoperative number of PT sessions utilized was collected and analyzed. The cohort had 53 females and an average age of 62. There was no significant difference between PI and MI at baseline other than surgery performed ( The utilization of PT after shoulder surgery was found to not be influenced by insurance type or CP as determined by the number of PT sessions attended. Further investigations are necessary to better understand the relationship between CP and different insurance types and develop effective strategies to increase access to PT for postoperative shoulder patients.
Sections du résumé
Background
UNASSIGNED
Postoperative physical therapy (PT) is a cornerstone to achieve optimal patient outcomes. Access to postoperative PT can be limited by insurance type, coverage, and cost. With copayments (CP) for PT as high as $75 per visit, PT can be costprohibitive for patients. The purpose of this study was to evaluate factors affecting PT utilization among patients that underwent shoulder surgery.
Methods
UNASSIGNED
A retrospective analysis was performed of 80 shoulder surgery patients with postoperative PT sessions attended at a single institution from 2017 to 2019. Patients were divided based on insurance type: private insurance (PI), and Medicare with or without supplemental insurance (MI), and CP or no copayment. Demographics, CP, total, and postoperative number of PT sessions utilized was collected and analyzed.
Results
UNASSIGNED
The cohort had 53 females and an average age of 62. There was no significant difference between PI and MI at baseline other than surgery performed (
Conclusions
UNASSIGNED
The utilization of PT after shoulder surgery was found to not be influenced by insurance type or CP as determined by the number of PT sessions attended. Further investigations are necessary to better understand the relationship between CP and different insurance types and develop effective strategies to increase access to PT for postoperative shoulder patients.
Identifiants
pubmed: 37928991
doi: 10.1016/j.xrrt.2023.05.007
pii: S2666-6391(23)00057-3
pmc: PMC10625012
doi:
Types de publication
Journal Article
Langues
eng
Pagination
511-518Informations de copyright
© 2023 Published by Elsevier Inc. on behalf of American Shoulder & Elbow Surgeons.
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