Physician Self-Referral of Physical Therapy Services for Patients with Low Back Pain: Implications for Use, Types of Treatments Received and Expenditures

Mitchell Jean M. (), Reschovsky James D., Franzini Luisa and Reicherter Elizabeth Anne
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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

Forum for Health Economics & Policy, 2016, vol. 19, issue 2, 179-199

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

Keywords: frequency of use; physical therapy; self-referral (search for similar items in EconPapers)
Date: 2016
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DOI: 10.1515/fhep-2015-0026

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