The effect of third-party payers on the clinical decision making of physical therapists

Robin Moremen Uili and Rosemary Wood

Social Science & Medicine, 1995, vol. 40, issue 7, 873-879

Abstract: According to Freidson, third-party payers have eroded the political and economic authority of medicine. To what extent is this also true for alternative practitioners such as physical therapists? The effect of Medicare's restrictive guidelines on physical therapy practice in skilled nursing facilities (SNFs) is examined. SNF physical therapists in Connecticut were surveyed (response rate 99%) using a mixture of open-ended and fixed-alternative responses. Results indicate that SNF physical therapists recognize Medicare criteria and view them as important. Twenty-five to 33% of SNF therapists recommend care based on the guidelines. Younger therapists, therapists with fewer years in the field, and contract therapists are more greatly influenced by the guidelines than older, more experienced, staff therapists (P

Keywords: medical; dominance; physical; therapy; third-party; payers; Medicare (search for similar items in EconPapers)
Date: 1995
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