Direct Access To Physical Therapy Essay

Ever since I was a kid, it has been my life goal to help as many people I can. I have moved around in many different areas of the medical field, but no career had caught my eye as much as physical therapy. As an athlete, I have been in and out of the physical therapist’s office for a majority of my life. Each time I have went I could not help but be beyond grateful for what these people have done for me; they have given me the ability to play the sport I love despite all the hiccups. Physical therapy is a dynamic field within the field of medicine because as a physical therapist one can make a difference in the lives of his or her patients, enjoy job security, and enjoy a rewarding and personally satisfying career.

Physical therapy takes a more direct pathway towards a more specific problem with the human body. Physical therapy is a rehabilitation that works towards a goal of helping patients maintain, improve, or recover their physical abilities, most often times after an accident causing traumatic injury or arthritis (Mayo School of Health Sciences). Patients of a physical therapist often come in solely for the purpose of regaining their movement, not the health aspect involved behind it. Most patients of this therapist have suffered sports injuries, traumatic accidents, over even simply a problem of weakening with age such as those who suffer arthritis or other weakening of the joints and muscles. With step by step sessions focusing purely on strengthening the muscles and joints required to perform the movement functions, the patients rebuild their way from movement with pain, to no pain or suffering involved in everyday activities. When a patient begins therapy, they more or less begin with baby steps such as stretches and hydrotherapy to allow the body to relearn the movements without pain (What is Physical Therapy?). As the patient increases in strength

This frees up the physician’s schedule to see only the medically necessary patients, whereas PTs can share the load of musculoskeletal evaluations. Mitchell and Lissovoy published a study in 1994 on the cost effectiveness of direct access to PTs. They found that the costs for PT visits were 123% higher when patients were first seen by a physician as compared to when they were seen by a physical therapist directly. Establishing close working relationships between medical doctors and PTs, with a 2-way referral of patients, is essential to reduce not only unnecessary referrals, but also improve patient satisfaction and create an efficient process for reducing overall medical costs.

The American Physical Therapy Associations (APTA) vision statement sets a standard of quality care that should apply to every health care facility where physical therapy is practiced. In my opinion, when the APTA mentions improving the human experience, it is an attempt to encompass an enhancement in people’s ability to freely participate in the activities of their choice. Ultimately, the decisions that a person choose determines his career growth and relationship between him and the clients (Porter and Teisberg, 2006). From personal experience, losing the ability to take part in these activities can have a detrimental effect on one’s overall quality of life. In March of 2014, I was diagnosed with osteochritis dissecans on my left knee and

With the job outlook of the physical therapy field being expected to grow by 34 percent by 2024, faster than the average occupation, the average annual wage at a whopping $84,020, paid sick and vacation days and the flexible work environment, this seems like the perfect profession to enter. Having a career in physical therapy can be very rewarding because a physical therapist gets to watch as his or her patients improve every appointment through treatment. Unfortunately, this is not always the case in this profession. There are many disadvantages, and knowing these will help anyone interested in this field have a better understanding of how tough pursuing a career in this field can be. Being a physical therapist can be a rewarding experience and have amazing benefits. However, it is important to be aware of the disadvantages: the extreme amount of education, physical demands, emotional demands and the continuation of education requirements.

Have you ever bent down to pick something up or sprinted after your dog because he got loose? Not many people in today’s society pay attention to their body movement. They often take their body’s ability to move normally for granted. A person’s biomechanics are essential to everyday life, without being able to move properly one cannot perform everyday tasks. Unfortunately, there are people who are not able to do so and face many hardships in their life and may be in a lot of pain. Therefore, these people seek professional assistance to help them regain their ability to function normally. Usually, they end up in the care of a physical therapist and his assistant. According to the Bureau of Labor Statistics, physical therapist assistants

Since the Affordable Care Act (ACA) signed into law in March 2010, a few things have changed in the provision of physical therapy services, in specific productivity standards and reimbursement in outpatient physical therapy clinics. The Affordable Care Act has resulted in an increased demand for physical therapy services primarily due to the construction of the Health Insurance Marketplace. This created new health insurance options to help Americans acquire health insurance, who previously were not able to afford it. Although the ACA is a very extensive and complex piece of legislation, it has ultimately resulted in more individuals who are eligible for physical therapy services. This increased demand not only comes from the ACA but also from reimbursement cuts from insurance companies, subsequently causing physical therapists to overload their schedules as a means to offset these cuts. These demands are without factoring in the aging baby boomer population, which is expected to increased the physical therapist need by 30% from 2008 to 2018 (cite). Physical therapy is about providing the best patient care, however patient care is also a business and businesses are centered on revenue. Below are some of the current proposed solutions along with personal solutions and insight on the productivity issue.

I believe that my personal and professional growth and behavior as a physical therapist is of utmost importance. I base this firstly on my strong connection to those in society who are disadvantaged when it comes to physical therapy, and also on the movement system, movement being “the key to optimal living and quality of life for all people that extends beyond health to every person’s ability to participate in and contribute to society” (American Physical Therapy Association, 2013). This perspective, I believe, is aligned perfectly with the vision statement for the physical therapy profession – to transform society through optimization of movement to improve the human experience (APTA, 2013). After reviewing the vision statement, I strongly believe it will act as my guide by strengthening compassion, reinforcing advocacy, improving quality of service, and strengthening cohesion.

As a PTA I have been given a breath of knowledge in regard to the profession of physical therapy. However, I am not satisfied with this breath of knowledge. I yearn for the opportunity to gain a further understanding in terms of “how and why” physical therapy is successful at restoring function to individuals seeking

So, I am going to clear up some of these myths. These myths are from a article I read called 7 Direct Access Myths Debunked. One topic is that it only applies to private outpatient Physical Therapy Practices. The truth is that is applies to many other areas as well like private pay home care or sports field and performing arts venues, etc. So it's not just applied for one group. If you really need serious go to a physical therapy clinic but you still might have to get approval from your primary care physician. Another Myth is that Direct access doesn’t exist in every state. That is somewhat true but there are different levels of direct access. A state my just limit the amount or put a limit on it. So a form of direct access does exist in every state so you just have to figure out what works best for you. Mississippi is one of the six states that has strict limitations that still require approval. Another myth is that allowing patients coming without a referral from their physician puts their health at risk. “Physical Therapist are doctoral-level medical professionals whose training and education make them more than qualified to not only conduct initial evaluations, but also recognize when a patient’s medical needs fall outside of their scope”(Andrus). Physical Therapist are doctors. They go to med-school like every other doctor does. They can see when a Patient needs therapy or not. According to Apta’s Guide of Professional Conduct it is required that PT’s should evaluate the patient for signs and symptoms of damage for therapy. A doctor would not just treat someone without evaluating

Without the repetitive boredom of traditional therapy patients can look forward to seeing their physical therapist and focus less on their injuries.

Their privileges have expanded beyond the typical scope of physical therapy practice to efficiently perform musculoskeletal evaluations in a direct-access, physician-extender role, including referring patients for appropriate diagnostic imaging tests, prescribing certain analgesic, nonsteroidal anti-inflammatory, and muscle relaxant medications, and referring patients to all medical specialty clinics. Additionally, in 2005, Virginia Mason Medical Center in Seattle, Washington initiated a physical therapy direct assess model for patients with low back pain which resulted in decreased costs per episode of care in the first year, partly due to the reduction in the number of MRI scans ordered. Lastly, in 2007 the University of Wisconsin Hospital & Clinics implemented an outpatient physical therapy direct access program. A comparison of the direct access and physician referred patient episodes of care revealed cost savings in the area of diagnostic imaging. There was 92% more plain film radiography and 193% more advanced imaging procedures in the physician referred episodes. These findings were consistent with previous studies that MRI use dropped by approximately one-third when patients were initially seen by a physical

In regards to health care legislation, Ms. Rademeyer feels that the large restrictions and limitations on reimbursement has adversely affected the accessibility of comprehensive rehabilitation programs, thus putting more responsibility on the patients as well as the physical therapists (Rademeyer, 2015). She also feels that, even though the requirement for fees to be guided by outcome is a good opportunity for accountability in physical therapy services, there is a big need for balance between the limitations and the outcomes to avoid a negative impact on chances for full recovery of some patients (Rademeyer,

Concept of direct access is not new to Physical therapy. It become more popular after APTA’s vision 2020 was announced. According to Crist, Mc Vay & Marocco (2014) in Understanding of vision behind vision 2020 “ Consumer will have direct access for the diagnosis, intervention and prevention of impairments, functional limitations and disabilities related to movement, function and health.” Majority of state in USA has full or limited direct access for physical therapy.(Ojha, Snyder & Davenport 2014) . Even though research prove that direct access physical therapy improve patient care with reduce wait time and same time be cost effective not only for patient but also for insurance and hospitals (Ojha, Snyder & Davenport 2014) we are still limited in use of direct access due to various reasons.

Thank you for reading and responding my post. According to APTA Vision 2020 (2015), PT accepts the responsibility to practice autonomously and collaboratively on the field to provide optimum care to patient/client, additionally, consumers will direct access to physical therapist in all environments. I concur the statement of direct utilization, (Badke, 2014) also mentioned direct access episodes are shorter, encompass fewer number of services, less costly, less time consuming than traditional physician referral system. Totally agreed with you view on resistance for PT direct access. As per Benson et al (1995), Only 18% physician allowed to prescribe medication to Army PT at that time, however, we can see the success of Army PT on certain