Insurance status affects access to physical therapy following rotator cuff repair surgery: A comparison of privately insured and Medicaid patients.

Autor: Rogers MJ; Department of Orthopedic Surgery, University of Utah, Salt Lake City, UT., Penvose I; Northeastern University, Boston, MA., Curry EJ; Boston University School of Public Health, Boston, MA., Galvin JW; Harvard Medical School, Department of Orthopedic Surgery, Boston, MA., Li X; Boston University School of Medicine, Boston, MA, USA.
Jazyk: angličtina
Zdroj: Orthopedic reviews [Orthop Rev (Pavia)] 2019 May 23; Vol. 11 (2), pp. 7989. Date of Electronic Publication: 2019 May 23 (Print Publication: 2019).
DOI: 10.4081/or.2019.7989
Abstrakt: Rotator cuff repair (RCR) is an effective procedure to relieve shoulder pain and dysfunction. Postoperative physical therapy (PT) plays an integral role in the overall success of RCR. Insurance status has been shown to be an important predictor of postoperative PT utilization. This study evaluated the effect of insurance status on access to PT services following RCR. One hundred thirty-eight PT clinics were contacted in the Greater Boston metropolitan area. Clinics were contacted on two separate occasions and presented with a fictitious acutely postoperative RCR patient in need of PT. Insurance status was reported as Medicaid or private insurance. Overall, 133 (96.4%) accepted private insurance, whereas only 71 (51.4%) accepted Medicaid (P=0.019). Medicaid patients were offered a first available appointment at a mean of 8.3 days (95% CI: 7.13-9.38, range: 0-31) versus a mean of 6.3 days (95% CI: 5.3-7.22, range: 0-19, P=0.001) for private patients. Clinic location was not associated with access to PT or time to first appointment. Insurance status affects access to PT services and time to first available appointment in patients following RCR surgery in a major metropolitan area.
Competing Interests: Conflict of interest: Dr. Xinning Li is on the editorial or governing board of the following journals: American Journal of Sports Medicine, Journal of Bone and Joint Surgery – American, Journal of Medical Insight, Orthopedic Reviews, and World Journal of Orthopedics. All other authors have no disclosures.
Databáze: MEDLINE
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