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Anyone have this article?
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Anyone have this article? - April 16, 2005 6:08:00 PM
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ptdan23
Posts: 224
Joined: November 6, 2003
From: Orlando, FL
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I am looking for this article (full text) and not just the abstract.
"Physician ownership of physical therapy services. Effects on charges, utilization, profits, and service characteristics"
This article was in the JAMA, Vol 268, Number 15, October 21, 1992
If anyone has that and can tell me where to find it would appreciate it.
Thanks, Dan, PT.
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Re: Anyone have this article? - April 16, 2005 7:16:00 PM
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chiroortho
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Joined: February 18, 2004
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[QUOTE]JAMA. 1992 Oct 21;268(15):2055-9. Related Articles, Links
Physician ownership of physical therapy services. Effects on charges, utilization, profits, and service characteristics.
Mitchell JM, Scott E.
Department of Economics, Florida State University, Tallahassee.
OBJECTIVE--To evaluate the effects of physician ownership of freestanding physical therapy and rehabilitation facilities on utilization, charges, profits, and three measures of service characteristics for physical therapy treatments. DESIGN--Statistical comparison by physician joint venture ownership status of freestanding physical therapy and comprehensive rehabilitation facilities providing physical therapy treatments in Florida. PARTICIPANTS--A total of 118 outpatient physical therapy facilities and 63 outpatient comprehensive rehabilitation facilities providing services in Florida during 1989. The data from the facilities were collected under a legislative mandate. MAIN OUTCOME MEASURES--Visits per patient, average revenue per patient, percent operating income, percent markup, profits per patient, licensed therapist time per visit, and licensed and nonlicensed medical worker time per visit. RESULTS--Visits per patient were 39% to 45% higher in joint venture facilities. Both gross and net revenue per patient were 30% to 40% higher in facilities owned by referring physicians. Percent operating income and percent markup were significantly higher in joint venture physical therapy and rehabilitation facilities. Licensed physical therapists and licensed therapist assistants employed in non-joint venture facilities spend about 60% more time per visit treating physical therapy patients than licensed therapists and licensed therapist assistants working in joint venture facilities. Joint ventures also generate more of their revenues from patients with well-paying insurance. CONCLUSION--Our results indicate that utilization, charges per patient, and profits are higher when physical therapy and rehabilitation facilities are owned by referring physicians. With respect to service characteristics, joint venture firms employ proportionately fewer licensed therapists and licensed therapist assistants to perform physical therapy, so that licensed professionals employed in joint venture businesses spend significantly less time per visit treating patients. These results should be of interest to the medical profession, third-party payers, and policymakers, all of whom are concerned about the consequences of physician self-referral arrangements.
PMID: 1404742 [PubMed - indexed for MEDLINE][/QUOTE]
_____________________________
Greg Priest, DC, DABCO
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Re: Anyone have this article? - April 16, 2005 10:38:00 PM
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ptdan23
Posts: 224
Joined: November 6, 2003
From: Orlando, FL
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Thanks Greg, but that is the abstract. Looking for the whole article.
Dan, PT.
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Re: Anyone have this article? - April 17, 2005 3:34:00 AM
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jma
Posts: 2414
Joined: August 24, 2000
From: NY
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Hello,
I have checked the online journal holdings in the hospital where I work but it has not been catalogued full text online. It is in print form only.
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Re: Anyone have this article? - April 18, 2005 10:56:00 AM
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wjPT
Posts: 33
Joined: October 11, 2004
From: San Diego, CA
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I used this article in a presentation during PT school. I will try to obtain the online article and email it to you.
Send me an im with your email.
warren
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Re: Anyone have this article? - April 18, 2005 11:18:00 AM
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wjPT
Posts: 33
Joined: October 11, 2004
From: San Diego, CA
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Dan,
I made an attempt to get the article from my online link to my school, but the online database does not contain articles that date back to 1992. Your best bet is to go to a local university, that preferably has a medical-science database, and try to get the article there.
Good luck,
warren
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Re: Anyone have this article? - April 19, 2005 3:51:00 AM
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ptace
Posts: 85
Joined: January 20, 2001
From: Illinois
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You may have a hard time finding it online. I work at a University and I looked through our databases and they don't go back to 1992. We use a National system of databases so we are able to get almost anything as long as it's within the corect time frame generally from 1995 to present.
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