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• W4380202434 abstract "Postoperative physical therapy (PT) is a cornerstone to achieve optimal patient outcomes. Access to postoperative PT can be limited by insurance type, coverage, and cost. With copayments for PT as high as $75 per visit, PT can be cost-prohibitive for patients. The purpose of this study was to evaluate factors affecting PT utilization among patients that underwent shoulder surgery. A retrospective analysis was performed of 80 shoulder surgery patients with postoperative PT sessions attended at single institution from 2017-2019. Patients were divided based on insurance type: private insurance (PI) and Medicare with or without supplemental insurance (MI); and copayment (CP) or no copayment (NCP). Demographics, copayment, total and postoperative number of physical therapy sessions utilized were collected and analyzed. The cohort had 53 females and average age of 62. There was no significant difference between PI and MI at baseline other than surgery performed (p = 0.03), older MI group (69 vs 56 years: p < 0.01), and more females in PI group (76% vs 55%; p = 0.05). There was no significant difference in the number of PT sessions between groups. The PI group was more likely to have a copayment (p < 0.01). The CP group more often had private insurance and significantly more total PT visits (p = 0.05), while the NCP group more often had Medicare (p < 0.01). Copayment was not independently associated with a change in the number of PT visits or total PT visits. The utilization of PT after shoulder surgery was found to not be influenced by insurance type or copayment as determined by the number of PT sessions attended. Further investigations are necessary to better understand the relationship between copayment and different insurance types and develop effective strategies to increase access to physical therapy for postoperative shoulder patients." @default.
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• W4380202434 date "2023-06-01" @default.
• W4380202434 modified "2023-09-26" @default.
• W4380202434 title "Factors Influencing Physical Therapy Utilization after Shoulder Surgery: A Retrospective Review" @default.
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• W4380202434 doi "https://doi.org/10.1016/j.xrrt.2023.05.007" @default.
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