Domholdt E, Durchholz A G
Krannert Graduate School of Physical Therapy, University of Indianapolis, IN 46227.
Phys Ther. 1992 Aug;72(8):569-74. doi: 10.1093/ptj/72.8.569.
Direct access use among experienced therapists practicing in states with 3 years' experience with direct access was studied, as were differences between therapists who had and had not practiced through direct access. A questionnaire was mailed to 250 members of the North Carolina, Nevada, and Utah chapters of the American Physical Therapy Association. Almost half (44.5%) of the respondents had practiced through direct access; an estimated 10.3% of their caseload was seen through direct access. Reasons for not practicing through direct access were that the employer does not permit direct access practice (49.1%), insurance does not reimburse for direct access practice (43.6%), no patients have been seen without referral (25.5%), and personal preference to treat by referral only (23.6%). Therapists who had treated patients through direct access were significantly more likely to believe that direct access had benefited them professionally and benefited their patients than were therapists who had not practiced through direct access.
研究了在有3年直接问诊经验的州执业的经验丰富的治疗师的直接问诊使用情况，以及有过和没有过直接问诊实践的治疗师之间的差异。向美国物理治疗协会北卡罗来纳州、内华达州和犹他州分会的250名成员邮寄了一份问卷。近一半（44.5%）的受访者有过直接问诊的实践经历；估计他们的病例中有10.3%是通过直接问诊来看诊的。不采用直接问诊的原因包括雇主不允许直接问诊实践（49.1%）、保险不报销直接问诊实践费用（43.6%）、没有见过未经转诊的患者（25.5%）以及个人仅倾向于通过转诊进行治疗（23.6%）。与没有通过直接问诊进行治疗的治疗师相比，通过直接问诊治疗过患者的治疗师更有可能认为直接问诊对他们的职业发展有益，并且对他们的患者也有益。
