Department of Physical Therapy, The University of Texas Southwestern Medical Center, 6011 Harry Hines Blvd, Dallas, TX 75390-8876 (USA).
Department of Counseling and Higher Education, The University of North Texas, Denton, Texas.
Phys Ther. 2019 Jul 1;99(7):849-861. doi: 10.1093/ptj/pzz047.
Between 1995 and 2015, the number of accredited physical therapist education programs in the United States rose from 127 to 224. Colleges and universities have been known to develop new programs in an effort to generate revenues through student tuition.
In the present study, sources of institutional revenue and expenditures were used as predictors for the adoption of physical therapist education programs.
Yearly data from the Integrated Postsecondary Education Data System for 1731 higher education institutions were combined with dates from the Commission on Accreditation in Physical Therapy Education for physical therapist education program accreditation from 1995 to 2015.
A retrospective event history analysis of yearly institutional data was used to calculate the hazard of an institution adopting a physical therapist education program on the basis of institutional revenues and expenditures.
Private institutions were 62% less likely to adopt a physical therapist education program when they experienced a 1% increase in total revenue per full-time-equivalent student. Conversely, a given private institution was 2.71 times more likely to adopt a physical therapist education program for every 1% increase in total expenditures per full-time-equivalent student. Both public and private institutions experienced an increased chance of adopting an entry-level (professional) physical therapist education program when instructional expenditures rose. They were also more than twice as likely to adopt physical therapist education programs when they experienced a 1% increase in the number of students.
Causation between professional physical therapist education program adoption and the variables studied cannot be determined through observational analysis alone.
The more revenue a private institution generated, the less likely it was to add a program in the search for further revenues. As expenses rose, the chance of adoption trended upward beyond increases in institutional revenues for both public and private not-for-profit institutions.
1995 年至 2015 年期间，美国认证的物理治疗教育项目数量从 127 个增加到 224 个。学院和大学通常会开设新的项目，以通过学生学费来增加收入。
在本研究中，使用机构收入和支出来源来预测物理治疗教育项目的采用。
将 1731 所高等教育机构的综合高等教育数据系统的年度数据与物理治疗教育认证委员会的物理治疗教育项目认证日期（1995 年至 2015 年）相结合。
使用机构数据的回顾性事件历史分析，根据机构收入和支出来计算机构采用物理治疗教育项目的风险。
当总收入每全职当量学生增加 1%时，私立机构采用物理治疗教育项目的可能性降低 62%。相反，每增加 1%的总支出，私立机构就有 2.71 倍的可能性采用物理治疗教育项目。公立和私立机构的入学（专业）物理治疗教育项目采用机会随着教学支出的增加而增加。当学生人数增加 1%时，他们采用物理治疗教育项目的可能性也增加了两倍多。
仅通过观察性分析无法确定专业物理治疗教育项目采用与所研究变量之间的因果关系。
私立机构的收入越高，增加项目以寻求进一步收入的可能性就越低。随着支出的增加，对于公立和私立非营利机构而言，在机构收入增加之外，采用的机会呈上升趋势。
