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You searched for +publisher:"University of Florida" +contributor:("Brennan, Gerard"). One record found.

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University of Florida

1. Horn, Maggie E. Clinical Outcomes, Healthcare Utilization and Costs in Patients with Neck Pain Utilizing Physical Therapy.

Degree: PhD, Rehabilitation Science, 2013, University of Florida

Approximately 35% of people with neck pain seek care from physical therapists (PT). Clinical practice guidelines were published for neck pain. These guidelines recommend sub-grouping patients into treatment groups and provide recommendations for interventions. Past research in the low back indicates that receiving guideline adherent care can improve clinical outcomes and decrease physical therapy utilization and receiving physical therapy intervention early in an episode can decrease healthcare utilization and costs.Therefore we wished to examine if certain subgroups of patients have improved clinical outcomes; the effect of receiving guideline adherent care on clinical outcomes, utilization and costs; and the effect of receiving guideline adherent care in combination with timing of intervention on clinical outcomes,utilization and costs.   The sample in this study included 3485 people with neck pain.From this sample, three separate sets of analyses were performed to examine differences in clinical outcomes, utilization and costs in the sample. The results of this study found that patients sub-grouped in acute neck pain group had the most favorable outcomes compared to all other groups and the patients in the chronic neck pain group had the least favorable outcomes. Patients who received guideline adherent care did not significantly differ in their clinical outcomes but had had approximately half the number visits to physical therapy and healthcare providers, fewer diagnostic images and prescription medication during the year of physical therapy and less costs for physical therapy. When looking at the combination of guideline adherent care and timing, those patients who received early intervention with guideline adherent care experienced improved clinical outcomes, highest efficiency and best value for physical therapy, less costs for visits to healthcare providers and fewer prescription medications during the year of physical therapy. The primary limitations in this study were timing of physical therapy was reliant on patient report and adherent care was determined from billing codes. These findings support that providing early intervention with guideline adherent care can improve clinical outcomes and potentially decrease healthcare utilization and costs. Further research with a more rigorous methodology is needed to validate these findings. ( en ) Advisors/Committee Members: Bishop, Mark Donald (committee chair), Peoples-Sheps, Mary D (committee member), George, Steven (committee member), Harman, Jeffrey Scott (committee member), Brennan, Gerard (committee member).

Subjects/Keywords: Cost efficiency; Disabilities; Health care costs; Health care industry; Low back pain; Neck pain; Nondestructive testing; Pain; Physical therapy; Psychoeducational intervention; cost  – neck  – pain  – physical  – therapy  – utilization

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Horn, M. E. (2013). Clinical Outcomes, Healthcare Utilization and Costs in Patients with Neck Pain Utilizing Physical Therapy. (Doctoral Dissertation). University of Florida. Retrieved from http://ufdc.ufl.edu/UFE0045680

Chicago Manual of Style (16th Edition):

Horn, Maggie E. “Clinical Outcomes, Healthcare Utilization and Costs in Patients with Neck Pain Utilizing Physical Therapy.” 2013. Doctoral Dissertation, University of Florida. Accessed October 17, 2019. http://ufdc.ufl.edu/UFE0045680.

MLA Handbook (7th Edition):

Horn, Maggie E. “Clinical Outcomes, Healthcare Utilization and Costs in Patients with Neck Pain Utilizing Physical Therapy.” 2013. Web. 17 Oct 2019.

Vancouver:

Horn ME. Clinical Outcomes, Healthcare Utilization and Costs in Patients with Neck Pain Utilizing Physical Therapy. [Internet] [Doctoral dissertation]. University of Florida; 2013. [cited 2019 Oct 17]. Available from: http://ufdc.ufl.edu/UFE0045680.

Council of Science Editors:

Horn ME. Clinical Outcomes, Healthcare Utilization and Costs in Patients with Neck Pain Utilizing Physical Therapy. [Doctoral Dissertation]. University of Florida; 2013. Available from: http://ufdc.ufl.edu/UFE0045680

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