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Published on: November 8, 2013

Access to physical therapy services among medically underserved adults: a mixed-method study.

Christine A McCallum1

  • 1Division of Physical Therapy, Walsh University, 2020 E Maple St, North Canton, OH 44720, USA.

Physical Therapy
|March 27, 2010
PubMed
Summary
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Medically underserved adults face significant barriers accessing physical therapy due to provider shortages and lack of awareness. Improving access requires addressing systemic issues and promoting preventative care roles for physical therapists.

Area of Science:

  • Health Services Research
  • Physical Therapy
  • Community Health

Background:

  • Medically underserved adults experience challenges accessing physical therapy (PT) services.
  • Access barriers impact individuals with chronic health conditions.

Purpose of the Study:

  • To examine access issues related to physical therapy services.
  • Focus on medically underserved adults in an Ohio community.

Main Methods:

  • Mixed-method case study design.
  • Analysis of three community health care clinics.
  • Involved 11 healthcare providers and 110 patients.
  • Reviewed local, state, and national resource documents.

Main Results:

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  • Identified structural, utilization, and outcome barriers to PT access.
  • Found a shortage of accessible PT providers for underserved populations.
  • Noted a lack of standardized screening for mobility issues and inadequate knowledge of PT scope of practice.
  • Conclusions:

    • Physical therapists can play roles in screening, wellness, prevention, and program development.
    • Challenges include resource limitations (human and financial).
    • Current healthcare system prioritizes acute/chronic care over prevention, hindering PT access.