American Legislative Exchange Council adopts resolution on patient access to Physical Therapists' services without current professional practice restrictions regarding referral.
Georgetown University and Johns Hopkins University study showing costs for physician referral to physical therapy is 2.2 time higher, 65% longer in duration and generate 60% more medical office visits than patients with direct access to physical therapists.
CNA Insurance Companies, a leading liability insurer of physical therapists, says "At this time, direct access is not a risk factor that we specifically screen for in our program because it has not negatively impacted our claims experience in any way. In addition, we do not have a premium differential for physical therapist in direct access states, nor do our competitors – a strong testament to the fact that direct access to physical therapy services has not increased the risk exposure presented by physical therapists."
A study published in the Journal Of Orthopedic and Sports Physical Therapy indicates that physical therapists are capable of making good clinical judgements in regards to ordering diagnostic imaging studies and diagnosing musculoskeletal conditions independent from physician referral.
The scientific publisher, BioMed Central, published a study comparing physical therapists to other healthcare providers in regards to knowledge in managing musculoskeletal conditions. Based on a standardized examination, "Experienced physical therapists had higher levels of knowledge in managing musculoskeletal conditions than medical students, physician interns and residents, and all physician specialists except for orthopedists."
Health Research and Educational Trust finds that self-referral to outpatient physical therapy services results in fewer physical therapy visits when compared to physician referrals to physical therapy services