Barriers to pelvic floor physical therapy utilization for treatment of female urinary incontinence - 03/08/11
Résumé |
Objective |
The purpose of this study was to estimate the effect of insurance status on pelvic floor physical therapy (PFPT)
nonparticipation for the treatment of urinary incontinence.
Study Design |
A cross-sectional study of women referred to PFPT for urinary incontinence between January 2009 and June 2010 was conducted. A telephone questionnaire was administered. Multiple logistic regression was used to identify risk factors for nonparticipation.
Results |
Thirty-three percent of women with private insurance and 17% with other insurance were PFPT nonparticipants. On multiple logistic regression, women with Medicare were more likely to participate in PFPT (odds ratio [OR], 0.12; 95% confidence interval [CI], 0.01–0.72). Risk factors for nonparticipation included insurance noncoverage (OR, 103.85; 95% CI, 6.21–infinity)and a negative perception regarding the benefit of PFPT (OR, 5.07; 95% CI, 2.16–12.49).
Conclusion |
Among women who were referred to PFPT for urinary incontinence, insurance noncoverage and negative patient perception of efficacy were risk factors for nonparticipation, although having Medicare was protective. Improving patient education and insurance coverage for PFPT may increase usage.
Le texte complet de cet article est disponible en PDF.Key words : insurance status, pelvic floor physical therapy, urinary incontinence
Plan
| Supported in part by Grant no. K23-HD060665-01, National Institute of Child Health and Human Development (V.W.S.). |
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| Reprints not available from the authors. |
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| Cite this article as: Washington BB, Raker CA, Sung VW. Barriers to pelvic floor physical therapy utilization for treatment of female urinary incontinence. Am J Obstet Gynecol 2011;205:152.e1-9. |
Vol 205 - N° 2
P. 152.e1-152.e9 - août 2011 Retour au numéro
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