TABLE 2.

General Prescribing/Supervision Practices

All Respondents, %Year of GraduationPrimary Practice Site
Before 1980, %1980 or After, %P ValuePrivate Outpatient, %Other, %P Value
If asked to provide for therapy (PT, OT, or ST), would you specify (at least 50% of the time)
    Diagnosis (yes)85.586.784.5.64184.188.9.365
    Frequency of treatment (yes)42.550.036.2.042*41.744.4.714
    Length or duration of treatment (yes)34.043.825.9.006*32.737.1.536
    Goals of treatment (yes)36.050.024.1<.001*33.841.3.298
    Precautions in treatment (yes)29.337.821.9.012*26.037.1.106
If sent a prescription for therapy without your previous initiation, would you sign if initiated by
    A physical therapist (yes)67.857.376.8.003*70.361.7.229
    An occupational therapist (yes)66.854.777.0<.001*70.557.6.076
    A speech therapist (yes)70.857.382.3<.001*76.556.7.004*
If sent a prescription and all forms completed for a wheelchair for your patient without your previous initiation, would you sign if sent by
    A therapist (yes)81.773.488.6.005*86.170.2.008*
    A vendor (yes)24.220.027.7.19827.715.3.059*
Would you feel confident to determine the appropriateness of
    Leg brace (orthosis) Rx (yes)24.821.028.1.23225.822.2.578
    Arm or hand brace Rx (yes)26.624.029.0.41427.823.8.546
    Wheelchair Rx (yes)47.945.550.0.51052.736.5.031*
If NOT confident in at least 1 of the above (DME), would you trust the recommendation of the vendor and sign (yes; among N = 160)74.464.583.3.006*80.758.7.004*
If you would NOT sign, would you refer to a specialist? (yes; among N = 40)97.596.2100.0.45795.2100.0.335
If you have not seen the patient in the past time frame, would you first see before signing for therapy?
    If not in 1 y (yes)85.681.488.9.14084.987.5.661
    If not in 6 mo (yes)47.451.244.4.35339.070.6<.001*
    If not in 3 mo (yes)19.927.214.3.029*15.432.0.012*
    Always see first (yes)23.732.216.5.011*18.337.7.005*
If you have not seen patient in the past time frame, would you first see before signing for DME?
    If not in 1 y (yes)73.870.276.6.31870.185.1.043*
    If not in 6 mo (yes)45.755.638.3.019*36.972.3<.001*
    If not in 3 mo (yes)25.438.615.1<.001*20.040.8.004*
    Always see first (yes)26.639.815.0<.001*21.539.6.001*
Who do you believe should be best to provide training to physicians in ordering and supervising
    Therapies
        Therapists26.718.833.6.05528.023.2.621
        Physicians72.380.265.571.375.0
        Others1.00.01.00.71.8
    DME
        Therapists17.221.931.8.22928.324.6.392
        Vendors0.50.01.00.01.8
        Physicians69.474.065.469.170.2
        Others2.94.11.82.63.5
  • PT indicates physical therapy; OT, occupational therapy; SP, speech therapy; Rx, prescription.

  • * P < .05.