Delisting publicly funded community-based physical therapy services in Ontario, Canada: a 12-month follow-up study of the perceptions of clients and providers.

Published

Journal Article

Publicly funded community-based physical therapy (PT) services in Canada's most populous province of Ontario were partially delisted, or deinsured, in April 2005. Two previous studies examined the short-term effects from the client and provider perspectives; and in this study, we follow up with participants from these preceding studies to assess long-term consequences of this policy. Sixteen of 18 providers (89%) and 64 of 98 clients (65%) agreed to participate in a follow-up telephone interview. Our results indicate that 12 months following delisting, and despite government assurances that access would be preserved, clients rendered ineligible for publicly funded services report ongoing access barriers across Ontario. Clients in this study also express concern about their overall health and report an increased use of other insured health professionals (e.g., physicians) and services (e.g., hospitals). On the other hand, providers within the network of publicly funded clinics report an important decrease in demand for PT services, whereas those from other settings report little change. We conclude that delisting policies may have long-term consequences on uninsured or underinsured clients and that evidence-based policy planning is warranted to ensure that the goals of reform are aligned with the desired outcomes at the client, provider, and system levels.

Full Text

Duke Authors

Cited Authors

  • Paul, J; Park, L; Ryter, E; Miller, W; Ahmed, S; Cott, CA; Landry, MD

Published Date

  • September 2008

Published In

Volume / Issue

  • 24 / 5

Start / End Page

  • 329 - 343

PubMed ID

  • 18821440

Pubmed Central ID

  • 18821440

Electronic International Standard Serial Number (EISSN)

  • 1532-5040

International Standard Serial Number (ISSN)

  • 0959-3985

Digital Object Identifier (DOI)

  • 10.1080/09593980802278397

Language

  • eng