Skip to main content

Main menu

  • Home
  • Current Issue
  • Content
    • Current Issue
    • Early Access
    • Multimedia
    • Podcast
    • Collections
    • Past Issues
    • Articles by Subject
    • Articles by Type
    • Supplements
    • Plain Language Summaries
    • Calls for Papers
  • Info for
    • Authors
    • Reviewers
    • Job Seekers
    • Media
  • About
    • Annals of Family Medicine
    • Editorial Staff & Boards
    • Sponsoring Organizations
    • Copyrights & Permissions
    • Announcements
  • Engage
    • Engage
    • e-Letters (Comments)
    • Subscribe
    • Podcast
    • E-mail Alerts
    • Journal Club
    • RSS
    • Annals Forum (Archive)
  • Contact
    • Contact Us
  • Careers

User menu

  • My alerts

Search

  • Advanced search
Annals of Family Medicine
  • My alerts
Annals of Family Medicine

Advanced Search

  • Home
  • Current Issue
  • Content
    • Current Issue
    • Early Access
    • Multimedia
    • Podcast
    • Collections
    • Past Issues
    • Articles by Subject
    • Articles by Type
    • Supplements
    • Plain Language Summaries
    • Calls for Papers
  • Info for
    • Authors
    • Reviewers
    • Job Seekers
    • Media
  • About
    • Annals of Family Medicine
    • Editorial Staff & Boards
    • Sponsoring Organizations
    • Copyrights & Permissions
    • Announcements
  • Engage
    • Engage
    • e-Letters (Comments)
    • Subscribe
    • Podcast
    • E-mail Alerts
    • Journal Club
    • RSS
    • Annals Forum (Archive)
  • Contact
    • Contact Us
  • Careers
  • Follow annalsfm on Twitter
  • Visit annalsfm on Facebook
Meeting ReportEconomic or policy analysis

Saving money by integrating physiotherapists in the emergency department: Mission possible?

Rose Gagnon, Kadija Perreault, Jason Guertin, Luc Hébert, Simon LaRue and Simon Berthelot
The Annals of Family Medicine November 2024, 22 (Supplement 1) 6377; DOI: https://doi.org/10.1370/afm.22.s1.6377
Rose Gagnon
MSc, MPT, PhD(c)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Kadija Perreault
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jason Guertin
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Luc Hébert
PhD, PT
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Simon LaRue
MSc
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Simon Berthelot
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • eLetters
  • Info & Metrics
  • PDF
Loading

Abstract

Context. Emergency department (ED) overcrowding is a complex phenomenon. One solution proposed to improve patient flow in the ED is the addition of physiotherapists to manage musculoskeletal disorders (MSKD). To our knowledge, no North American study has looked at the costs of this new care model compared to usual care provided by emergency physicians (EP).

Objective. Compare the average cost of an ED visit between three ED care models.

Study Design and Analysis. Cost study based on randomized clinical trial data (NCT04009369). Costs incurred for the management of participants through the three care models were calculated using Time-Driven Activity-Based Costing, in which the time invested with a patient determines care costs.

Setting. ED of the CHU de Québec – Université Laval (Quebec, Canada).

Population Studied. Persons aged 18 to 80 presenting to the ED with a minor MSKD (n=78). Intervention. Three ED care models were compared: 1) management by a PT and an EP; 2) management by an EP according to usual care; and 3) management by a PT.

Outcome Measures. Mean cost of an ED visit for a MSKD. Generalized linear models with Gamma distributions and log links were used to assess whether there was a significant difference in mean ED visit costs between the three care models. A probabilistic budget impact sub analysis comparing the costs of implementing the two new care models for 10,000 patients was also carried out (reference cost: usual care by an EP, Canadian payer system perspective, 10,000 random samples of 10,000 patients).

Results. Mean ED visit cost for PT and EP management was $278.55 (2018 $CAD, Min-Max: 97.64-1,389.94), compared with $267.86 for EP management (62.46-1,490.85), resulting in a non-significant absolute difference of $11.67/patient between models (p=.78). The average cost of management by a PT was $193.87 (62.46-678.47), representing an average saving of $70.96/patient compared to EP management. Implementing management by a PT and an EP would cost the healthcare system an average of $107,335.31 more per 10,000 patients (95% CI: 48,416.05-165,953.41), whereas management by a PT would save the health system an average of $739,467.20 (689,476.88-789,717.02).

Conclusions. This study is a first step towards a better understanding of the costs associated with care models integrating physiotherapists in the ED for patients presenting with a MSKD. These innovative care models may have the potential to help reduce healthcare costs in the ED.

  • © 2024 Annals of Family Medicine, Inc. For the private, noncommercial use of one individual user of the Web site. All other rights reserved.
Previous
Back to top

In this issue

The Annals of Family Medicine: 22 (Supplement 1)
The Annals of Family Medicine: 22 (Supplement 1)
Vol. 22, Issue Supplement 1
20 Nov 2024
  • Table of Contents
  • Index by author
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on Annals of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Saving money by integrating physiotherapists in the emergency department: Mission possible?
(Your Name) has sent you a message from Annals of Family Medicine
(Your Name) thought you would like to see the Annals of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
2 + 5 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Saving money by integrating physiotherapists in the emergency department: Mission possible?
Rose Gagnon, Kadija Perreault, Jason Guertin, Luc Hébert, Simon LaRue, Simon Berthelot
The Annals of Family Medicine Nov 2024, 22 (Supplement 1) 6377; DOI: 10.1370/afm.22.s1.6377

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Get Permissions
Share
Saving money by integrating physiotherapists in the emergency department: Mission possible?
Rose Gagnon, Kadija Perreault, Jason Guertin, Luc Hébert, Simon LaRue, Simon Berthelot
The Annals of Family Medicine Nov 2024, 22 (Supplement 1) 6377; DOI: 10.1370/afm.22.s1.6377
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
  • eLetters
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Economic analysis of virtual Medical Legal Partnership model
  • Practice patterns of Ontario physicians working in 'boutique' medical clinics
Show more Economic or policy analysis

Similar Articles

Content

  • Current Issue
  • Past Issues
  • Early Access
  • Plain-Language Summaries
  • Multimedia
  • Podcast
  • Articles by Type
  • Articles by Subject
  • Supplements
  • Calls for Papers

Info for

  • Authors
  • Reviewers
  • Job Seekers
  • Media

Engage

  • E-mail Alerts
  • e-Letters (Comments)
  • RSS
  • Journal Club
  • Submit a Manuscript
  • Subscribe
  • Family Medicine Careers

About

  • About Us
  • Editorial Board & Staff
  • Sponsoring Organizations
  • Copyrights & Permissions
  • Contact Us
  • eLetter/Comments Policy

© 2025 Annals of Family Medicine