2023-09-28 14:46:10 +00:00
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abstract: 'Background: This study looked at the effect of patient demographics,
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insurance status, education, and patient opinion on whether various
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orthotic footwear prescribed for a variety of diagnoses were received by
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the patient. The study also assessed the effect of the orthoses on
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relief of symptoms. Methods: Chart review documented patient
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demographics, diagnoses, and medical comorbidities. Eligible patients
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completed a survey either while in the clinic or by phone after their
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clinic visit. Results: Of the 382 patients prescribed orthoses, 235
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(61.5\%) received their orthoses; 186 (48.7\%) filled out the survey.
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Race and whether or not the patient received the orthosis were found to
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be significant predictors of survey completion. Race, type of insurance,
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and amount of orthotic cost covered by insurance were significant
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predictors of whether or not patients received their prescribed
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orthoses. Type of orthosis, diabetes as a comorbidity, education,
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income, sex, and diagnosis were not significant predictors of whether
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the patient received the orthosis. Qualitative results from the survey
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revealed that among those receiving their orthoses, 87\% experienced
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improvement in symptoms: 21\% felt completely relieved, 66\% felt
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better, 10\% felt no different, and 3\% felt worse. Conclusion: We found
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that white patients had almost 3 times the odds of receiving prescribed
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orthoses as black patients, even after controlling for type of
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insurance, suggesting race to be the primary driver of discrepancies,
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raising the question of what can be done to address these inequalities.
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While large, systematic change will be necessary, some strategies can be
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employed by those working directly in patient care, such as informing
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primary care practices of their ability to see patients with limited
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insurance, limiting blanket refusal policies for government insurance,
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and educating office staff on how to efficiently work with Medicare and
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Medicaid.'
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affiliation: 'Bettin, CC (Corresponding Author), Univ Tennessee, Dept Orthopaed Surg
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\& Biomed Engn, Campbell Clin, 1211 Union Ave,Suite 510, Memphis, TN 38104 USA.
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Stevens, Trenton T.; Grear, Benjamin J.; Richardson, David R.; Murphy, G. Andrew;
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Bettin, Clayton C., Univ Tennessee, Dept Orthopaed Surg \& Biomed Engn, Campbell
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Clin, 1211 Union Ave,Suite 510, Memphis, TN 38104 USA.
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Hartline, Jacob T., Univ Maryland Med Syst, Baltimore, MD USA.
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Ojo, Oluwatosin, OrthoGeorgia, Macon, GA USA.'
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author: Stevens, Trenton T. and Hartline, Jacob T. and Ojo, Oluwatosin and Grear,
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Benjamin J. and Richardson, David R. and Murphy, G. Andrew and Bettin, Clayton C.
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author-email: cbettin@campbellclinic.com
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author_list:
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- family: Stevens
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given: Trenton T.
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- family: Hartline
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given: Jacob T.
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- family: Ojo
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given: Oluwatosin
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- family: Grear
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given: Benjamin J.
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- family: Richardson
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given: David R.
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- family: Murphy
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given: G. Andrew
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- family: Bettin
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given: Clayton C.
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da: '2023-09-28'
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doi: 10.1177/1071100721990343
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eissn: 1944-7876
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files: []
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issn: 1071-1007
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journal: FOOT \& ANKLE INTERNATIONAL
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keywords: insurance status; race; inequality
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keywords-plus: 'RACIAL/ETHNIC DISPARITIES; KNEE ARTHROPLASTY; HEALTH-INSURANCE;
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REPLACEMENT; MANAGEMENT; ADHERENCE; INCOME; HIP'
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language: English
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month: JUL
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number: '7'
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number-of-cited-references: '33'
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pages: 894-901
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papis_id: a2180380ab262b58d06acb9c89c4aa7f
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ref: Stevens2021raceinsurance
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times-cited: '1'
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title: Race and Insurance Status Association With Receiving Orthopedic Surgeon-Prescribed
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Foot Orthoses
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000674962400010
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usage-count-last-180-days: '0'
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usage-count-since-2013: '3'
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volume: '42'
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web-of-science-categories: Orthopedics
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year: '2021'
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