Ed
Are you in Canada? I'm interested in where you got the Canadian stats.
In this rural home care area the ratio is 3 to 1 in favour of
OCCUPATIONAL THERAPY if we have a PT at all. The situation is reversed
in acute care. I think this is as it should be.

I also have a theory on why PT is better known. We more often deal with
people who have multifactorial presentations and/or are marginalised for
some reason - old, poor, disabled, mentally ill, who are not as able to
problem solve through their own rehab as the active demographic in their
productive years. Most people have had some contact with a PT either
themselves or through others they know and most of these people do not
need occupational therapy to continue or resume their usual everyday
lives. 
Ron's stories of the clients who have been exposed to OTs 'going
mindlessly through the motions' so some employer can collect payment in
wasted health care dollars make my heart sick.

Blessings, Joan

-----Original Message-----
From: [email protected] [mailto:[email protected]] On
Behalf Of Ed Kaine
Sent: July 10, 2009 3:01 PM
To: [email protected]
Subject: Re: [OTlist] Over Utilization of PT in Home Health

Hi All;

If not in a name... then what? Is PTs service and skill set that much
superior to OTs that it warrants about a 3 to 5 fold bias from OT to PT
in
nearly every setting? Your facility is probably fairly average in the 3
to
15 ratio... and that is home care.

In the USA OTs are most plentiful treating pediatric populations... in
Canada there is not this strong support for OT. In most settings there
there
are at least twice as many PTs as OTs.

I'm not trying to be rhetorical here... I'm serious... I can't
understand it
if it's not due to our incomprehensible name. I think PT's title is just
so
obvious in what they can offer and why go to an OT if you're retired? I
got
this one again today. Administration puts their money where they expect
volume and return on investment. In my opinion OT is more efficient at
getting functional outcomes... but we are not known.

Occupation means what it means... not what we say it means (unless it
did,
then it would). I think the concept is useful and we should try to get
the
word known, the definition expanded, but my Blog challenge cannot get it
to
happen, not within a year or even several.

I'd really like your thoughts on the why PT is so successful and we are
so
not.

Yours,
Ed
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