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        "rendered": "El acceso directo a la fisioterapia crea una lucha de poder m\u00e9dico en la legislatura"
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        "rendered": "<p>Consulte el art\u00edculo a continuaci\u00f3n que destaca la perspectiva de TexPTS&#039; <a title=\"marca milligan\" href=\"https:\/\/www.texpts.com\/staff\/mark-milligan\/\">marca milligan<\/a>, Director de la Cl\u00ednica de la <a title=\"Austin \u2013 Balcones Woods\" href=\"https:\/\/www.texpts.com\/location\/austin-balcones-woods\/\">Cl\u00ednica Balcones Woods<\/a> en austin<\/p>\n<p>\u00bfDeber\u00eda obtener una remisi\u00f3n de su m\u00e9dico de atenci\u00f3n primaria antes de poder ver a un fisioterapeuta? Unos 47 estados no exigen eso, pero Texas es uno de los tres estados que s\u00ed lo exige. Ahora, una batalla contenciosa entre poderosas fuerzas m\u00e9dicas podr\u00eda generar una votaci\u00f3n decisiva en breve en la C\u00e1mara de Representantes.<\/p>\n<p>Harry Lundell de Austin es uno de los 10 millones de estadounidenses que reciben terapia f\u00edsica en este momento. Lo ha necesitado para recuperarse de dos reemplazos de rodilla separados y ahora de una lesi\u00f3n en el hombro. En cada caso, \u00e9l y otros tejanos necesitaban obtener primero una remisi\u00f3n de su m\u00e9dico de atenci\u00f3n primaria.<\/p>\n<p>\u201cToma tiempo y dinero; Tengo que programar una cita con mi m\u00e9dico\u201d, dijo Lundell. \u201cEst\u00e1 bastante abrumada y se mud\u00f3 al otro lado de la ciudad, por lo que tendr\u00eda que conducir a trav\u00e9s del tr\u00e1fico de Austin, lo cual no es algo f\u00e1cil de hacer. Esto me habr\u00eda ahorrado costos y tiempo de transporte y, por supuesto, una visita al consultorio\u201d.<\/p>\n<p>Los 15.000 fisioterapeutas con licencia en Texas han estado presionando a los legisladores para obtener acceso directo, mientras que la comunidad m\u00e9dica se ha opuesto a ellos. Muchos m\u00e9dicos creen que su amplia formaci\u00f3n supera con creces la de los fisioterapeutas y que esto protege mejor a los pacientes.<\/p>\n<p>\u201cExiste la posibilidad de que el terapeuta, con solo tres a\u00f1os de formaci\u00f3n despu\u00e9s de la universidad, tenga el conocimiento para hacer un diagn\u00f3stico adecuado en cada ocasi\u00f3n\u201d, argumenta el Dr. Marc DeHart, de Texas Orthopaedics. \u201cEl problema del acceso directo es que se pueden perder cosas\u201d.<\/p>\n<p>Los terapeutas dicen: Tonter\u00edas.<\/p>\n<p>\u201cNos hemos capacitado en aspectos de diagn\u00f3stico diferencial y detecci\u00f3n de bandera roja\u201d, sostiene Mark Milligan, fisioterapeuta de Texas Physical Therapy Specialists. \u201cCuando los pacientes presentan cosas que no son m\u00fasculo-esquel\u00e9ticas, podemos llevarlas al proveedor adecuado\u201d.<\/p>\n<p>Tambi\u00e9n argumenta que si hay un problema, \u00bfpor qu\u00e9 47 estados permiten el acceso directo? \u201cNing\u00fan estado ha rescindido nunca ese derecho para los fisioterapeutas, por lo que pensar\u00eda con el tiempo que si se tratara de un problema grave, habr\u00eda un litigio o habr\u00eda declara dejar sin efecto el acto del fisioterapeuta\u201d.<\/p>\n<p>DeHart responde: \u201cCreo que los otros 47 estados no tienen una Legislatura con el conocimiento de la Legislatura de Texas. Ning\u00fan estudio ha demostrado que el acceso directo a la fisioterapia reduzca el costo general para la poblaci\u00f3n atendida\u201d.<\/p>\n<p>Un estudio reciente realizado en San Antonio encontr\u00f3 que el acceso directo ahorra dinero a los pacientes, pero un informe de la GAO del gobierno concluy\u00f3 que los ahorros del acceso directo se compensar\u00edan si los pacientes acudieran a terapia con m\u00e1s frecuencia. Lundell cree que el acceso directo en realidad puede crear m\u00e1s referencias, desde terapeutas hasta m\u00e9dicos.<\/p>\n<p>\u201cEst\u00e1n extremadamente bien capacitados y har\u00e1n referencias con m\u00e1s frecuencia de lo contrario ahora\u201d, dijo.<\/p>\n<p>HB 1263 ha aprobado el comit\u00e9 y espera una programaci\u00f3n de calendario para llegar a una votaci\u00f3n de la C\u00e1mara completa. Los terapeutas han peleado esta batalla en sesiones legislativas anteriores, pero creen que este a\u00f1o puede ser su mejor esperanza hasta el momento.<\/p>\n<p>Este art\u00edculo fue escrito por David Scott y publicado originalmente en kxan.com. \u00a0<a href=\"https:\/\/kxan.com\/2015\/05\/10\/direct-access-to-physical-therapy-creates-medical-power-struggle-in-legislature\/\">haga clic aqu\u00ed<\/a> para ver el art\u00edculo en su forma original.<\/p>",
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