One of the biggest downsides of cash-based therapy models is clients LOVE gadgets (shock wave, tape, ultrasound, etc). Some people argue that "Outcomes drive a cash-based practice." But Ben Galin and I would argue that you likely won't keep a patient long enough to see proper outcomes if you're not giving them something shiny (i.e gadgets) every time they come in. On the other end, it's hard to convince cash-based clients that what's making them feel good today (i.e. gadgets) isn't actually solving the long-term problem. Agree or disagree? #physicaltherapy #healthcare #healthcaretechnology #occupationaltherapy
Jason Pettiaux
1mo
Absolutely agree on the gadgets attraction 👌 But gadgets may lead to results too. Question is how is it used how engaging it is and remains etc Therapy is always a challenge but it may lead to lasting change that chronic drugs or devices dont achieve using gadgets to engage in the therapy may contribute to the adherence and the global approach
RJ Witt
1mo
Modalities alone will not achieve desired outcomes. When properly coupled with manual work, strengthening, mechanics, etc, clinics will improve on recovery times and decrease pain earlier on in the plan of care.
John Mitchell
1mo
Interesting. Gizmos and gadgets plus empathy,humor,Manuel contact,exercise and movement helps patients/ clients along with hopium. IMO. Client education/ conversation during gizmo time possibly increases outcomes.
I’ve always enjoyed this topic. In my experience, patients are much more likely to be compliant and stick to their plan of care when modalities are introduced early on. Let’s face it—humans like things that make us feel good! While we can all agree that gadgets alone won’t drive improved outcomes, they can play a valuable role in improving patient compliance. And when patients stick to their plan of care, they’re much more likely to achieve their personal goals.
Michael Major
1mo
Agree! Putting in the work to combine the art and science to create a great experience is part of the solution. Great communication helps with getting them to keep the long-term problem in mind while they focus on feeling good today.
Healthcare Leader & Clinic Manager | CEO of DeLucchi LLC | Sports & Orthopedic Physical Therapist | Excellence in Leadership, Strategy & Operations | Consultant, Innovator & Analyst | Aspiring Executive
1moThis is an interesting discussion. I believe the key lies in meeting people where they are without compromising your authenticity or core philosophy as a clinician. Adriaan Louw often talks about the value of going “clockwise with ultrasound”acknowledging that sometimes patients may need something familiar or comforting to build trust and buy-in. That said, I personally can’t recall the last time I turned on a device to treat someone. Instead, I focus on helping patients understand the bigger picture: Are they interested in achieving their long-term goals, or are they simply seeking something shiny for quick relief? Cash-based therapyclients are paying out of pocket and may expect tangible, immediate results from gadgets or tools. Since they are paying cash and with natural history, likely anything you do will placebo up a response. Ultimately, staying true to your clinical strategies, evidence and philosophy is paramount. If a patient’s expectations don’t align with my approach, I’m comfortable referring them elsewhere. While outcomes do drive a cash-based practice, so does the trust and value you create by being honest, transparent, and committed to solving the root cause.