University of South Carolina Scholar Commons Theses and Dissertations Fall 2019 The Effect of Patient Financial Liability on Physical Therapy Utilization and Patient Reported Outcomes for Patients With Low Back Pain: An Instrumental Variable Analysis Adam D. Lutz Follow this and additional works at: https://scholarcommons.sc.edu/etd Part of the Exercise Science Commons Recommended Citation Lutz, A. D.(2019). The Effect of Patient Financial Liability on Physical Therapy Utilization and Patient Reported Outcomes for Patients With Low Back Pain: An Instrumental Variable Analysis. (Doctoral dissertation). Retrieved from https://scholarcommons.sc.edu/etd/5594 This Open Access Dissertation is brought to you by Scholar Commons. It has been accepted for inclusion in Theses and Dissertations by an authorized administrator of Scholar Commons. For more information, please contact
[email protected]. THE EFFECT OF PATIENT FINANCIAL LIABILITY ON PHYSICAL THERAPY UTILIZATION AND PATIENT REPORTED OUTCOMES FOR PATIENTS WITH LOW BACK PAIN: AN INSTRUMENTAL VARIABLE ANALYSIS by Adam D. Lutz Bachelor of Science Louisiana State University, 2005 Doctor of Physical Therapy University of North Florida, 2010 ________________________________________________ Submitted in Partial Fulfillment of the Requirements For the Degree of Doctor of Philosophy in Exercise Science The Norman J. Arnold School of Public Health University of South Carolina 2019 Accepted by: Shana E. Harrington, Major Professor Charles A. Thigpen, Committee Member Ellen Shanley, Committee Member John M. Brooks, Committee Member Cheryl L. Addy, Vice Provost and Dean of the Graduate School © Copyright by Adam D. Lutz, 2019 All Rights Reserved. ii Dedication To my wife, Johna Lutz, who has sacrificed and supported me greatly to allow me to follow my dreams and is a proud and devoted partner beyond my worth.