1. Direct access : therapist has primary responsibility or first contact
2. Quicker and sicker patient/ client base
Quicker = health care delivery has changed. Hospital inpatient are discharge much
faster today
Sicker = pt may have a past medical history or a current personal history of condition
or disease
3. Signed prescription : clients may obtain a signed prescription for physical/occupational
therapy based on similar past complained of musculoskeletal symptoms without direct
physician contact
4. Medical specialization : may fail to recognize underlying systemic disease