• Insurance Limitations in Orthotics and Prosthetics: Impacts on Clinical Decision-Making and Patient Care

    Informed Consent Form

  • Purpose of the Study

    You are invited to participate in a brief survey evaluating the impacts of insurance limitations on clinical decision-making and patient care in the orthotics and prosthetics field. The goal of this study is to examine how insurance limitations, such as prior authorizations, denials, and coverage restrictions, influence clinical decision-making and patient care in the O&P field.  

     

    Procedure

    If you choose to participate in this study, you will complete a 10-15 minute survey that includes fill in the blank, multiple choice, scale, and short-answer questions.

     

    Confidentiality

    All responses will remain confidential and anonymous. No identifying information will be recorded or linked to your answers and all data will be stored securely and analyzed only in aggregate form. The results of this study may be used for educational research, conference presentations, or publications, but only as anonymized data. The study data will be stored on a secure EMU Google Drive that requires EMU credentials to log in. Only the research team will have access to the data

     

    Risks and Benefits

    There are no known risks associated with this survey. You may benefit by reflecting on your own experiences with insurance limitations in your practice and your experiences may contribute to the improvement of insurance interactions in the orthotics and prosthetics field and patient care.

     

    Contact Information

    If you have any questions about the research, you may contact the Principal Investigator, Kate Fuesting, at kfuestin@emich.edu. You can also contact Rebecca Spragg, Academic Advisor, at rspragg@emich.edu. For questions about your rights as a research subject, contact the Eastern Michigan University Human Subjects Review Committee at human.subjects@emich.edu or by phone at 734-487-3090.

     

    Voluntary participation

    Participation in this research study is voluntary. You may skip any question or stop the survey at any time, even after signing this form, without repercussion. If you leave the study, the information you provided will be kept confidential.

  • Statement of Consent

  • Screening:

  • Demographics:

  • For the following statements, please indicate how often the event or situation described in each statement occurred in your practice over the last 6 months.
  • Rows

  • For the following questions, please drag the slider to indicate the extent to which you agree with the statement. 0 means “not at all/no impact” and 100 means “extremely/severe impact”

  • To what extent do you agree with the following statements?

  • Consent Declined - Survey Exit Page

    Thank you for reviewing the information about this research study.You have indicated that you do not wish to participate. No information has been collected, and you may now exit the survey.

  • Survey Ineligibility Notice

    Thank you for your interest in participating in this research study. Based on your responses to the screening questions, you do not meet the eligibility criteria for this survey. As a result, you are not able to continue with the questionnaire. Your time and interest are greatly appreciated. No further action is required, and no information you provided has been recorded or saved.

  • Survey Submission

    Please click "Submit" to submit your responses.
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