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In the United States, physical therapists are becoming more autonomous and can practice some degree of direct access in 48 states and Washington, DC. Referral for imaging privileges could increase the effectiveness and efficiency of healthcare delivery, particularly in combination with direct access management.
Hospital privileges are the right of a physician to use the facilities and equipment of a hospital. Not all physician employees of a hospital have hospital privileges, as they can be removed by order of the Chief of Medicine or the disciplinary board. Hospital privileges are usually specified for each physician employee, so that a surgeon would have the ability to book an operating room, but an internist would not. A physician does not have to be a hospital employee to get hospital privileges. For example, an independent surgeon may have the ability to book OR space for their patients. As another example, a family practice physician may get hospital privileges to visit their patients when they are in the hospital.