Identification of hidden health utilization services and costs in adults awaiting tertiary care following mild traumatic brain injury in Toronto, Ontario, Canada.

Q3 Medicine

Concussion Pub Date : 2016-08-08 eCollection Date: 2016-12-01 DOI:10.2217/cnc-2016-0009

Cindy Hunt, Katrina Zanetti, Brian Kirkham, Alicja Michalak, Cheryl Masanic, Chantal Vaidyanath, Shree Bhalerao, Michael D Cusimano, Andrew Baker, Donna Ouchterlony

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引用次数: 19

Abstract

Aim: The cognitive, emotional, behavioral and physical impairments experienced by adults after mild traumatic brain injury (mTBI) can produce substantial disability, with 15-20% requiring referral to tertiary care (TC) for persistent symptoms.

Methods: A convenience sample of 201 adult patients referred to TC as a result of mTBI was studied. Self-reported data were collected at first TC visit, on average 10 months postinjury. Patients reported the type and intensity of healthcare provider visit(s) undertaken while awaiting TC.

Results: On average males reported 37 and females 30 healthcare provider visits, resulting in over $500,000 Canadian dollars spent on potentially excess mTBI care over 1 year.

Discussion: Based on conservative estimate of 15% of mTBI patients receiving TC, this finding identifies a possible excess in care of $110 million for Ontario. Accurate diagnosis of mTBI and early coordination of follow-up care for those needing TC could increase cost-effectiveness.

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加拿大安大略省多伦多市轻度创伤性脑损伤后等待三级护理的成人隐藏卫生利用服务和费用的识别。

目的:成人轻度创伤性脑损伤(mTBI)后的认知、情绪、行为和身体损伤可产生严重的残疾，15-20%的人需要转诊到三级保健(TC)治疗持续症状。方法:选取201例因mTBI而被称为TC的成人患者作为方便样本进行研究。自我报告的数据在损伤后平均10个月的第一次TC访问时收集。患者报告了在等待TC期间对医疗保健提供者的访问类型和强度。结果:男性平均报告37次，女性平均报告30次医疗保健提供者就诊，导致1年内在mTBI治疗上花费超过50万加元。讨论:根据保守估计，15%的mTBI患者接受TC治疗，这一发现确定安大略省可能存在1.1亿美元的超额护理费用。准确诊断mTBI和早期协调需要TC的患者的随访护理可以提高成本效益。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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