Identification of hidden health utilization services and costs in adults awaiting tertiary care following mild traumatic brain injury in Toronto, Ontario, Canada
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 refe...
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| Format: | Article |
| Language: | English |
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Aldus Press
2016-12-01
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| Series: | Concussion |
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| Online Access: | https://www.futuremedicine.com/doi/10.2217/cnc-2016-0009 |
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| author | Cindy Hunt Katrina Zanetti Brian Kirkham Alicja Michalak Cheryl Masanic Chantal Vaidyanath Shree Bhalerao Michael D Cusimano Andrew Baker Donna Ouchterlony |
| author_facet | Cindy Hunt Katrina Zanetti Brian Kirkham Alicja Michalak Cheryl Masanic Chantal Vaidyanath Shree Bhalerao Michael D Cusimano Andrew Baker Donna Ouchterlony |
| author_sort | Cindy Hunt |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-dbba37ec1c724e7fbb479af70bff3fe0 |
| institution | Kabale University |
| issn | 2056-3299 |
| language | English |
| publishDate | 2016-12-01 |
| publisher | Aldus Press |
| record_format | Article |
| series | Concussion |
| spelling | doaj-art-dbba37ec1c724e7fbb479af70bff3fe02025-08-20T03:24:21ZengAldus PressConcussion2056-32992016-12-011410.2217/cnc-2016-0009Identification of hidden health utilization services and costs in adults awaiting tertiary care following mild traumatic brain injury in Toronto, Ontario, CanadaCindy Hunt0Katrina Zanetti1Brian Kirkham2Alicja Michalak3Cheryl Masanic4Chantal Vaidyanath5Shree Bhalerao6Michael D Cusimano7Andrew Baker8Donna Ouchterlony91Head Injury Clinic, St. Michael's Hospital, Toronto, ON, Canada1Head Injury Clinic, St. Michael's Hospital, Toronto, ON, Canada1Head Injury Clinic, St. Michael's Hospital, Toronto, ON, Canada1Head Injury Clinic, St. Michael's Hospital, Toronto, ON, Canada1Head Injury Clinic, St. Michael's Hospital, Toronto, ON, Canada1Head Injury Clinic, St. Michael's Hospital, Toronto, ON, Canada1Head Injury Clinic, St. Michael's Hospital, Toronto, ON, Canada4St. Michael's Hospital, Toronto, ON, Canada6Department of Critical Care, St. Michael's Hospital, Toronto, ON, Canada1Head Injury Clinic, St. Michael's Hospital, Toronto, ON, CanadaAim: 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.https://www.futuremedicine.com/doi/10.2217/cnc-2016-0009concussioneconomic burden of diseasehealthcare utilizationmild traumatic brain injurytraumatic brain injury |
| spellingShingle | Cindy Hunt Katrina Zanetti Brian Kirkham Alicja Michalak Cheryl Masanic Chantal Vaidyanath Shree Bhalerao Michael D Cusimano Andrew Baker Donna Ouchterlony Identification of hidden health utilization services and costs in adults awaiting tertiary care following mild traumatic brain injury in Toronto, Ontario, Canada Concussion concussion economic burden of disease healthcare utilization mild traumatic brain injury traumatic brain injury |
| title | Identification of hidden health utilization services and costs in adults awaiting tertiary care following mild traumatic brain injury in Toronto, Ontario, Canada |
| title_full | Identification of hidden health utilization services and costs in adults awaiting tertiary care following mild traumatic brain injury in Toronto, Ontario, Canada |
| title_fullStr | Identification of hidden health utilization services and costs in adults awaiting tertiary care following mild traumatic brain injury in Toronto, Ontario, Canada |
| title_full_unstemmed | Identification of hidden health utilization services and costs in adults awaiting tertiary care following mild traumatic brain injury in Toronto, Ontario, Canada |
| title_short | Identification of hidden health utilization services and costs in adults awaiting tertiary care following mild traumatic brain injury in Toronto, Ontario, Canada |
| title_sort | identification of hidden health utilization services and costs in adults awaiting tertiary care following mild traumatic brain injury in toronto ontario canada |
| topic | concussion economic burden of disease healthcare utilization mild traumatic brain injury traumatic brain injury |
| url | https://www.futuremedicine.com/doi/10.2217/cnc-2016-0009 |
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