Health Services Utilization, Health Care Costs, and Diagnoses by Mild Traumatic Brain Injury Exposure: A Chronic Effects of Neurotrauma Consortium Study

2020 ◽  
Vol 101 (10) ◽  
pp. 1720-1730 ◽  
Author(s):  
Clara Dismuke-Greer ◽  
Shawn Hirsch ◽  
Kathleen Carlson ◽  
Terri Pogoda ◽  
Risa Nakase-Richardson ◽  
...  
Keyword(s):  
Health Care ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Health Services ◽  
Mild Traumatic Brain Injury ◽  
Health Care Costs ◽  
Health Services Utilization ◽  
Services Utilization ◽  
Chronic Effects ◽  
Care Costs

scholarly journals Rural-urban disparities in health care costs and health service utilization following pediatric mild traumatic brain injury

2018 ◽  
Vol 54 (2) ◽  
pp. 337-345 ◽  
Author(s):  
Janessa M. Graves ◽  
Jessica L. Mackelprang ◽  
Megan Moore ◽  
Demetrius A. Abshire ◽  
Frederick P. Rivara ◽  
...  
Keyword(s):  
Health Care ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Health Service ◽  
Service Utilization ◽  
Mild Traumatic Brain Injury ◽  
Health Care Costs ◽  
Health Service Utilization ◽  
Care Costs

scholarly journals Direct Health Care Costs, Health Services Utilization, and Outcomes of Biliary Atresia

2020 ◽  
Vol 70 (4) ◽  
pp. 436-443
Author(s):  
Shabnaz Siddiq ◽  
Carolina Jimenez-Rivera ◽  
M. Ellen Kuenzig ◽  
Isac Lima ◽  
Michael T. Geraghty ◽  
...  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Biliary Atresia ◽  
Health Care Costs ◽  
Health Services Utilization ◽  
Services Utilization ◽  
Care Costs

scholarly journals Health Care Costs 1 Year After Pediatric Traumatic Brain Injury

2015 ◽  
Vol 105 (10) ◽  
pp. e35-e41 ◽  
Author(s):  
Janessa M. Graves ◽  
Frederick P. Rivara ◽  
Monica S. Vavilala
Keyword(s):  
Health Care ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Health Care Costs ◽  
Pediatric Traumatic Brain Injury ◽  
Care Costs

Health Care Costs Associated with Traumatic Brain Injury and Psychiatric Illness in Adults

2012 ◽  
Vol 29 (6) ◽  
pp. 1038-1046 ◽  
Author(s):  
Carol Mary Rockhill ◽  
Kenneth Jaffe ◽  
Chuan Zhou ◽  
Ming-Yu Fan ◽  
Wayne Katon ◽  
...  
Keyword(s):  
Health Care ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Health Care Costs ◽  
Psychiatric Illness ◽  
Care Costs

scholarly journals Health Services Use and Health Care Costs of Obese and Nonobese Individuals

2004 ◽  
Vol 164 (19) ◽  
pp. 2135 ◽  
Author(s):  
Marsha A. Raebel ◽  
Daniel C. Malone ◽  
Douglas A. Conner ◽  
Stanley Xu ◽  
Julie A. Porter ◽  
...  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Costs ◽  
Health Services Use ◽  
Care Costs ◽  
Services Use

First-Line Health Care Providers' Reported Knowledge of and Referrals to Speech-Language Pathologists for Clients With Mild Traumatic Brain Injury

2021 ◽  
pp. 1-14
Author(s):  
Kelly Knollman-Porter ◽  
Jessica A. Brown ◽  
Tracey Wallace ◽  
Shelby Spitz
Keyword(s):  
Health Care ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
Health Care Providers ◽  
Multidisciplinary Teams ◽  
Care Providers ◽  
First Line ◽  
Speech Language Pathologists

Purpose People with mild traumatic brain injury (mTBI) may experience deficits in cognition or communication that go unnoticed by first-line health care providers (FHPs). Speech-language pathologists (SLPs) assess and treat these domains yet are often underrepresented on mTBI multidisciplinary teams. This study's aim was to evaluate FHPs' reported knowledge of and referral practices to SLPs for individuals across the life span with mTBI. Method Physicians, physician assistants, nurse practitioners, nurses, and athletic trainers ( n = 126) completed an online survey, including two Likert scale questions and one free response question relating to SLPs' role in mTBI. Results More than half of FHPs rate their knowledge of the SLP's role in mTBI management as low (somewhat knowledgeable, 29%; not very knowledgeable, 23%). Similarly, nearly two thirds of FHPs indicated rarely (19%) or never (44%), referring to SLPs for management of patients with mTBI. The majority of FHPs' open responses on the role of the SLP in mTBI management were incomplete, with many including domains that were not relevant to an SLP's role in the management of mTBI (e.g., dysphagia). Within the article, we provide results overall and according to individual profession. Conclusions Results suggest a majority of FHPs lack knowledge in the role of the SLP in the management of mTBI, which may underpin the low referral patterns reported by FHPs for SLP services. Future educational efforts for FHPs regarding the role of SLPs in mTBI care are necessary.

scholarly journals Cost-Related Non-Utilization of Health Services and Self-Perceived Reactions to Race

2020 ◽  
Vol 30 (3) ◽  
pp. 399-410
Author(s):  
Eberechukwu Onukwugha ◽  
Jacquelyn McRae ◽  
Wendy Camelo Castillo
Keyword(s):  
Health Care ◽  
Health Services ◽  
Physician Visit ◽  
Health Services Utilization ◽  
Physical Symptoms ◽  
Limited Information ◽  
Cross Sectional ◽  
Physician Visits ◽  
Care Experience ◽  
Services Utilization

Purpose: There is limited information regarding the prevalence and predictors of cost-related non-utilization (CRNU), while there is increasing attention to the rising out-of-pocket cost of health services includ­ing prescription medications. Prior studies have not quantified the role of perceived racism despite its documented relationship with health services utilization. We examine perceptions of reactions to race and quan­tify their relationship with CRNU.Methods: This retrospective cross-sectional study utilized data from the 2014 Behav­ioral Risk Factor Surveillance System (BRFSS) public use file, an annual, state-based telephone survey of US adults aged 18 and older. We utilized data for four states that provided responses to five Reactions to Race items, including information about the self-perceived quality of the respon­dent’s health care experience compared with people of other races (worse vs same or better) and whether the respondent experienced physical symptoms because of treatment due to their race. The three binary outcomes were: 1) did not visit a physician; 2) did not visit a physician due to cost; 3) did not fill a prescription due to cost. We estimated covariate-adjusted odds ratios associated with each outcome using logistic regression models.Results: The BRFSS sample consisted of 20,366 respondents of whom 8% were African American non-Hispanic, 12% were Hispanic and 73% were White. Three percent of respondents considered their experience to be worse than people of other races. Three percent of individuals reported physical symptoms because of treatment due to their race while 5% of respondents reported becoming emotion­ally upset because of treatment due to their race. The proportions for the three study outcomes were 11%, 13% and 7%, respectively. In covariate-adjusted models, a worse experience with the health care system was statistically significantly associ­ated with CRNU (physician visit: 2.6 [95% CI: 1.6 – 4.3]). The experience of physical symptoms because of treatment due to race was statistically significantly associated with CRNU (physician visit: 2.6 [95% CI: 1.7 – 4]; prescription fills: 2.1 [1.2 – 3.6]). No Reactions to Race items were associated with general non-utilization.Conclusions: Negative perceptions of reactions to race during the time of health services utilization is positively associated with CRNU, ie, foregoing physician visits and prescription fills due to cost.Ethn Dis. 2020;30(3):399-410; doi:10.18865/ed.30.3.399

scholarly journals Pemanfaatan Pelayanan Kesehatan Sasaran Program Jaminan Tabalong Sehat di Kabupaten Tabalong Kalimantan Selatan

2018 ◽  
pp. 102-112
Author(s):  
Amir Su'udi ◽  
Harimat Hendarwan
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Health Services Utilization ◽  
Health Centre ◽  
Cross Sectional ◽  
Public Health Centre ◽  
Health Security ◽  
Services Utilization ◽  
Free Health Care

Abstrak Pemerintah Kabupaten Tabalong Kalimantan Selatan menerapkan pelayanan kesehatan gratis di Puskesmas melalui program Jaminan Tabalong Sehat (JTS) sejak tahun 2008. Peserta JTS adalah seluruh penduduk Tabalong yang tidak memiliki asuransi atau jaminan kesehatan. Penelitian ini bertujuan mengetahui faktor-faktor yang berhubungan dengan pemanfaatan pelayanan kesehatan di puskesmas. Penelitian ini menggunakan desain cross sectional dan wawancara mendalam. Sampel uji sebanyak 253 rumah tangga sasaran program JTS, diambil dari 405 sampel rumah tangga yang dipilih secara sistematik, dari klaster 15 desa/kelurahan di tiga wilayah puskesmas terpilih. Hasil penelitian menunjukkan bahwa pemanfaatan pelayanan kesehatan gratis di puskesmas belum optimal. Sebanyak 52% rumah tangga pernah memanfaatkan pelayanan kesehatan puskesmas dalam setahun terakhir. Faktor yang berhubungan dengan pemanfaatan pelayanan kesehatan di puskesmas adalah pengetahuan, kemauan untuk membayar/WTP, adanya penyakit tertentu, waktu tempuh, kemudahan dan biaya transportasi. Rendahnya pemanfaatan pelayanan kesehatan di puskemas yang sudah digratiskan disebabkan karena kurang optimalnya kegiatan puskesmas, kurangnya sosialisasi ke masyarakat dan sasaran masyarakat yang disubsidi kurang tepat. Kata kunci: Pemanfaatan pelayanan kesehatan, Puskesmas, Subsidi, Tabalong Abstract Government of Tabalong District have been giving free health care subsidies at public health centre (PHC) through Tabalong Health Security (Jaminan Tabalong Sehat /JTS) program since 2008. Targetting of JTS program are all of Tabalong citizens that have not covered by health insurance or other health security programs. The objective of this research was to know the factors that related with utilization of health services at PHC in Tabalong District. Approach of this research were cross sectional design and deep interview. Sampels were 253 targetting household taken form 405 household that selected by systematic random from 15 villages cluster at three selected PHC areas. The result showed that utilization of free health services subsidies were not optimize yet. Just 52% of household utilized health services at PHC in the last year. The factors that related with health services utilization at PHC are knowledge, willingness to pay (WTP), diseases avalaibility, travelling time, easiness and cost of transportation. The low rates utilization of free health care were also caused by un-optimize of PHC’s activities, lack of promotion the JTS programs, not matching of subsidies targetting. Keywords: Health services utilization, public health centre, subsidy, Tabalong

Sign in / Sign up

Export Citation Format

Share Document