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      Health care utilization in persons with spinal cord injury: part 2-determinants, geographic variation and comparison with the general population.

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      Journal: Spinal cord
      Publisher: Springer Nature

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          Abstract

          Cross-sectional survey.

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          Unwarranted variations in healthcare delivery: implications for academic medical centres.

          John E Wennberg (2002)
          Article 0 comments Cited 128 times – based on 0 reviews     Review now
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            Utilization of health services following spinal cord injury: a 6-year follow-up study.

            James B. Rowe, D Dryden, Karen Svenson … (2004)
            Cohort study with 6-years follow-up. To describe the utilization of health services by persons with spinal cord injury (SCI) and compare it with that of the general population. Alberta, Canada. All persons who sustained an SCI in Alberta between April 1992 and March 1994 were followed from date of injury to 6 years postinjury. Cases were matched (1:5) with controls randomly selected from the general population and matched for age, gender, and region of residence. Administrative data from centralized health care databases were compiled to provide a complete picture of health care use, including hospitalizations, physician contacts, long-term care admissions, home care services, and the occurrence of secondary complications. In all, 233 individuals with SCI and 1165 matched controls were followed for 6 years. Compared with the control group, persons with SCI were rehospitalized 2.6 times more often, spent 3.3 more days in hospital, were 2.7 times more likely to have a physician contact, and required 30 times more hours of home care services. Of those with SCI, 47.6% were treated for a urinary tract infection, 33.8% for pneumonia, 27.5% for depression, and 19.7% for decubitus ulcer. SCI places a heavy burden on the health care system. Persons with SCI have greater rates of contact with the health system compared with the general population. Secondary complications continue to affect persons with SCI long after the acute trauma.
            Article 0 comments Cited 69 times – based on 0 reviews     Review now
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              Design of the Swiss Spinal Cord Injury Cohort Study.

              Christine Boldt, Christine Fekete, … (2011)
              The overall goal of the Swiss Spinal Cord Injury Cohort Study (SwiSCI) is to gain a better understanding of how to support functioning, health maintenance, and quality-of-life of persons with spinal cord injury (SCI) along the continuum of care, in the community, and along their life span. The purpose of this study was to present the SwiSCI study design. SwiSCI is composed of three complementary pathways and will include Swiss persons 16 yrs or older who have diagnoses of traumatic or nontraumatic SCI. Pathway 1 is a retrospective study of medical files of patients admitted to one of the collaborating SCI centers between 2005 and 2009. Pathway 2 is a nationwide survey of persons with chronic SCI. Pathway 3 is an inception cohort study including persons with newly acquired SCI. SwiSCI is conducted in collaboration with the Swiss Paraplegic Association and the major specialized rehabilitation centers in Switzerland. Measurement instruments that are to be used in Pathway 2 and 3 cover body structures and functions, activities, participation, life satisfaction, and personal and environmental factors. SwiSCI is a prospective cohort study that will contribute to a comprehensive understanding of the lived experience of persons with SCI.
              Article 0 comments Cited 53 times – based on 0 reviews     Review now
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                Author and article information

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                PubMed ID:: 28462934
                DOI:: 10.1038/sc.2017.38

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