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Predictors of inpatient and outpatient healthcare utilization in veterans with traumatic brain injury

DRAG LL; RENNINGER C; KING R; HOBLYN J
J HEAD TRAUMA REHABIL , 2013, vol. 28, n° 1, p. 39-47
Doc n°: 161238
Localisation : Centre de Réadaptation de Lay St Christophe

D.O.I. : http://dx.doi.org/DOI:10.1097/HTR.0b013e318263bb61
Descripteurs : HD - ORGANISATION DE LA REEDUCATION - READAPTATION, AF3 - TRAUMATISME CRANIEN

Traumatic brain injury (TBI) can place a significant financial and
resource burden on healthcare systems. This study examined predictors of
outpatient and inpatient healthcare utilization in veterans with a history of
TBI. METHODS: A secondary analysis was conducted on data from 1565 veterans with
TBI and 1565 veterans without TBI seen for healthcare services at the VA Palo
Alto Health Care System between 2000 and 2010. Patterns and predictors of
outpatient and inpatient medical and psychiatric care were examined. RESULTS:
Veterans with TBI utilized significantly more services compared with the control
group. The TBI group was seen for more than 160 000 outpatient services and was
almost 9 times more likely to be hospitalized than the control group. Although
psychiatric disorders were more prevalent in the TBI group and associated with
increased medical and mental health utilization within the TBI group, they did
not account fully for the significant group differences. CONCLUSIONS: Veterans
with a history of TBI have much greater healthcare needs than veterans without
TBI, likely because of non-TBI-related factors. Increased monitoring and early
intervention treatments may be warranted for certain at-risk veterans with the
goal of minimizing their need for long-term or extensive healthcare services in
the future.

Langue : ANGLAIS

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