Article

OBJECTIVES: To (1) assess long-term health care service utilization and
satisfaction with health care services among women with traumatic brain injury
(W-TBI); (2) examine barriers that prevent W-TBI from receiving care when needed;
and (3) understand the perceived supports available for W-TBI. DESIGN:
Retrospective cohort study. SETTING: Community. PARTICIPANTS: W-TBI (n=105) 5 to
12 years postinjury and women without TBI (n=105) matched on age, education, and
geographic location. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Pre- and postinjury data were collected using a questionnaire administered via a
semistructured interview. Questions on health services utilization, satisfaction
with and quality of services, barriers to receiving care, and perceived social
support were from the Canadian Community Health Survey; additional questions on
perceived social support were from another large-scale study of people with
moderate to severe brain injury. RESULTS: Compared with women without TBI, W-TBI
reported using more family physician and community health services. W-TBI
reported that they did not receive care when needed (40%), particularly for
emotional/mental health problems. Significantly more W-TBI reported financial and
structural barriers. There were no significant differences in reported
satisfaction with services between women with and without TBI. CONCLUSIONS:
Health service providers and policymakers should recognize the long-term health
and social needs of W-TBI and address societal factors that result in financial
and structural barriers, to ensure access to needed services.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS