Research Reports - Long-term health service outcomes among women with traumatic brain injury
Arch Phys Med Rehabil. 2015 Feb 20
Toor GK(1), Harris JE(2), Escobar M(1), Yoshida K(3), Velikonja D(4), Rizoli
S(5), Cusimano M(5), Cullen N(6), Sokoloff S(7), Colantonio A(8)
OBJECTIVES: (1) To assess long term health care service utilization and
satisfaction with health care services among women with traumatic brain injury
(W-TBI), (2) to examine barriers that prevent W-TBI from receiving care when
needed, and (3) to understand the perceived supports available for W-TBI.
SETTING: Ontario, Canada.
PARTICIPANTS: W-TBI (n=105) 5-12 years post-injury and women without TBI (n=105)
matched on age, education and geographic location.
DESIGN: Retrospective cohort study MAIN MEASURES: Pre- and post-injury data were
collected using a questionnaire administered via a semi-structured 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
RESULTS: Compared to 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 services providers and policy-makers should recognize the
long-term health and social needs of W-TBI and address societal factors that
result in financial and structural barriers in order to ensure access to needed