Identification of hidden health utilization services and costs in adults awaiting tertiary care following mild traumatic brain injury in Toronto, Ontario, Canada. (8th August 2016)

• Record Type: Journal Article
• Authors: Hunt, Cindy; Zanetti, Katrina; Kirkham, Brian; Michalak, Alicja; Masanic, Cheryl; Vaidyanath, Chantal; Bhalerao, Shree; Cusimano, Michael D; Baker, Andrew; Ouchterlony, Donna
• Is Part Of: Concussion. Volume 1:Number 4(2016)
• Publication Date: 2016-08-08
• Subjects: concussion -- economic burden of disease -- healthcare utilization -- mild traumatic brain injury -- traumatic brain injury; Brain -- Concussion -- Periodicals; 617.481044
• DOI: 10.2217/cnc-2016-0009
• Languages: English
• ISSNs: 2056-3299

Abstract

Aim: The cognitive, emotional, behavioral and physical impairments experienced by adults after mild traumatic brain injury (mTBI) can produce substantial disability, with 15–20% requiring referral to tertiary care (TC) for persistent symptoms.Methods: A convenience sample of 201 adult patients referred to TC as a result of mTBI was studied. Self-reported data were collected at first TC visit, on average 10 months postinjury. Patients reported the type and intensity of healthcare provider visit(s) undertaken while awaiting TC.Results: On average males reported 37 and females 30 healthcare provider visits, resulting in over $500, 000 Canadian dollars spent on potentially excess mTBI care over 1 year.Discussion: Based on conservative estimate of 15% of mTBI patients receiving TC, this finding identifies a possible excess in care of $110 million for Ontario. Accurate diagnosis of mTBI and early coordination of follow-up care for those needing TC could increase cost–effectiveness.