@article{ref1,
title="Long-term health service outcomes among women with traumatic brain injury",
journal="Archives of physical medicine and rehabilitation",
year="2015",
author="Toor, Gurjit K. and Harris, Jocelyn E. and Escobar, Michael and Yoshida, Karen and Velikonja, Diana and Rizoli, Sandro and Cusimano, Michael and Cullen, Nora K. and Sokoloff, Sandra and Colantonio, Angela",
volume="97",
number="2 Suppl",
pages="S54-63",
abstract="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. <br><br>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 brain injury. <br><br>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. <br><br>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 services.<p /> <p>Language: en</p>",
language="en",
issn="0003-9993",
doi="10.1016/j.apmr.2015.02.010",
url="http://dx.doi.org/10.1016/j.apmr.2015.02.010"
}