@article{ref1,
title="Serious injury in metropolitan and regional Victoria: exploring travel to treatment and utilisation of post-discharge health services by injury type",
journal="International journal of environmental research and public health",
year="2022",
author="Keeves, Jemma and Gabbe, Belinda and Arnup, Sarah and Ekegren, Christina and Beck, Ben",
volume="19",
number="21",
pages="e14063-e14063",
abstract="This study aimed to describe regional variations in service use and distance travelled to post-discharge health services in the first three years following hospital discharge for people with transport-related orthopaedic, brain, and spinal cord injuries. Using linked data from the Victorian State Trauma Registry (VSTR) and Transport Accident Commission (TAC), we identified 1597 people who had sustained transport-related orthopaedic, brain, or spinal cord injuries between 2006 and 2016 that met the study inclusion criteria. The adjusted odds of GP service use for regional participants were 76% higher than for metropolitan participants in the orthopaedic and traumatic brain injury (TBI) groups. People with spinal cord injury (SCI) living in regional areas had 72% lower adjusted odds of accessing mental health, 76% lower adjusted odds of accessing OT services, and 82% lower adjusted odds of accessing physical therapies compared with people living in major cities. People with a TBI living in regional areas on average travelled significantly further to access all post-discharge health services compared with people with TBI in major cities. For visits to medical services, the median trip distance for regional participants was 76.61 km (95%CI: 16.01-132.21) for orthopaedic injuries, 104.05 km (95% CI: 51.55-182.78) for TBI, and 68.70 km (95%CI: 8.34-139.84) for SCI. Disparities in service use and distance travelled to health services exist between metropolitan Melbourne and regional Victoria following serious injury.<p /> <p>Language: en</p>",
language="en",
issn="1661-7827",
doi="10.3390/ijerph192114063",
url="http://dx.doi.org/10.3390/ijerph192114063"
}