TY - JOUR PY - 2013// TI - Reduction in health service use for whiplash injury after motor vehicle accidents in 2000-2009: Results from a defined population JO - Journal of rehabilitation medicine A1 - Berecki-Gisolf, Janneke A1 - Collie, Alex A1 - McClure, Roderick John SP - 1034 EP - 1041 VL - 45 IS - 10 N2 - OBJECTIVE: To establish trends in whiplash-related health service use and cost in Victoria, Australia. Design: Administrative data analysis. Subjects: Whiplash patients claiming Transport Accident Commission (TAC) compensation for accidents dating between 1 January 2000 and 31 December 2009 (n = 51,263). METHODS: Injury-related health service use during one year following the accident was determined from claim payment records. The incidence of whiplash claims in Victoria was calculated, as were inflation-adjusted health care costs. RESULTS: In 2000-2009, the incidence of compensable whiplash decreased from 1.56 to 1.14 per 1,000 person-years. Physiotherapy, pharmaceuticals, general practitioner, chiro-practic, radiology and osteopathy sessions were the most commonly claimed services. General practitioner, allied health and radiology services decreased, but analgesic use increased. Per person-years in the population, whiplash-related medical expenses were 71% greater for women than men. Overall, population burden decreased by 38%; the decline was most pronounced in persons aged 18-24 (54% decrease) and least pronounced in those aged ≄ 55 (23% decrease). CONCLUSION: The population-based health service cost of whiplash decreased between 2000 and 2009. The overall reduction was related to a decrease in incidence and a reduction in service use per whiplash claim.

Language: en

LA - en SN - 1650-1977 UR - http://dx.doi.org/10.2340/16501977-1206 ID - ref1 ER -