Concussion (Dec 2016)

Identification of hidden health utilization services and costs in adults awaiting tertiary care following mild traumatic brain injury in Toronto, Ontario, Canada

  • Cindy Hunt,
  • Katrina Zanetti,
  • Brian Kirkham,
  • Alicja Michalak,
  • Cheryl Masanic,
  • Chantal Vaidyanath,
  • Shree Bhalerao,
  • Michael D Cusimano,
  • Andrew Baker,
  • Donna Ouchterlony

DOI
https://doi.org/10.2217/cnc-2016-0009
Journal volume & issue
Vol. 1, no. 4

Abstract

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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.

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