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40
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Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
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URL Address
<a href="http://doi.org/10.1016/j.apmr.2007.03.005" target="_blank" rel="noreferrer">http://doi.org/10.1016/j.apmr.2007.03.005</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Youth and young adults with cerebral palsy: their use of physician and hospital services
Publisher
An entity responsible for making the resource available
Archives Of Physical Medicine And Rehabilitation
Date
A point or period of time associated with an event in the lifecycle of the resource
2007
Subject
The topic of the resource
Female; Humans; Male; Adult; adolescent; Adolescent Transitions; Chronic disease; Hospitalization/statistics & numerical data; Ambulatory Care/utilization; Cerebral Palsy/therapy; Medical/statistics & numerical data; Ontario/epidemiology; Specialties
Creator
An entity primarily responsible for making the resource
Young NL; Gilbert TK; McCormick A; Ayling-Campos A; Boydell K; Law M; Fehlings DL; Mukherjee S; Wedge JH; Williams JI
Description
An account of the resource
OBJECTIVES: To examine patterns of health care utilization among youth and young adults who have cerebral palsy (CP) and to provide information to guide the development of health services for adults who have CP. DESIGN: This study analyzed health insurance data for outpatient physician visits and hospital admissions for a 4-year period. SETTING: Six children's treatment centers in Ontario, Canada. PARTICIPANTS: The sample included 587 youth and 477 adults with CP identified from health records. Youths were 13 to 17 years of age, and adults were 23 to 32 years of age at the end of the data range. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: We computed the annual rates of outpatient physician visits and hospitalizations per 1000 persons and compared these with rates for the general population. RESULTS: Annual rates of outpatient physician visits were 6052 for youth and 6404 for adults with CP, 2.2 times and 1.9 times higher, respectively, than rates for age-matched peers (P<.01). Specialists provided 28.4% of youth visits but only 18.8% of adult visits. Annual hospital admission rates were 180 for youth and 98 for adults with CP, 4.3 times and 10.6 times higher, respectively, than rates for age-matched peers (P<.01). CONCLUSIONS: It appears that youth and adults with CP continue to have complex care needs and rely heavily on the health care system. Comprehensive services are essential to support their health as they move into youth and adulthood. However, there appear to be gaps in the adult health care system, such as limited access to specialist physicians.
2007
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.apmr.2007.03.005" target="_blank" rel="noreferrer">10.1016/j.apmr.2007.03.005</a>
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2007
Adolescent
Adolescent Transitions
Adult
Ambulatory Care/utilization
Archives Of Physical Medicine And Rehabilitation
Ayling-Campos A
Backlog
Boydell K
Cerebral Palsy/therapy
Chronic Disease
Fehlings DL
Female
Gilbert TK
Hospitalization/statistics & numerical data
Humans
Journal Article
Law M
Male
McCormick A
Medical/statistics & numerical data
Mukherjee S
Ontario/epidemiology
Specialties
Wedge JH
Williams JI
Young NL
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1080/00222930500218946" target="_blank" rel="noreferrer">http://doi.org/10.1080/00222930500218946</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Use of health care among adults with chronic and complex physical disabilities of childhood
Publisher
An entity responsible for making the resource available
Disability And Rehabilitation
Date
A point or period of time associated with an event in the lifecycle of the resource
2005
Subject
The topic of the resource
Female; Humans; Male; Adult; Ontario; Emergency Service; Hospital/utilization; Adolescent Transitions; retrospective studies; Health Services/utilization; Primary Health Care/utilization; Cerebral Palsy/rehabilitation; Spinal Dysraphism/rehabilitation; Brain Injury; Chronic/rehabilitation; Disabled Persons/rehabilitation
Creator
An entity primarily responsible for making the resource
Young NL; Steele C; Fehlings D; Jutai J; Olmsted N; Williams JI
Description
An account of the resource
PURPOSE. The purpose of this study was to explore the patterns of health services utilization among adults with chronic and complex physical disabilities of childhood, specifically cerebral palsy, spina bifida, and acquired brain injuries.METHODS. A cohort of 345 young adults who had graduated from the Bloorview MacMillan Children's Centre was identified. Their health care records were extracted from Ontario Health Insurance Plan (OHIP) and Canadian Institute for Health Information (CIHI) databases, for a four-year period. These data were analysed to estimate the frequency of out-patient physician visits and admissions to hospital.RESULTS. The mean age of the sample was 21.9 years (range 19.0-26.9 years). The results show that 95% of the sample visited a physician at least once per year, and 24% had a primary care physician. On average, these adults visited physicians 11.5 times per year (approximately once per month) and were admitted to hospital once every 6.8 years.CONCLUSIONS. These results suggest that adults with complex physical disabling conditions from childhood have ongoing health issues that require frequent service. Their admission rate is 9.0 times that of the general population, and few have a primary care physician. A new model of service may be necessary for this high-needs group.
2005
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1080/00222930500218946" target="_blank" rel="noreferrer">10.1080/00222930500218946</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2005
Adolescent Transitions
Adult
Backlog
Brain Injury
Cerebral Palsy/rehabilitation
Chronic/rehabilitation
Disability And Rehabilitation
Disabled Persons/rehabilitation
Emergency Service
Fehlings D
Female
Health Services/utilization
Hospital/utilization
Humans
Journal Article
Jutai J
Male
Olmsted N
Ontario
Primary Health Care/utilization
Retrospective Studies
Spinal Dysraphism/rehabilitation
Steele C
Williams JI
Young NL
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1046/j.1365-2753.1998.t01-1-00006.x" target="_blank" rel="noreferrer">http://doi.org/10.1046/j.1365-2753.1998.t01-1-00006.x</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
In the queue for total joint replacement: patients' perspectives on waiting times
Publisher
An entity responsible for making the resource available
Journal Of Evaluation In Clinical Practice
Date
A point or period of time associated with an event in the lifecycle of the resource
1997
Subject
The topic of the resource
Arthroplasty; Hip; Hip Prosthesis; Joint Prosthesis; Knee; Replacement; Time Management; Waiting Lists
Creator
An entity primarily responsible for making the resource
Llewellyn-Thomas HA; Arshinoff R; Bell M; Williams JI; Naylor CD; the Ontario Hip; Knee Replacement Project Team
Description
An account of the resource
We assessed patients on the waiting lists of a purposive sample of orthopaedic surgeons in Ontario, Canada, to determine patients' attitudes towards time waiting for hip or knee replacement. We focused on 148 patients who did not have a definite operative date, obtaining complete information on 124 (84%). Symptom severity was assessed with the Western Ontario/McMaster Osteoarthritis Index and a disease-specific standard gamble was used to elicit patients' overall utility for their arthritic state. Next, in a trade-off task, patients considered a hypothetical choice between a 1-month wait for a surgeon who could provide a 2% risk of post-operative mortality, or a 6-month wait for joint replacement with a 1% risk of post-operative mortality. Waiting times were then shifted systematically until the patient abandoned his/her initial choice, generating a conditional maximal acceptable wait time. Patients were divided in their attitudes, with 57% initially choosing a 6-month wait with a 1% mortality risk. The overall distribution of conditional maximum acceptable wait time scores ranged from 1 to 26 months, with a median of 7 months. Utility values were independently but weakly associated with patients' tolerance of waiting times (adjusted R-square = 0.059, P=0.004). After splitting the sample along the median into subgroups with a relatively 'low' and 'high' tolerance for waiting, the subgroup with the apparently lower tolerance for waiting reported lower utility scores (z=2.951; P=0.004) and shorter times since their surgeon first advised them of the need for surgery (z=3.014; P=0.003). These results suggest that, in the establishment and monitoring of a queue management system for quality-of-life-enhancing surgery, patients' own perceptions of their overall symptomatic burden and ability to tolerate delayed relief should be considered along with information derived from clinical judgements and pre-weighted health status instruments.
1997
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1046/j.1365-2753.1998.t01-1-00006.x" target="_blank" rel="noreferrer">10.1046/j.1365-2753.1998.t01-1-00006.x</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1997
Arshinoff R
Arthroplasty
Backlog
Bell M
Hip
Hip Prosthesis
Joint Prosthesis
Journal Article
Journal Of Evaluation In Clinical Practice
Knee
Knee Replacement Project Team
Llewellyn-Thomas HA
Naylor CD
Replacement
the Ontario Hip
Time Management
Waiting Lists
Williams JI