Use of health care among adults with chronic and complex physical disabilities of childhood

Use of health care among adults with chronic and complex physical disabilities of childhood

Young NL; Steele C; Fehlings D; Jutai J; Olmsted N; Williams JI

Disability And Rehabilitation

2005

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

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

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).

Journal Article

Backlog