Youth and young adults with cerebral palsy: their use of physician and hospital services

Title

Youth and young adults with cerebral palsy: their use of physician and hospital services

Creator

Young NL; Gilbert TK; McCormick A; Ayling-Campos A; Boydell K; Law M; Fehlings DL; Mukherjee S; Wedge JH; Williams JI

Publisher

Archives Of Physical Medicine And Rehabilitation

Date

2007

Subject

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

Description

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

Rights

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

Journal Article

Citation List Month

Backlog

Pages

696-702

Issue

6

Volume

88

Citation

Young NL; Gilbert TK; McCormick A; Ayling-Campos A; Boydell K; Law M; Fehlings DL; Mukherjee S; Wedge JH; Williams JI, “Youth and young adults with cerebral palsy: their use of physician and hospital services,” Pediatric Palliative Care Library, accessed August 1, 2021, https://pedpalascnetlibrary.omeka.net/items/show/14418.

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