Services provided following compensable work-related tetraplegia

Young, Amanda E.; Webster, Barbara S.; Giunti, Giulia; Pransky, Glenn; Nesathurai, Shanker

doi:10.1038/sj.sc.3101598

Cited by 5 publications

(3 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A comparable study examined costs of all 'durable medical equipment' for privately insured patients in the United States in the first year since injury, but costs were not itemised and included modifications to cars and homes. 9 Patients were 'quite' or 'very satisfied' with 247/314 (79%) pieces of prescribed equipment, and only dissatisfied with 18/314 (6%) pieces of prescribed equipment. The most important and common pieces of equipment patients were dissatisfied with were manual wheelchairs (4/42) and shower chairs (3/14), although the rate of dissatisfaction with wheelchairs was much lower than in a comparable Dutch study.…”

Section: Discussionmentioning

confidence: 99%

How much equipment is prescribed for people with spinal cord injury in Australia, do they use it and are they satisfied 1 year later?

et al. 2012

View full text Add to dashboard Cite

Background and purpose: The purpose of this study was to determine the amount and type of equipment prescribed to aid mobility and self-care for patients with spinal cord injuries (SCI) in Australia and to determine how frequently the equipment is used 1 year later and whether patients are satisfied with it. Methods: A consecutive series of 61 patients admitted for rehabilitation to two Sydney SCI units were recruited. All mobility and self-care equipment worth more than $AU50 prescribed by therapists before patients' discharge was recorded. This included wheelchairs, commodes, shower chairs, hoists, electric beds, pressure-relieving cushions, bed mattresses, slideboards, walking aids, orthoses, electrical stimulation systems and other pieces of notable exercise equipment. Patients were interviewed 1 year later and asked about each piece of equipment they had been prescribed. Specifically, they were asked about how frequently they had used each piece of equipment and whether they were satisfied with it. Data were analysed using descriptive statistics. Results: Three hundred and fourteen pieces of equipment, including 68 wheelchairs, were prescribed for the 61 patients. Most of the equipment (226/314) was used more than 20 times in the 2 months preceding the 1-year review. Most patients were satisfied or highly satisfied with the majority of equipment prescribed, although patients were very dissatisfied or only partly dissatisfied with 18/314 pieces of equipment. Discussion: Patients were generally satisfied with the equipment they were prescribed. There was a small amount of equipment prescribed that was not used 1 year later or with which patients were dissatisfied.

show abstract

Section: Discussionmentioning

confidence: 99%

How much equipment is prescribed for people with spinal cord injury in Australia, do they use it and are they satisfied 1 year later?

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Our primary goals were to (1) describe the occurrence of rehospitalization following work-related SCI and (2) identify opportunities for prevention. The current work builds upon our earlier investigations of work-related SCI 7,8 and extends upon prior studies by including detailed information on costs and length of stay.…”

Section: Introductionmentioning

confidence: 99%

Rehospitalization following compensable work-related tetraplegia

Young

Webster

Giunti³

et al. 2005

Spinal Cord

Self Cite

View full text Add to dashboard Cite

Design: Descriptive study. Objectives: To document the characteristics of rehospitalization following work-related tetraplegia, investigate risk factors for rehospitalization and identify opportunities for rehospitalization prevention. Setting: Workers' compensation administrative database with national coverage. Methods: The administrative database of a large workers' compensation provider was searched for work-related tetraplegia claims with dates of injury between 1 January 1989 and 31 December 1999. In all, 61 cases were identified where detailed rehospitalization information was available. Medical payment data were extracted, rehospitalization reasons were coded, and rates, costs and length of stay were calculated. Results: In all, 62% of cases were rehospitalized at some time during the period for which data were available. The average number of days the study group spent rehospitalized per year was 9.2 and the average annual cost was $14 197. The most common reasons for rehospitalization were dermatological (23%), orthopedic (18%) and urological (14%). It was found that as many as 74% of the total number of days persons spent rehospitalized, 64% of the monies spent on rehospitalization, and 47% of rehospitalizations could have been prevented. Conclusions: Consistent with earlier research, the ability to identify risk factors for rehospitalization was limited. However, the current study does highlight the extent to which rehospitalizations disrupt the lives of people with work-related tetraplegia and that a substantial proportion of rehospitalizations can be avoided.

show abstract

“…This duration was chosen based on research suggesting that several years are required for patients to adjust to injury after SCI. [44][45][46][47][48][49] Data extracted reflect an 8-year window from the earliest date of injury (April 1996) In 1990, WSIB implemented an electronic claim file (e-claim file) system. An e-claim file was created for every injured worker eligible to make a claim.…”

Section: Samplementioning

confidence: 99%

Can Administrative Claim File Review Be Used to Gather Physical Therapy, Occupational Therapy, and Psychology Payment Data and Functional Independence Measure Scores? Implications for Rehabilitation Providers in the Private Health Sector

Riis¹,

Jaglal²,

Boschen³

et al. 2011

Physiotherapy Canada

View full text Add to dashboard Cite

Purpose: Rehabilitation costs for spinal-cord injury (SCI) are increasingly borne by Canada's private health system. Because of poor outcomes, payers are questioning the value of their expenditures, but there is a paucity of data informing analysis of rehabilitation costs and outcomes. This study evaluated the feasibility of using administrative claim file review to extract rehabilitation payment data and functional status for a sample of persons with workrelated SCI. Methods: Researchers reviewed 28 administrative e-claim files for persons who sustained a work-related SCI between 1996 and 2000. Payment data were extracted for physical therapy (PT ), occupational therapy (OT ), and psychology services. Functional Independence Measure (FIM) scores were targeted as a surrogate measure for functional outcome. Feasibility was tested using an existing approach for evaluating health services data. Results: The process of administrative e-claim file review was not practical for extraction of the targeted data. Conclusions: While administrative claim files contain some rehabilitation payment and outcome data, in their present form the data are not suitable to inform rehabilitation services research. A new strategy to standardize collection, recording, and sharing of data in the rehabilitation industry should be explored as a means of promoting best practices.Key Words: occupational therapy, outcomes, outpatient, physical therapy, psychology, rehabilitation, spinal-cord injury Riis R, Jaglal S, Boschen K, Walker J, Verrier M. Can administrative claim file review be used to gather physical therapy, occupational therapy, and psychology payment data and functional independence measure scores? implications for rehabilitation providers in the private health sector. Physiother Can. 2011; 63(3);324-333; doi:10.3138/ptc.2010-25 RÉ SUMÉObjectif : Les coû ts de la ré adaptation à la suite d'une lé sion à la moelle é piniè re sont de plus en plus pris en charge par le systè me de santé privé au Canada. En raison des faibles ré sultats obtenus, les payeurs s'interrogent sur la pertinence de cette dé pense, mais il existe peu de donné es pour alimenter une ré elle analyse des coû ts et des ré sultats en ré adaptation. Cette é tude s'est penché e sur la faisabilité du recours à un examen des dossiers administratifs de ré clamations pour l'extraction de donné es relatives aux sommes consacré es à la ré adaptation et au statut fonctionnel des personnes ayant subi une lé sion à la moelle é piniè re de nature professionnelle. Mé thode : Les chercheurs ont é tudié 28 dossiers é lectroniques de ré clamation de personnes ayant subi une lé sion à la moelle é piniè re dans le cadre de leur travail entre 1996 et 2000. Des donné es sur le paiement ont é té extraites pour les services de physiothé rapie (PT), d'ergothé rapie (OT) et de psychologie. Les mesures de l'indé pendance fonctionnelle é taient visé es et ont é té utilisé es comme mesure auxiliaire des ré sultats sur le plan fonctionnel. La faisabilité a é té é valué e à l'aide d'u...

show abstract

Services provided following compensable work-related tetraplegia

Cited by 5 publications

References 17 publications

How much equipment is prescribed for people with spinal cord injury in Australia, do they use it and are they satisfied 1 year later?

How much equipment is prescribed for people with spinal cord injury in Australia, do they use it and are they satisfied 1 year later?

Rehospitalization following compensable work-related tetraplegia

Can Administrative Claim File Review Be Used to Gather Physical Therapy, Occupational Therapy, and Psychology Payment Data and Functional Independence Measure Scores? Implications for Rehabilitation Providers in the Private Health Sector

Contact Info

Product

Resources

About