Rehabilitation Utilization following a Work-Related Traumatic Brain Injury: A Sex-Based Examination of Workers' Compensation Claims in Victoria, Australia.
Rehabilitation Utilization following a Work-Related Traumatic Brain Injury: A Sex-Based Examination of Workers' Compensation Claims in Victoria, Australia.
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DOI：
10.1371/journal.pone.0151462
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发表时间：
2016
期刊：
影响因子：
3.7
通讯作者：
Colantonio A
中科院分区：
文献类型：
--
作者：
Guerriero EN;Smith PM;Stergiou-Kita M;Colantonio A
报告并研究澳大利亚维多利亚州男性和女性在工作相关的创伤性脑损伤后使用四种康复服务（职业治疗、物理治疗、心理和言语治疗）的差异；并研究人口、需求、工作相关和地理因素在解释这些差异时的重要性。采用回顾性队列设计分析了 2004 年至 2012 年间在澳大利亚维多利亚州提出的 1786 名与工作相关的创伤性脑损伤工人的赔偿索赔。对每种类型的康复服务进行 ZINB 回归，以检验性别与康复使用之间的关系。协变量包括人口统计、需求相关、工作相关和地理因素。在所有索赔中（63% 男性，37% 女性），13% 的人在使用服务的第一年至少使用过一次职业治疗，23% 的人使用物理治疗，9% 的人使用心理治疗，2% 的人使用言语治疗。在控制人口、需求相关、工作相关和地理因素后，与男性相比，女性更有可能使用物理治疗。男性和女性使用职业治疗和心理服务的可能性相同。男性和女性用户第一年每种服务的访问次数没有差异。我们的研究结果支持基于性别的方法来研究工作相关人群的康复利用。未来的研究需要检查与康复利用相关的其他因素，并确定不同康复利用模式对健康和重返工作岗位结果的影响。
To report on and examine differences in the use of four types of rehabilitation services (occupational therapy, physiotherapy, psychology, and speech therapy) by men and women following a work-related traumatic brain injury in Victoria, Australia; and to examine the importance of demographic, need, work-related and geographic factors in explaining these differences. A retrospective cohort design was used to analyze 1786 work-related traumatic brain injury workers’ compensation claims lodged between 2004 and 2012 in Victoria, Australia. ZINB regressions were conducted for each type of rehabilitation service to examine the relationship between sex and rehabilitation use. Covariates included demographic, need-related, work-related, and geographic factors. Out of all claims (63% male, 37% female), 13% used occupational therapy, 23% used physiotherapy, 9% used psychology, and 2% used speech therapy at least once during the first year of service utilization. After controlling for demographic, need-related, work-related, and geographic factors, women were more likely to use physiotherapy compared to men. Men and women were equally likely to use occupational therapy and psychology services. The number of visits in the first year for each type of service did not differ between male and female users. Our findings support a sex-based approach to studying rehabilitation utilization in work-related populations. Future research is needed to examine other factors associated with rehabilitation utilization and to determine the implications of different rehabilitation utilization patterns on health and return-to-work outcomes.