Youth and Young Adults With Cerebral Palsy: Their Use of Physician and Hospital Services
Abstract 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. Objectives To examine patterns of health care utilization among youth and young ad...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2007-06, Vol.88 (6), p.696-702 |
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| creator | Young, Nancy L., PhD Gilbert, Thomas K., BSc McCormick, Anna, MD Ayling-Campos, Anne, BScPT Boydell, Katherine, PhD Law, Mary, PhD Fehlings, Darcy L., MD Mukherjee, Shubhra, MD Wedge, John H., MD Williams, Jack I., PhD |
| description | Abstract 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. 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 |
| doi_str_mv | 10.1016/j.apmr.2007.03.005 |
| format | Article |
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Youth and young adults with cerebral palsy: their use of physician and hospital services. 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.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2007.03.005</identifier><identifier>PMID: 17532889</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Ambulatory Care - utilization ; Biological and medical sciences ; Cerebral palsy ; Cerebral Palsy - therapy ; Chronic Disease ; Female ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Health services ; Health transition ; Hospitalization - statistics & numerical data ; Humans ; Male ; Medical sciences ; Medicine - statistics & numerical data ; Miscellaneous ; Nervous system (semeiology, syndromes) ; Neurology ; Ontario - epidemiology ; Physical Medicine and Rehabilitation ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Rehabilitation ; Specialization</subject><ispartof>Archives of physical medicine and rehabilitation, 2007-06, Vol.88 (6), p.696-702</ispartof><rights>American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation</rights><rights>2007 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation</rights><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-f96ec5ce3a9e345fbc801e3fd39b5650114fd922f765b36a17799f43d173d5893</citedby><cites>FETCH-LOGICAL-c439t-f96ec5ce3a9e345fbc801e3fd39b5650114fd922f765b36a17799f43d173d5893</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.apmr.2007.03.005$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18820944$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17532889$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Young, Nancy L., PhD</creatorcontrib><creatorcontrib>Gilbert, Thomas K., BSc</creatorcontrib><creatorcontrib>McCormick, Anna, MD</creatorcontrib><creatorcontrib>Ayling-Campos, Anne, BScPT</creatorcontrib><creatorcontrib>Boydell, Katherine, PhD</creatorcontrib><creatorcontrib>Law, Mary, PhD</creatorcontrib><creatorcontrib>Fehlings, Darcy L., MD</creatorcontrib><creatorcontrib>Mukherjee, Shubhra, MD</creatorcontrib><creatorcontrib>Wedge, John H., MD</creatorcontrib><creatorcontrib>Williams, Jack I., PhD</creatorcontrib><title>Youth and Young Adults With Cerebral Palsy: Their Use of Physician and Hospital Services</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Abstract 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. 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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Ambulatory Care - utilization</subject><subject>Biological and medical sciences</subject><subject>Cerebral palsy</subject><subject>Cerebral Palsy - therapy</subject><subject>Chronic Disease</subject><subject>Female</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Health services</subject><subject>Health transition</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine - statistics & numerical data</subject><subject>Miscellaneous</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Ontario - epidemiology</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Rehabilitation</subject><subject>Specialization</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFq3DAQhkVoSbZpX6CH4kt7szuyLMsqJRCWJikEGkhC05OQpVFXW6-9lezAvn3k7kKgh5w0Gr5_JL4h5D2FggKtP68Lvd2EogQQBbACgB-RBeWszJuSPrwiCwBguZSSnZA3Ma7TteaMHpMTKhLVNHJBHn4N07jKdG-zVPW_s3M7dWPMfvrUXWLANuguu9Fd3H3J7lboQ3YfMRtcdrPaRW-87v-Fr4a49WNCbzE8eoPxLXntUgrfHc5Tcn_x7W55lV__uPy-PL_OTcXkmDtZo-EGmZbIKu5a0wBF5iyTLa85UFo5K8vSiZq3rNZUCCldxSwVzPJGslPyaT93G4a_E8ZRbXw02HW6x2GKSgCvBJdlAss9aMIQY0CntsFvdNgpCmr2qdZq9qlmnwqYSj5T6MNh-tRu0D5HDgIT8PEA6Gh054LujY_PXNOUIKsqcV_3HCYXjx6DisZjb9D6gGZUdvAv_-Psv7jpfO_Ti39wh3E9TKFPlhVVsVSgbufNz4sHAUBlA-wJKuenhQ</recordid><startdate>20070601</startdate><enddate>20070601</enddate><creator>Young, Nancy L., PhD</creator><creator>Gilbert, Thomas K., BSc</creator><creator>McCormick, Anna, MD</creator><creator>Ayling-Campos, Anne, BScPT</creator><creator>Boydell, Katherine, PhD</creator><creator>Law, Mary, PhD</creator><creator>Fehlings, Darcy L., MD</creator><creator>Mukherjee, Shubhra, MD</creator><creator>Wedge, John H., MD</creator><creator>Williams, Jack I., PhD</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20070601</creationdate><title>Youth and Young Adults With Cerebral Palsy: Their Use of Physician and Hospital Services</title><author>Young, Nancy L., PhD ; Gilbert, Thomas K., BSc ; McCormick, Anna, MD ; Ayling-Campos, Anne, BScPT ; Boydell, Katherine, PhD ; Law, Mary, PhD ; Fehlings, Darcy L., MD ; Mukherjee, Shubhra, MD ; Wedge, John H., MD ; Williams, Jack I., PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-f96ec5ce3a9e345fbc801e3fd39b5650114fd922f765b36a17799f43d173d5893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Ambulatory Care - utilization</topic><topic>Biological and medical sciences</topic><topic>Cerebral palsy</topic><topic>Cerebral Palsy - therapy</topic><topic>Chronic Disease</topic><topic>Female</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Health services</topic><topic>Health transition</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine - statistics & numerical data</topic><topic>Miscellaneous</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Ontario - epidemiology</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Rehabilitation</topic><topic>Specialization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Young, Nancy L., PhD</creatorcontrib><creatorcontrib>Gilbert, Thomas K., BSc</creatorcontrib><creatorcontrib>McCormick, Anna, MD</creatorcontrib><creatorcontrib>Ayling-Campos, Anne, BScPT</creatorcontrib><creatorcontrib>Boydell, Katherine, PhD</creatorcontrib><creatorcontrib>Law, Mary, PhD</creatorcontrib><creatorcontrib>Fehlings, Darcy L., MD</creatorcontrib><creatorcontrib>Mukherjee, Shubhra, MD</creatorcontrib><creatorcontrib>Wedge, John H., MD</creatorcontrib><creatorcontrib>Williams, Jack I., PhD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Young, Nancy L., PhD</au><au>Gilbert, Thomas K., BSc</au><au>McCormick, Anna, MD</au><au>Ayling-Campos, Anne, BScPT</au><au>Boydell, Katherine, PhD</au><au>Law, Mary, PhD</au><au>Fehlings, Darcy L., MD</au><au>Mukherjee, Shubhra, MD</au><au>Wedge, John H., MD</au><au>Williams, Jack I., PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Youth and Young Adults With Cerebral Palsy: Their Use of Physician and Hospital Services</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2007-06-01</date><risdate>2007</risdate><volume>88</volume><issue>6</issue><spage>696</spage><epage>702</epage><pages>696-702</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract>Abstract 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. 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.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>17532889</pmid><doi>10.1016/j.apmr.2007.03.005</doi><tpages>7</tpages></addata></record> |
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| subjects | Adolescent Adult Ambulatory Care - utilization Biological and medical sciences Cerebral palsy Cerebral Palsy - therapy Chronic Disease Female Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Health services Health transition Hospitalization - statistics & numerical data Humans Male Medical sciences Medicine - statistics & numerical data Miscellaneous Nervous system (semeiology, syndromes) Neurology Ontario - epidemiology Physical Medicine and Rehabilitation Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Rehabilitation Specialization |
| title | Youth and Young Adults With Cerebral Palsy: Their Use of Physician and Hospital Services |
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