Rural‐urban disparities in health care costs and health service utilization following pediatric mild traumatic brain injury

Objectives To compare health care costs and service utilization associated with mild traumatic brain injury (mTBI) in rural and urban commercially insured children. Data Source MarketScan Commercial Claims and Encounters Data, 2007‐2011. Study Design We compared health care costs and outpatient enco...

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Veröffentlicht in:	Health services research 2019-04, Vol.54 (2), p.337-345
Hauptverfasser:	Graves, Janessa M., Mackelprang, Jessica L., Moore, Megan, Abshire, Demetrius A., Rivara, Frederick P., Jimenez, Nathalia, Fuentes, Molly, Vavilala, Monica S.
Format:	Artikel
Sprache:	eng
Schlagworte:	Adolescent Brain Brain Concussion - epidemiology Brain Concussion - rehabilitation Brain Concussion - therapy Brain injured children Brain injuries Child Child, Preschool Children Clinical outcomes Comorbidity Comparative analysis Costs Discrimination in medical care Female Geography Head injuries Health care costs Health care disparities Health care expenditures Health care industry Health disparities Health Expenditures - statistics & numerical data Health Resources - economics Health Resources - statistics & numerical data health service utilization Health services Health Services - economics Health Services - statistics & numerical data Health services utilization Help seeking behavior Humans Infant Injuries Male Medical care discrimination Medical care utilization Medical economics Occupational therapy Patient Acceptance of Health Care - statistics & numerical data Pediatrics Psychiatry Psychology rehabilitation Residence Characteristics - statistics & numerical data Retrospective Studies Rural areas Rural communities rural health Rural Population - statistics & numerical data Rural urban differences Socioeconomic Factors Speech therapy Therapy Trauma Severity Indices Traumatic brain injury Urban areas Urban Population - statistics & numerical data Using Social Determinants of Health in HSR Utilization
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Zusammenfassung:	Objectives To compare health care costs and service utilization associated with mild traumatic brain injury (mTBI) in rural and urban commercially insured children. Data Source MarketScan Commercial Claims and Encounters Data, 2007‐2011. Study Design We compared health care costs and outpatient encounters for physical/occupational therapy, speech therapy, and psychiatry/psychology encounters 180 days after mTBI among rural versus urban children (
ISSN:	0017-9124 1475-6773
DOI:	10.1111/1475-6773.13096