Differential Impact of the COVID-19 Pandemic on Health Care Utilization Disruption for Community-Dwelling Individuals With and Without Acquired Brain Injury

Autor: Grace J. Kim, PhD, OTR/L, Hayejin Kim, MA, OTR/L, Jason Fletcher, PhD, Gerald T. Voelbel, PhD, Yael Goverover, PhD, OTR/L, Peii Chen, PhD, Michael W. O'Dell, MD, Helen M. Genova, PhD
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Archives of Rehabilitation Research and Clinical Translation, Vol 4, Iss 1, Pp 100176- (2022)
Druh dokumentu: article
ISSN: 2590-1095
DOI: 10.1016/j.arrct.2021.100176
Popis: Objective: To delineate health care disruption for individuals with acquired brain injury (ABI) during the peak of the pandemic and to understand the impact of health care disruption on health-related quality of life (HRQoL). Design: Cross-sectional survey. Setting: General community. Participants: Volunteer sample of adults with traumatic brain injury (TBI; n=33), adults with stroke (n=66), and adults without TBI or stroke (n=108) with access to the internet and personal technology (N=207). Interventions: Not applicable. Main Outcome Measures: Not applicable. Results: Participants with TBI and stroke reported high rates of disruption in care specific to their diagnosis (53%-54.5%), while participants across all groups reported disruption for major medical care (range, 68.2%-80%), general health care (range, 60.3%-72.4%), and mental health care (range, 31.8%-83.3%). During the pandemic, participants with TBI and stroke used telehealth for care specific to their diagnosis (40.9%-42.4%), whereas all participants used telehealth for major medical care (range, 50%-86.7%), general health care (range, 31.2%-53.3%), and mental health care (range, 53.8%-72.7%). Disruption in TBI or stroke care and type of ABI explained 27.1% of the variance in HRQoL scores (F2,95=16.82, P
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