IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i21p14063-d956186.html
   My bibliography  Save this article

Serious Injury in Metropolitan and Regional Victoria: Exploring Travel to Treatment and Utilisation of Post-Discharge Health Services by Injury Type

Author

Listed:
  • Jemma Keeves

    (Department of Physiotherapy, Epworth Hospital, Melbourne 3122, Australia
    Department of Epidemiology and Preventive Medicine, Monash University, Melbourne 3004, Australia)

  • Belinda Gabbe

    (Department of Epidemiology and Preventive Medicine, Monash University, Melbourne 3004, Australia)

  • Sarah Arnup

    (Department of Epidemiology and Preventive Medicine, Monash University, Melbourne 3004, Australia)

  • Christina Ekegren

    (Rehabilitation, Ageing and Independent Living Unit, Monash University, Melbourne 3004, Australia)

  • Ben Beck

    (Department of Epidemiology and Preventive Medicine, Monash University, Melbourne 3004, Australia)

Abstract

This study aimed to describe regional variations in service use and distance travelled to post-discharge health services in the first three years following hospital discharge for people with transport-related orthopaedic, brain, and spinal cord injuries. Using linked data from the Victorian State Trauma Registry (VSTR) and Transport Accident Commission (TAC), we identified 1597 people who had sustained transport-related orthopaedic, brain, or spinal cord injuries between 2006 and 2016 that met the study inclusion criteria. The adjusted odds of GP service use for regional participants were 76% higher than for metropolitan participants in the orthopaedic and traumatic brain injury (TBI) groups. People with spinal cord injury (SCI) living in regional areas had 72% lower adjusted odds of accessing mental health, 76% lower adjusted odds of accessing OT services, and 82% lower adjusted odds of accessing physical therapies compared with people living in major cities. People with a TBI living in regional areas on average travelled significantly further to access all post-discharge health services compared with people with TBI in major cities. For visits to medical services, the median trip distance for regional participants was 76.61 km (95%CI: 16.01–132.21) for orthopaedic injuries, 104.05 km (95% CI: 51.55–182.78) for TBI, and 68.70 km (95%CI: 8.34–139.84) for SCI. Disparities in service use and distance travelled to health services exist between metropolitan Melbourne and regional Victoria following serious injury.

Suggested Citation

  • Jemma Keeves & Belinda Gabbe & Sarah Arnup & Christina Ekegren & Ben Beck, 2022. "Serious Injury in Metropolitan and Regional Victoria: Exploring Travel to Treatment and Utilisation of Post-Discharge Health Services by Injury Type," IJERPH, MDPI, vol. 19(21), pages 1-15, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:14063-:d:956186
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/21/14063/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/21/14063/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Jemma Keeves & Sandra C. Braaf & Christina L. Ekegren & Ben Beck & Belinda J. Gabbe, 2021. "Access to Healthcare Following Serious Injury: Perspectives of Allied Health Professionals in Urban and Regional Settings," IJERPH, MDPI, vol. 18(3), pages 1-15, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Chenggang Hua & Shu Cole, 2022. "Influence of Psychological Factors on Participation and Life Satisfaction in the Context of Travel and Tourism after Spinal Cord Injury," IJERPH, MDPI, vol. 20(1), pages 1-15, December.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Hiranya Sritart & Kuson Tuntiwong & Hiroyuki Miyazaki & Somchat Taertulakarn, 2021. "Disparities in Healthcare Services and Spatial Assessments of Mobile Health Clinics in the Border Regions of Thailand," IJERPH, MDPI, vol. 18(20), pages 1-24, October.
    2. Andrew Ridge & Gregory M. Peterson & Bastian M. Seidel & Vinah Anderson & Rosie Nash, 2021. "Healthcare Providers’ Perceptions of Potentially Preventable Rural Hospitalisations: A Qualitative Study," IJERPH, MDPI, vol. 18(23), pages 1-14, December.
    3. Pietro Ferrara & Luciana Albano, 2022. "Advances in Population-Based Healthcare Research: From Measures to Evidence," IJERPH, MDPI, vol. 19(20), pages 1-4, October.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:14063-:d:956186. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.