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

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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
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    References listed on IDEAS

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    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.
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    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.

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