IDEAS home Printed from https://ideas.repec.org/p/not/notcre/23-03.html
   My bibliography  Save this paper

The long term effects of a medical intervention: Determinants and implications of orthotic equipment failure

Author

Listed:
  • Aisha Abubakar
  • Sarah Bridges
  • Trudy Owens

Abstract

This paper tracks the outcomes of a medical intervention which provided lower limb orthosis to adults with disabilities between 2012 and 2018. Six years after the intervention, over one-third of the recipients were still using their orthotic devices. Using a discrete time hazard model, the analysis examines the speed at which the orthotic devices failed and evaluates how personal characteristics and clinical factors acted as potential risk markers of early equipment failure. The study finds that the peak time of failure lay between the fourth- and fifth-year post-fitting, with the probability of orthosis failure being significantly lower for women, the elderly and most importantly, those who had access to follow up care compared to their respective counterparts. The study also analysed the implications of orthotics failure on life satisfaction, health-related quality of life and severity of disability, which are designed to measure subjective wellbeing. Notably, the results indicate that access to follow up care improves functional efficiency, while failure of the orthosis consistently acts as a negative correlate of wellbeing.

Suggested Citation

  • Aisha Abubakar & Sarah Bridges & Trudy Owens, 2023. "The long term effects of a medical intervention: Determinants and implications of orthotic equipment failure," Discussion Papers 2023-03, University of Nottingham, CREDIT.
    • Handle: RePEc:not:notcre:23/03
    as

    Download full text from publisher

    File URL: https://www.nottingham.ac.uk/credit/documents/papers/2023/2303.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Narendranathan, W & Stewart, Mark B, 1993. "How Does the Benefit Effect Vary as Unemployment Spells Lengthen?," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 8(4), pages 361-381, Oct.-Dec..
    Full references (including those not matched with items on IDEAS)

    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. Sambit Bhattacharyya & Michael Keller, 2021. "Resource Discovery and the Political Fortunes of National Leaders," Economica, London School of Economics and Political Science, vol. 88(349), pages 129-166, January.
    2. Reize, Frank, 2000. "Leaving unemployment for self-employment: a discrete duration analysis of determinants and stability of self-employment among former unemployed," ZEW Discussion Papers 00-26, ZEW - Leibniz Centre for European Economic Research.
    3. Tor Helge Holmås, 2002. "Keeping nurses at work: a duration analysis," Health Economics, John Wiley & Sons, Ltd., vol. 11(6), pages 493-503, September.
    4. Franz, Wolfgang & Zimmermann, Volker, 1999. "Mobilität nach der beruflichen Ausbildung: Eine empirische Studie für Westdeutschland," ZEW Discussion Papers 99-21, ZEW - Leibniz Centre for European Economic Research.
    5. Arranz, José M., 2006. "Unemployment duration, unemployment benefits and recalls," DEE - Working Papers. Business Economics. WB wb066218, Universidad Carlos III de Madrid. Departamento de Economía de la Empresa.
    6. Olympia Bover & Manuel Arellano & Samuel Bentolila, 2002. "Unemployment Duration, Benefit Duration and the Business Cycle," Economic Journal, Royal Economic Society, vol. 112(479), pages 223-265, April.
    7. Richard Layte & Tim Callan, 2001. "Unemployment, Welfare Benefits and the Financial Incentive to Work," The Economic and Social Review, Economic and Social Studies, vol. 32(2), pages 103-129.
    8. Pieter Serneels, 2004. "The Nature of Unemployment in Urban Ethiopia," CSAE Working Paper Series 2004-01, Centre for the Study of African Economies, University of Oxford.
    9. Lori J. Curtis & Kate Rybczynski, 2014. "Exiting Poverty: Does Sex Matter?," Canadian Public Policy, University of Toronto Press, vol. 40(2), pages 126-142, June.
    10. Anne Lauringson, 2011. "Disincentive effects of unemployment insurance benefits: maximum benefit duration versus benefit level," Baltic Journal of Economics, Baltic International Centre for Economic Policy Studies, vol. 11(1), pages 25-50, July.
    11. Pellizzari, Michele, 2006. "Unemployment duration and the interactions between unemployment insurance and social assistance," Labour Economics, Elsevier, vol. 13(6), pages 773-798, December.
    12. Adriaan Kalwij, 2010. "Unemployment durations and the pattern of duration dependence over the business cycle of British males," Empirical Economics, Springer, vol. 38(2), pages 429-456, April.
    13. Hess Wolfgang & Tutz Gerhard & Gertheiss Jan, 2016. "A Flexible Link Function for Discrete-Time Duration Models," Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), De Gruyter, vol. 236(4), pages 455-481, August.
    14. Baker, Michael & Melino, Angelo, 2000. "Duration dependence and nonparametric heterogeneity: A Monte Carlo study," Journal of Econometrics, Elsevier, vol. 96(2), pages 357-393, June.
    15. Steve Bradley & Giuseppe Migali, 2015. "The Effect of a Tuition Fee Reform on the Risk of Drop Out from University in the UK," Working Papers 86010138, Lancaster University Management School, Economics Department.
    16. Wiji Arulampalam & Andrea Papini, 2023. "Tax Progressivity and Self-Employment Dynamics," The Review of Economics and Statistics, MIT Press, vol. 105(2), pages 376-391, March.
    17. Ohinata, Asako, 2008. "Fertility Response to Financial Incentives-Evidence from the Working Families Tax Credit in the UK," The Warwick Economics Research Paper Series (TWERPS) 851, University of Warwick, Department of Economics.
    18. Alba-Ramirez, Alfonso & Arranz, Jose M. & Munoz-Bullon, Fernando, 2007. "Exits from unemployment: Recall or new job," Labour Economics, Elsevier, vol. 14(5), pages 788-810, October.
    19. Mircea Trandafir, 2014. "The Effect of Same-Sex Marriage Laws on Different-Sex Marriage: Evidence From the Netherlands," Demography, Springer;Population Association of America (PAA), vol. 51(1), pages 317-340, February.
    20. Kuo, Mien-Yun & Smith, Eric, 2009. "Marketplace matching in Britain: Evidence from individual unemployment spells," Labour Economics, Elsevier, vol. 16(1), pages 37-46, January.

    More about this item

    Keywords

    disability; orthotic equipment; long-term outcomes; subjective wellbeing; Uganda;
    All these keywords.

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    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:not:notcre:23/03. 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: Hilary Hughes (email available below). General contact details of provider: https://edirc.repec.org/data/cenotuk.html .

    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.