Healthcare Service Utilization and Related Costs. A Comparison of the Situation of Persons With Spinal Cord Injury to the General Population.
Journal
American journal of physical medicine & rehabilitation
ISSN: 1537-7385
Titre abrégé: Am J Phys Med Rehabil
Pays: United States
ID NLM: 8803677
Informations de publication
Date de publication:
01 Nov 2024
01 Nov 2024
Historique:
medline:
25
10
2024
pubmed:
25
10
2024
entrez:
25
10
2024
Statut:
ppublish
Résumé
The aim of the study is to investigate healthcare utilization and related costs in spinal cord injury compared to the Swiss population, addressing gaps in understanding this vulnerable group's needs. We analyzed healthcare utilization across age groups using data from the Swiss Health Survey and the Swiss Community Survey. Employing count models, Zero-Inflated Negative Binomial, and Poisson regressions, we estimated the adjusted healthcare visits across different age groups in the sample. Persons with spinal cord injury use 11 times more healthcare services than the healthy population and 4 times more than persons with other chronic health conditions. Notably, service providers for persons with spinal cord injury include physiotherapists, nursing services, general practitioners, and specialists. The high frequency of usage of persons with spinal cord injury translates into high costs, which is 3 times higher than in the general healthy population. These patterns become more evident as persons with spinal cord injury age, where nursing care and rehabilitation services become the most demanded services. Our findings show the multiple healthcare needs of people with spinal cord injury, which makes them a high-needs, high-cost group. This characteristic underscores the importance of preventive measures to reduce the incidence of spinal cord injury in older adults.
Identifiants
pubmed: 39453854
doi: 10.1097/PHM.0000000000002539
pii: 00002060-202411003-00003
doi:
Types de publication
Journal Article
Comparative Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
S251-S259Informations de copyright
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.
Références
OECD Health Policy Overview: Health care financing in times of high inflation [Internet]. 2023. Available at: https://www.oecd.org/health/Health-care-financing-in-times-of-high-inflation.pdf. Accessed October 30, 2023
Prince MJ, Wu F, Guo Y, et al.: The burden of disease in older people and implications for health policy and practice. Lancet (London, England) [Internet] 2015;385:549–62. Available at: https://pubmed.ncbi.nlm.nih.gov/25468153/
The OECD [Internet]: 2023. Health resources - Health spending - OECD Data. Available at: http://data.oecd.org/healthres/health-spending.htm. Accessed May 11, 2023
Stucki M, Schärer X, Trottmann M, et al.: What drives health care spending in Switzerland? Findings from a decomposition by disease, health service, sex, and age. BMC Health Serv Res 2023;23:1149
Brinkhof MWG, Al-Khodairy A, Eriks-Hoogland I, et al.: Health conditions in people with spinal cord injury: contemporary evidence from a population-based community survey in Switzerland. J Rehabil Med 2016;48:197–209
Gemperli A, Ronca E, Scheel-Sailer A, et al.: Health care utilization in persons with spinal cord injury: part 1-outpatient services. Spinal Cord 2017;55:823–7
Malekzadeh H, Golpayegani M, Ghodsi Z, et al.: Direct cost of illness for spinal cord injury: a systematic review. Global Spine J 2022;12:1267–81
WHO [Internet]: 2019. WHO | International perspectives on spinal cord injury. Available at: http://www.who.int/disabilities/policies/spinal_cord_injury/en/. Accessed October 13, 2023
Stillman MD, Frost KL, Smalley C, et al.: Health care utilization and barriers experienced by individuals with spinal cord injury. Arch Phys Med Rehabil 2014;95:1114–26
Ronca E, Scheel-Sailer A, Koch HG, et al.: Health care utilization in persons with spinal cord injury: part 2-determinants, geographic variation and comparison with the general population. Spinal Cord 2017;55:828–33
Majdan M, Plancikova D, Nemcovska E, et al.: Mortality due to traumatic spinal cord injuries in Europe: a cross-sectional and pooled analysis of population-wide data from 22 countries. Scand J Trauma Resusc Emerg Med 2017;25:64
Kang Y, Ding H, Zhou H, et al.: J Neurorestoratol. 2017 [cited 2020 Feb 7]. Epidemiology of worldwide spinal cord injury: a literature review. Available at: https://www.dovepress.com/epidemiology-of-worldwide-spinal-cord-injury-a-literature-review-peer-reviewed-fulltext-article-JN. Accessed February 7, 2024
Kruk ME, Gage AD, Joseph NT, et al.: Mortality due to low-quality health systems in the universal health coverage era: a systematic analysis of amenable deaths in 137 countries. The Lancet. 2018;392:2203–12
Oña A, Strøm V, Lee BS, et al.: Health inequalities and income for people with spinal cord injury. A comparison between and within countries. SSM Popul Health 2021;15:100854
Chamberlain JD, Deriaz O, Hund-Georgiadis M, et al.: Epidemiology and contemporary risk profile of traumatic spinal cord injury in Switzerland. Inj Epidemiol 2015;2:28
Pacheco Barzallo D, Oña A, Gemperli A: Unmet health care needs and inequality: a cross-country comparison of the situation of people with spinal cord injury. Health Serv Res 2021;56(S3):1429–40
Office fédéral de la statistique: Enquête suisse sur la santé [Internet]. Available at: https://www.bfs.admin.ch/bfs/fr/home/statistiques/sante/enquetes/sgb.html. Accessed December 21, 2023
Gross-Hemmi MH, Gemperli A, Fekete C, et al.: Methodology and study population of the second Swiss national community survey of functioning after spinal cord injury. Spinal Cord 2021;59:363–72
Fekete C, Gurtner B, Kunz S, et al.: Inception cohort of the Swiss Spinal Cord Injury Cohort Study (SwiSCI): design, participant characteristics, response rates and non-response. J Rehabil Med 2021;53:jrm00159
Psychologie [Internet]. 2022 [cited 2023 Dec 4].Medienmitteilung zum Anordnungsmodell: Teillösung für einen provisorischen Tarif ab 1. Juli gefunden. Available at: https://www.psychologie.ch/medienmitteilung-zum-anordnungsmodell-teilloesung-fuer-einen-provisorischen-tarif-ab-1-juli. Accessed December 4, 2023
Merçay, Clémence: Le recours aux services d’urgence en Suisse. Description des différences cantonales. Neuchâtel, Observatoire suisse de la santé, 2018
Vitality Spitex - Tarifs and Prices [Internet]. Available at: https://vitality-spitex.ch/eng/page-pricing-style1.html. Accessed December 4, 2023
PX-Web [Internet]: Coûts et financement du système de santé selon Fournisseur de prestations, Prestation, Milieu de prise en charge, Régime de financement et Année. Available at: http://www.pxweb.bfs.admin.ch/pxweb/fr/px-x-1405000000_101/px-x-1405000000_101/px-x-1405000000_101.px/. Accessed December 4, 2023
Bohl AA, Fishman PA, Ciol MA, et al.: A longitudinal analysis of total 3-year healthcare costs for older adults who experience a fall requiring medical care. J Am Geriatr Soc 2010;58:853–60
Burns ER, Stevens JA, Lee R: The direct costs of fatal and non-fatal falls among older adults - United States. J Safety Res 2016;58:99–103
Sabariego C, Ehrmann C, Bickenbach J, et al.: Ageing, functioning patterns and their environmental determinants in the spinal cord injury (SCI) population: a comparative analysis across eleven European countries implementing the International Spinal Cord Injury Community Survey. PloS One 2023;18:e0284420
Bähler C, Huber CA, Brüngger B, et al.: Multimorbidity, health care utilization and costs in an elderly community-dwelling population: a claims data based observational study. BMC Health Serv Res 2015;15:23
OECD: Health at a Glance 2021: OECD Indicators [Internet]. OECD, 2021. (Health at a Glance). Available at: https://www.oecd-ilibrary.org/social-issues-migration-health/health-at-a-glance-2021_ae3016b9-en. Accessed October 31, 2022
Post MW, Reinhardt JD, Avellanet M, et al.: Employment among people with spinal cord injury in 22 countries across the world: results from the international spinal cord injury community survey. Arch Phys Med Rehabil 2020;101:2157–66
Pacheco Barzallo D, Gross-Hemmi M, Bickenbach J, et al.: Quality of life and the health system: a 22-country comparison of the situation of people with spinal cord injury. Arch Phys Med Rehabil 2020;101:2167–76