Ethnic differences in rehabilitation placement and outcome after TBI.
J Head Trauma Rehabil
; 22(2): 113-21, 2007.
Article
em En
| MEDLINE
| ID: mdl-17414313
ABSTRACT
OBJECTIVE:
To determine whether race/ethnicity and proficiency with the English language influence access to rehabilitation services, and ultimately outcome after traumatic brain injury (TBI).DESIGN:
A retrospective correlational investigation. SETTING ANDPARTICIPANTS:
Postrehabilitation outpatients with blunt TBI. A total of 476 patients were examined 6 months postinjury, of which 109 (23%) were Hispanics, and of those 42 were predominantly Spanish speaking. MAIN OUTCOMEMEASURES:
Access to rehabilitation services, Glasgow Outcome Scale-Extended.RESULTS:
Insurance, age, and injury severity had the greatest influence on receipt of rehabilitation services; however, higher rates of severe disability were found among Hispanics and Spanish speakers than non-Hispanic whites and non-Hispanic English speakers, respectively.CONCLUSIONS:
Insurance status has a larger influence on receipt of rehabilitation services than ethnicity or proficiency with the English language, but language proficiency is a significant predictor of severe disability.
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Base de dados:
MEDLINE
Assunto principal:
Lesões Encefálicas
/
Hispânico ou Latino
/
Acessibilidade aos Serviços de Saúde
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2007
Tipo de documento:
Article