PRIMARY OBJECTIVE: To conduct a systems analysis on community and health services for individuals with acquired brain injury (ABI) in the province of Ontario, Canada. RESEARCH DESIGN: This study employed a triangulation design. This design is used when there is a need to validate quantitative results with qualitative data, as is the case in the present study. METHODS AND PROCEDURES: Forty-two healthcare professionals and/or healthcare administrators from organizations across the province and across the continuum of care were surveyed. A 1-day focus group was also held to validate the study findings. MAIN OUTCOMES AND RESULTS: The main results of this study revealed: (1) a lack of services for children/adolescents; (2) service gaps for individuals with co-existing mental health conditions; (3) a lack of services related to employment; (4) changes in casemix, in terms of more individuals with co-morbid medical and mental health conditions (with many of the organizations reporting medical instability and severe behavioural disorders as exclusion criteria); and (5) a need for more organizations to track patient outcomes for evaluation and/or accountability purposes. CONCLUSIONS: Findings from this study will lead to improvement of current services but also improved planning of future services for individuals with ABI.
PRIMARY OBJECTIVE: To conduct a systems analysis on community and health services for individuals with acquired brain injury (ABI) in the province of Ontario, Canada. RESEARCH DESIGN: This study employed a triangulation design. This design is used when there is a need to validate quantitative results with qualitative data, as is the case in the present study. METHODS AND PROCEDURES: Forty-two healthcare professionals and/or healthcare administrators from organizations across the province and across the continuum of care were surveyed. A 1-day focus group was also held to validate the study findings. MAIN OUTCOMES AND RESULTS: The main results of this study revealed: (1) a lack of services for children/adolescents; (2) service gaps for individuals with co-existing mental health conditions; (3) a lack of services related to employment; (4) changes in casemix, in terms of more individuals with co-morbid medical and mental health conditions (with many of the organizations reporting medical instability and severe behavioural disorders as exclusion criteria); and (5) a need for more organizations to track patient outcomes for evaluation and/or accountability purposes. CONCLUSIONS: Findings from this study will lead to improvement of current services but also improved planning of future services for individuals with ABI.
Entities:
Keywords:
Acquired brain injury; community; health services; rehabilitation; systems analysis
Authors: Maria Jennifer Estrella; Bonnie Kirsh; Pia Kontos; Alisa Grigorovich; Angela Colantonio; Vincy Chan; Emily Joan Nalder Journal: Int J Environ Res Public Health Date: 2021-11-20 Impact factor: 3.390
Authors: Patricia Charlton; Terri Kean; Rebecca H Liu; Daniel A Nagel; Rima Azar; Shelley Doucet; Alison Luke; William Montelpare; Kim Mears; Leah Boulos Journal: BMJ Open Date: 2021-11-10 Impact factor: 3.006