Describing the Patient Journey Through Healthcare Pathways Following Mild Traumatic Brain Injury in New Zealand Using Novel Graph Analysis

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aut.relation.endpage1304
aut.relation.issue11
aut.relation.journalBrain Injury
aut.relation.startpage1294
aut.relation.volume37
dc.contributor.authorBastos Gottgtroy, Renata
dc.contributor.authorHume, Patria A
dc.contributor.authorTheadom, Alice
dc.date.accessioned2023-10-13T03:48:38Z
dc.date.available2023-10-13T03:48:38Z
dc.date.issued2023-07-04
dc.description.abstractAIM: To identify treatment provider sequences and healthcare pathway characteristics and outcomes for people with mild traumatic brain injury (mTBI) in New Zealand. METHODS: Total mTBI costs and key pathway characteristics were analysed using national healthcare data (patient's injury and services provided). Graph analysis produced sequences of treatment provider types for claims with more than one appointment and healthcare outcomes (costs and time to exit pathway) were compared. Key pathway characteristics' effect on healthcare outcomes were evaluated. RESULTS: In two years, 55,494 accepted mTBI claims cost ACC USD$93,647,261 over four years. For claims with more than one appointment (36%), healthcare pathways had a median 49 days (IQR, 12-185). The 89 treatment provider types resulted in 3,396 different provider sequences of which 25% were General Practitioners only (GP), 13% Emergency Department to GP (ED-GP) and 5% GP to Concussion Service (GP-CS). Pathways with shorter time to exit and lower costs had correct mTBI diagnosis at initial appointment. Income maintenance comprised 52% of costs but only occurred for 20% claims. CONCLUSIONS: Improving healthcare pathways for people with mTBI by investing in training of providers to enable correct mTBI diagnosis could yield longer term cost savings. Interventions to reduce income maintenance costs are recommended.
dc.identifier.citationBrain Injury, ISSN: 0269-9052 (Print); 1362-301X (Online), Taylor and Francis Group, 37(11), 1294-1304. doi: 10.1080/02699052.2023.2230878
dc.identifier.doi10.1080/02699052.2023.2230878
dc.identifier.issn0269-9052
dc.identifier.issn1362-301X
dc.identifier.urihttp://hdl.handle.net/10292/16769
dc.languageeng
dc.publisherTaylor and Francis Group
dc.relation.urihttps://www.tandfonline.com/doi/full/10.1080/02699052.2023.2230878
dc.rights.accessrightsOpenAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectcare pathway
dc.subjectConcussion
dc.subjectcosts
dc.subjectmild traumatic brain injury
dc.subjecttreatment
dc.subjectConcussion
dc.subjectcare pathway
dc.subjectcosts
dc.subjectmild traumatic brain injury
dc.subjecttreatment
dc.subject4203 Health Services and Systems
dc.subject42 Health Sciences
dc.subjectClinical Research
dc.subjectTraumatic Brain Injury (TBI)
dc.subjectHealth Services
dc.subjectNeurosciences
dc.subjectBrain Disorders
dc.subjectTraumatic Head and Spine Injury
dc.subjectPhysical Injury - Accidents and Adverse Effects
dc.subject8.2 Health and welfare economics
dc.subject8 Health and social care services research
dc.subject3 Good Health and Well Being
dc.subject11 Medical and Health Sciences
dc.subject17 Psychology and Cognitive Sciences
dc.subjectRehabilitation
dc.subject3202 Clinical sciences
dc.subject4201 Allied health and rehabilitation science
dc.subject5203 Clinical and health psychology
dc.subject.meshHumans
dc.subject.meshBrain Concussion
dc.subject.meshNew Zealand
dc.subject.meshDelivery of Health Care
dc.subject.meshHumans
dc.subject.meshBrain Concussion
dc.subject.meshDelivery of Health Care
dc.subject.meshNew Zealand
dc.subject.meshHumans
dc.subject.meshBrain Concussion
dc.subject.meshNew Zealand
dc.subject.meshDelivery of Health Care
dc.titleDescribing the Patient Journey Through Healthcare Pathways Following Mild Traumatic Brain Injury in New Zealand Using Novel Graph Analysis
dc.typeJournal Article
pubs.elements-id512723
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