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Support service utilization and out-of-pocket payments for health services in a population-based sample of adults with neurological conditions

TitleSupport service utilization and out-of-pocket payments for health services in a population-based sample of adults with neurological conditions
Year of Publication2018
AuthorsObembe, A. O., Goldsmit C. H., Simpson L. A., Sakakibara B. M., and Eng J. J.
JournalPLoS ONE
Volume13
Pages1 - 11
Keywordsalzheimer's disease, canada, cognitive neurology, health economics, parkinson disease, spinal cord injury, stroke, traumatic brain injury
Abstract

Background Social support can help to deal with the consequences of neurological conditions and promote functional independence and quality of life. Our aim was to evaluate the impact of neurological conditions on the use of support and health-care services in a population-based sample of community-dwelling adults with neurological conditions. Methods Data were from the Survey of Living with Neurological Conditions in Canada, which was derived from a representative sample of household residents. Formal and informal support received and out-of-pocket payments were assessed by personal interviews. Logistic regression was used to explore the association between support service utilization and six common neurological conditions (Stroke, Parkinson's disease, Alzheimer's disease/dementias, traumatic brain injury, spinal cord injury and multiple sclerosis) with stroke as the reference category. Results The sample contained 2,410 respondents and equate to an estimated 459,770 when sample weights were used. A larger proportion of people within each of the neurological conditions received informal support than formal support (at least twice as much). Samples with the non-stroke conditions were more likely to receive formal assistance for personal (odds ratios 2.7 to 5.6; P

URLhttp://journals.plos.org/plosone/article?id=10.1371/journal.pone.0192911
DOI10.1371/journal.pone.0192911
Document URLhttp://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0192911&type=printable