Please use this identifier to cite or link to this item: http://bura.brunel.ac.uk/handle/2438/22680
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dc.contributor.authorRyan, J-
dc.contributor.authorLavelle, G-
dc.contributor.authorTheis, N-
dc.contributor.authorKilbride, C-
dc.contributor.authorNoorkoiv, M-
dc.date.accessioned2021-05-14T15:07:47Z-
dc.date.available2021-05-14T15:07:47Z-
dc.date.issued2021-05-12-
dc.identifierORCID iD: Jennifer M. Ryan https://orcid.org/0000-0003-3768-2132-
dc.identifierORCID iD: Grace Lavelle https://orcid.org/0000-0003-3768-1797-
dc.identifierORCID iD: Cherry Kilbride https://orcid.org/0000-0002-2045-1883-
dc.identifierORCID iD: Marika Noorkõiv https://orcid.org/0000-0002-2852-1911-
dc.identifier.citationRyan, J.M. et al. (2021) 'Patterns of Health Service Use Among Young People With Cerebral Palsy in England', Frontiers in Neurology, 12, 659031, pp. 1-12. doi: 10.3389/fneur.2021.659031.en_US
dc.identifier.other659031-
dc.identifier.urihttps://bura.brunel.ac.uk/handle/2438/22680-
dc.description.abstractBackground: Although the provision of healthcare for people with cerebral palsy (CP) is typically focussed on childhood, many people with CP require access to services periodically throughout their life. Few studies have examined patterns of health service use among young people with CP in England. Understanding patterns of use may inform future service development. Objective: To describe patterns of visits to rehabilitation and medical professionals among ambulatory young people with CP living in England, and identify factors associated with service use. Methods: Sixty-two young people with CP aged 10–19 years [mean (SD) age 13.7 (2.5) years] in Gross Motor Function Classification System (GMFCS) levels I-III reported visits to a range of health professionals, hospital admissions and visits to the emergency department over a median duration of 34 weeks (min–max: 12–34 weeks). Negative binomial models were used to examine factors associated with number of visits. Results: Physiotherapists were the most commonly used professional, with 67.7% of participants visiting a physiotherapist at least once, followed by dentists (66.1%), general practitioners (48.4%), occupational therapists (40.3%) and orthopaedic surgeons (40.3%). Physiotherapists were also the most frequently visited professional with a total of 473 visits (13.3 visits per person-year). Speech and language therapists (5.0 visits per person-year), occupational therapists (4.5 visits per person-year) and nurses (4.3 per person-year) were the next most frequently visited professionals. Age, GMFCS level, and speech impairment were associated with rate of visits to a physiotherapist. Conclusions: The proportion of young people who visited medical and rehabilitation professionals during the study period varied considerably depending on the profession. Generally, the proportion of young people using services was low. In the context of limited resources, data on service use in combination with data on unmet need, may support the reorganisation of services to maximise benefits to young people with CP.en_US
dc.description.sponsorshipAction Medical Research; Chartered Society of Physiotherapy Charitable Trust; The Henry Smith Charity (GN2340).en_US
dc.format.extent1 - 12-
dc.format.mediumElectronic-
dc.language.isoen_USen_US
dc.publisherFrontiers Mediaen_US
dc.rightsCopyright © 2021 Ryan, Lavelle, Theis, Kilbride and Noorkoiv. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.-
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/-
dc.subjectcerebral palsyen_US
dc.subjecthealth servicesen_US
dc.subjectadolescenten_US
dc.subjectrehabilitationen_US
dc.subjectneurological disordersen_US
dc.titlePatterns of health service use among young people with cerebral palsy in Englanden_US
dc.typeArticleen_US
dc.identifier.doihttps://doi.org/10.3389/fneur.2021.659031-
dc.relation.isPartOfFrontiers in Neurology-
pubs.publication-statusPublished-
pubs.volume12-
dc.identifier.eissn1664-2295-
dc.rights.holderRyan, Lavelle, Theis, Kilbride and Noorkoiv-
Appears in Collections:Dept of Health Sciences Research Papers

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