Factors associated with patients' participation in rehabilitation services: a comparative injury analysis 12 months post-discharge.
OBJECTIVE
To determine key characteristics or factors associated with rehabilitation participation during the first year following discharge for persons with either traumatic brain injury (TBI), spinal cord injury (SCI), intra-articular fracture (IAF), or burn injury (BURNS).


METHODS
Medical records and longitudinal survey [telephone questionnaire] data were collected for persons in the four injury groups and analyzed using hierarchical logistic regression procedures for each domain of factors.


RESULTS
The only significant predictors with odds ratios greater than one were those for vocational rehabilitation participation. TBI patients lacking private insurance were 2.6 times more likely to participate in vocational rehabilitation; older SCI and TBI patients are about twice as likely to participate in vocational rehabilitation; and finally those with IAF or BURNS who are married at 12 months post discharge are 11.5 and 4.4 times respectively more likely to participate in vocational rehabilitation.


CONCLUSIONS
Those lacking valuable socio-economic resources, such as private insurance (for TBI) and social support systems provided by marriage (for BURNS and IAF patients) are much more likely to be referred to vocational rehabilitation. This is true for older SCI and TBI patients as well. Lacking such resources, patients may be viewed by referral agents as less likely to benefit from in or outpatient rehabilitation.
Horn
W
W
Injury Control Research Centre, University of Alabama at Birmingham, 35294-2041, USA. wendy.horn@ccc.uab.edu
Yoels
W
W
Bartolucci
A
A
D000328:Adult; D000407:Alabama; D000553:Ambulatory Care / Q000706:statistics & numerical data*; D016009:Chi-Square Distribution; D003625:Data Collection; D005260:Female; D006801:Humans; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D010358:Patient Participation / Q000706:statistics & numerical data*; D026741:Physical Therapy Modalities / Q000706:statistics & numerical data*; D011336:Probability; D011584:Psychology; D018570:Risk Assessment; D012307:Risk Factors; D012494:Sampling Studies; D012959:Socioeconomic Factors; D014947:Wounds and Injuries / Q000534:rehabilitation*