ArticleAmerican journal of physical medicine & rehabilitation2016
Availability of Outpatient Rehabilitation Services for Children After Traumatic Brain Injury: Differences by Language and Insurance Status.
Article in American journal of physical medicine & rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
What it found
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Patient-report and caregiver-report measures of rehabilitation service use following acquired brain injury: a systematic review.BMJ open · 2024Pooled it
- Social Determinants of Health in Pediatric Rehabilitation for Children with Traumatic Injury: A Systematic Review.The Journal of pediatrics · 2023Pooled it
- Comparing Two Models of Transition from Inpatient Rehabilitation Following Traumatic Brain Injury: A Pragmatic Comparative Effectiveness Trial.Journal of neurotrauma · 2026Trial
- Provider attitudes and perspectives on rehabilitation for pediatric cancer patients.Journal of pediatric rehabilitation medicine · 2025Article
- A Secret Shopper Study of Language Accessibility of Community-Based Behavioral Health Services for Children in Families Who Speak Spanish and English.The Journal of pediatrics · 2025Article
- Article
- Characteristics Associated with the Use of an Inpatient Rehabilitation or Skilled Nursing Facility after Acute Care in Children with Severe Traumatic Brain Injury.Developmental neurorehabilitation · 2021Observational
- Provider Perspectives on Early Psychosocial Interventions after Pediatric Severe Traumatic Brain Injury: An Implementation Framework.Journal of neurotrauma · 2021Article
- Transitions to Outpatient Care After Traumatic Brain Injury for Hispanic Children.Hospital pediatrics · 2020Article
- Differences in Injury Characteristics and Outcomes for American Indian/Alaska Native People Hospitalized with Traumatic Injuries: an Analysis of the National Trauma Data Bank.Journal of racial and ethnic health disparities · 2019Article
- Research on Injury Disparities: A Scoping Review.Health equity · 2019Article
- Article
- Auditing Access to Outpatient Rehabilitation Services for Children With Traumatic Brain Injury and Public Insurance in Washington State.Archives of physical medicine and rehabilitation · 2017Article
- Article
- Outpatient Rehabilitation for Medicaid-Insured Children Hospitalized With Traumatic Brain Injury.Pediatrics · 2016Article
- Changing Healthcare and School Needs in the First Year After Traumatic Brain Injury.The Journal of head trauma rehabilitationArticle
- Service Delivery in the Healthcare and Educational Systems for Children Following Traumatic Brain Injury: Gaps in Care.The Journal of head trauma rehabilitationReview
- Racial Disparities in Outpatient Mental Health Service Use Among Children Hospitalized for Traumatic Brain Injury.The Journal of head trauma rehabilitationArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectiveThe objective of this study was to explore associations between English proficiency, insurance status, outpatient rehabilitation service availability, and travel time for children with traumatic brain injury.
designThe authors used an ecologic cross-sectional design. Data were analyzed from a cohort of 82 children with moderate to severe traumatic brain injury and rehabilitation providers in Washington State. Main measures included availability and travel time to services.
resultsLess than 20% of providers accepted children with Medicaid and provided language interpretation. Mental health services were most limited. Adjusted for median household income, multilingual service availability was lowest in counties with greater language diversity; for every 10% increase in persons older than 5 yrs speaking a language other than English at home, there was a 34% decrease in availability of multilingual services (prevalence ratio, 0.66; 95% confidence interval, 0.48-0.90). Adjusted for education and Medicaid status, children from Spanish-speaking families had significantly longer travel times to services (mean, 16 additional minutes to mental health; 9 to other therapies).
conclusionsChildren in households with limited English proficiency and Medicaid faced significant barriers in availability and proximity of outpatient rehabilitation services. Innovative service strategies are needed to equitably improve availability of rehabilitation for children with traumatic brain injury. Similar studies in other regions will inform one's understanding of the scope of these disparities.
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