ArticleArchives of physical medicine and rehabilitation2017
Auditing Access to Outpatient Rehabilitation Services for Children With Traumatic Brain Injury and Public Insurance in Washington State.
Article in Archives of physical medicine and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Social Determinants of Health in Pediatric Rehabilitation for Children with Traumatic Injury: A Systematic Review.The Journal of pediatrics · 2023Pooled it
- Trial
- Multidisciplinary rehabilitation and follow-up for children hospitalized with traumatic brain injury.Journal of pediatric rehabilitation medicine · 2026Article
- Utilization of Rehabilitation Services After Idiopathic Inflammatory Myopathy Diagnosis: A Retrospective Cohort Assessment in the United States.The Journal of rheumatology · 2025Article
- A pediatric rehabilitation therapy audit study: A brief report.Journal of pediatric rehabilitation medicine · 2025Article
- Examining the Implementation of the Italian Version of the Teen Online Problem-Solving Program Coupled With Remote Psychological Support: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2025Article
- Bilingual randomized controlled trial design, of a telephone-based intervention to promote rehabilitation adherence; A study focus on recruitment of Hispanic children with traumatic brain injury.Contemporary clinical trials · 2023Article
- Widespread clinical implementation of the teen online problem-solving program: Progress, barriers, and lessons learned.Frontiers in rehabilitation sciences · 2022Article
- Influence of insurance type on rate and type of initial concussion-related medical visits among youth.BMC public health · 2021Article
- Article
- Injury Severity and Depressive Symptoms in a Post-acute Brain Injury Rehabilitation Sample.Journal of clinical psychology in medical settings · 2019Article
- 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
- Rural-urban disparities in health care costs and health service utilization following pediatric mild traumatic brain injury.Health services research · 2019Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectiveTo identify insurance-based disparities in access to outpatient pediatric neurorehabilitation services.
designAudit study with paired calls, where callers posed as a mother seeking services for a simulated child with history of severe traumatic brain injury and public or private insurance.
settingOutpatient rehabilitation clinics.
participantsSample of rehabilitation clinics (N=287): 195 physical therapy (PT) clinics, 109 occupational therapy (OT) clinics, 102 speech therapy (ST) clinics, and 11 rehabilitation medicine clinics.
interventionsNot applicable.
main outcome measuresAcceptance of public insurance and the number of business days until the next available appointment.
resultsTherapy clinics were more likely to accept private insurance than public insurance (relative risk [RR] for PT clinics, 1.33; 95% confidence interval [CI], 1.22-1.44; RR for OT clinics, 1.40; 95% CI, 1.24-1.57; and RR for ST clinics, 1.42; 95% CI, 1.25-1.62), with no significant difference for rehabilitation medicine clinics (RR, 1.10; 95% CI, 0.90-1.34). The difference in median wait time between clinics that accepted public insurance and those accepting only private insurance was 4 business days for PT clinics and 15 days for ST clinics (P≤.001), but the median wait time was not significantly different for OT clinics or rehabilitation medicine clinics. When adjusting for urban and multidisciplinary clinic statuses, the wait time at clinics accepting public insurance was 59% longer for PT (95% CI, 39%-81%), 18% longer for OT (95% CI, 7%-30%), and 107% longer for ST (95% CI, 87%-130%) than that at clinics accepting only private insurance. Distance to clinics varied by discipline and area within the state.
conclusionsTherapy clinics were less likely to accept public insurance than private insurance. Therapy clinics accepting public insurance had longer wait times than did clinics that accepted only private insurance. Rehabilitation professionals should attempt to implement policy and practice changes to promote equitable access to care.
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