BMC health services research · 2025
Health and social services utilisation of adults with a cochlear implant: evidence from a national person-level integrated data asset in Australia.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Okuba Tolesa, Lystad Reidar P, Boisvert Isabelle, McMaugh Anne, Moore Robyn Cantle, Wolnizer Peter, Chow Cassidy, Walsan Ramya, Mitchell Rebecca J
Аннотация
BACKGROUND: The frequency and type of health and social services use following cochlear implantation are unclear. This study aimed to examine health and social services utilisation among adult cochlear implant users.
METHODS: A retrospective cohort study was conducted among adults aged ≥ 18 years who received a cochlear implant between 2011 and 2021 in Australia. Linked data from the Person-level Integrated Data Asset (PLIDA) were utilised. A negative binomial regression was used to examine factors associated with health and social service use in younger (18-64 years) and older adults (≥ 65 years).
RESULTS: A total of 6,305 adults received a cochlear implant: 2,715 (43·1%) younger and 3,590 (56·9%) older adults. Older adults had a higher mean number of general practitioner (GP) visits (48.0) compared with younger adults (34.2), but younger adults visited specialists more often (7.1 vs. 4.7). Audiologists visit numbers were similar for both groups, with mean of 7.1 for younger and 7.5 for older adults. Factors associated with primary care (i.e. general practitioner visits) for both younger and older adults included being female, a culturally and linguistically diverse (CALD) background, comorbidities, needing assistance for activities of daily living (ADL), living in areas of socioeconomic disadvantage and having had ≥ 2 implants. Factors associated with specialist visits for younger adults included being female, a CALD background, being employed, or having a mental health condition, while for older adults these factors included needing assistance with ADLs, and long-term health or mental health conditions. Younger adults from CALD backgrounds, living in socioeconomically disadvantaged areas, with low income and experiencing mental health condition were more likely to receive government benefits.
CONCLUSION: Sociodemographic factors and comorbidities influence utilisation to both healthcare and social services for adults with a cochlear implant. This underscores the need for integrated care, considering psychological and health needs of the implant users.
METHODS: A retrospective cohort study was conducted among adults aged ≥ 18 years who received a cochlear implant between 2011 and 2021 in Australia. Linked data from the Person-level Integrated Data Asset (PLIDA) were utilised. A negative binomial regression was used to examine factors associated with health and social service use in younger (18-64 years) and older adults (≥ 65 years).
RESULTS: A total of 6,305 adults received a cochlear implant: 2,715 (43·1%) younger and 3,590 (56·9%) older adults. Older adults had a higher mean number of general practitioner (GP) visits (48.0) compared with younger adults (34.2), but younger adults visited specialists more often (7.1 vs. 4.7). Audiologists visit numbers were similar for both groups, with mean of 7.1 for younger and 7.5 for older adults. Factors associated with primary care (i.e. general practitioner visits) for both younger and older adults included being female, a culturally and linguistically diverse (CALD) background, comorbidities, needing assistance for activities of daily living (ADL), living in areas of socioeconomic disadvantage and having had ≥ 2 implants. Factors associated with specialist visits for younger adults included being female, a CALD background, being employed, or having a mental health condition, while for older adults these factors included needing assistance with ADLs, and long-term health or mental health conditions. Younger adults from CALD backgrounds, living in socioeconomically disadvantaged areas, with low income and experiencing mental health condition were more likely to receive government benefits.
CONCLUSION: Sociodemographic factors and comorbidities influence utilisation to both healthcare and social services for adults with a cochlear implant. This underscores the need for integrated care, considering psychological and health needs of the implant users.