| Titre : | Referral to rehabilitation following traumatic brain injury : a model for understanding inequities in access. (2003) |
| Auteurs : | FOSTER (Michele) : AUS. Centre of National Research on Disability and Rehabilitation Medicine (Conrod). The University of Queensland. Herston Qld. ; TILSE (Cheryl) : AUS. School of Social Work and Social Policy. The University of Queensland. Brisbane. |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 56, n° 10, 2003) |
| Pagination : | 2201-2210 |
| Langues: | Anglais |
| Mots-clés : | Traumatisme ; Réhabilitation ; Homme ; Australie ; Océanie ; Système nerveux [pathologie] ; Système ostéoarticulaire [pathologie] |
| Résumé : | [BDSP. Notice produite par INIST-CNRS R0x3uH77. Diffusion soumise à autorisation]. Identifying inequities in access to health care requires critical scrutiny of the patterns and processes of care decision. This paper describes a conceptual model, derived from social problems theory, which is proposed as a useful framework for explaining patterns of post-acute care referral and in particular, individual variations in referral to rehabilitation after traumatic brain injury (TBI). The model is based on three main components : (I) characteristics of the individual with TBI, (2) activities of health care professionals and the processes of referral, and (3) the contexts of care. The central argument is that access to rehabilitation following TBI is a dynamic phenomenon concerning the interpretations and negotiations of health care professionals, which in turn are shaped by the organisational and broader health care contexts. The model developed in this paper provides opportunity to develop a complex analysis of post-acute care referral based on patient factors, contextual factors and decision-making processes. It is anticipated that this framework will have utility in other areas examining and understanding patterns of access to health care. |
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