PDF(Pubmed)
Abstract：
OBJECTIVE: To identify the articles in the existing literature that analyse healthcare costs according to the socioeconomic position (pre- or post-injury) for traumatic brain injury survivors. Secondary aims were to describe the types of costs and socioeconomic characteristics and to determine whether socioeconomic characteristics affect the risk of traumatic brain injury or whether the consequences of trauma alter living conditions post-injury.
METHODS: This scoping review followed the methods proposed by Arksey and O\'Malley. The literature search was performed in 5 databases.
RESULTS: Twenty-two articles were included, published between 1988 and 2023. Only 2 articles (9%) followed the guidelines for economic evaluation of healthcare programmes and 2 articles (9%) evaluated socioeconomic position \"completely\" with 3 main individual measures of socioeconomic characteristics (i.e., education, income, and occupation). The relationship between costs and socioeconomic characteristics could vary in 2 ways in traumatic brain injury: socioeconomic disadvantage was mostly associated with higher healthcare costs, and the cost of healthcare reduced the survivors\' living conditions.
CONCLUSIONS: This work highlights the need for a detailed and methodologically sound assessment of the relationship between socioeconomic characteristics and the costs associated with trauma. Modelling the care pathways of traumatic brain injury would make it possible to identify populations at risk of poor recovery or deterioration following a TBI, and to develop specific care pathways. The aim is to build more appropriate, effective, and equitable care programmes.
METHODS: This scoping review followed the methods proposed by Arksey and O\'Malley. The literature search was performed in 5 databases.
RESULTS: Twenty-two articles were included, published between 1988 and 2023. Only 2 articles (9%) followed the guidelines for economic evaluation of healthcare programmes and 2 articles (9%) evaluated socioeconomic position \"completely\" with 3 main individual measures of socioeconomic characteristics (i.e., education, income, and occupation). The relationship between costs and socioeconomic characteristics could vary in 2 ways in traumatic brain injury: socioeconomic disadvantage was mostly associated with higher healthcare costs, and the cost of healthcare reduced the survivors\' living conditions.
CONCLUSIONS: This work highlights the need for a detailed and methodologically sound assessment of the relationship between socioeconomic characteristics and the costs associated with trauma. Modelling the care pathways of traumatic brain injury would make it possible to identify populations at risk of poor recovery or deterioration following a TBI, and to develop specific care pathways. The aim is to build more appropriate, effective, and equitable care programmes.
摘要：
目的：确定现有文献中根据创伤性脑损伤幸存者的社会经济地位（伤前或伤后）分析医疗费用的文章。次要目的是描述成本和社会经济特征的类型，并确定社会经济特征是否会影响创伤性脑损伤的风险，或者创伤的后果是否会改变受伤后的生活条件。
方法：此范围审查遵循Arksey和O\'Malley提出的方法。在5个数据库中进行文献检索。
结果：包括22篇文章，1988年至2023年出版。只有2篇文章（9％）遵循了医疗保健计划的经济评估指南，而2篇文章（9％）则“完全”评估了社会经济地位，并具有3个主要的社会经济特征指标（即，教育,收入,和职业)。在创伤性脑损伤中，成本和社会经济特征之间的关系可能在两个方面有所不同：社会经济劣势主要与更高的医疗保健成本有关。医疗费用降低了幸存者的生活条件。
结论：这项工作强调需要对社会经济特征与创伤相关成本之间的关系进行详细和方法学上的合理评估。对创伤性脑损伤的护理途径进行建模将有可能识别TBI后康复不良或恶化风险的人群。并开发特定的护理途径。目的是建立更合适的，有效,和公平的护理计划。
方法：此范围审查遵循Arksey和O\'Malley提出的方法。在5个数据库中进行文献检索。
结果：包括22篇文章，1988年至2023年出版。只有2篇文章（9％）遵循了医疗保健计划的经济评估指南，而2篇文章（9％）则“完全”评估了社会经济地位，并具有3个主要的社会经济特征指标（即，教育,收入,和职业)。在创伤性脑损伤中，成本和社会经济特征之间的关系可能在两个方面有所不同：社会经济劣势主要与更高的医疗保健成本有关。医疗费用降低了幸存者的生活条件。
结论：这项工作强调需要对社会经济特征与创伤相关成本之间的关系进行详细和方法学上的合理评估。对创伤性脑损伤的护理途径进行建模将有可能识别TBI后康复不良或恶化风险的人群。并开发特定的护理途径。目的是建立更合适的，有效,和公平的护理计划。
