Year

2016

Degree Name

Doctor of Philosophy

Department

Sydney Business School

Abstract

This thesis aims to make a contribution to knowledge about long-term service utilisation following severe traumatic brain injury or traumatic spinal cord injury in NSW. The origins of the study that underpin this thesis are linked to the 2006 introduction of the Lifetime Care and Support Scheme (LTCS Scheme) in NSW. At the time the scheme was introduced, it was known that despite the number of catastrophic injuries being low, lifetime costs would be very significant. Industry stakeholders recognised the importance of developing a better understanding of long-term service utilisation patterns for those who would be eligible for entry into the scheme.

In this context, a prospective, multi-centre, cross-sectional study of 111 individuals was conducted. Andersen’s Health Behavioural model was used as a theoretical framework to examine the array of factors that potentially influence long-term utilisation patterns. Four cohorts of study participants were recruited from the three specialist brain injury and two specialist spinal cord injury rehabilitation units in NSW. Four cohorts at two, five, 10 and >15 years post-injury were recruited into the study.

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