Professional Claims, Uncertainty and the Politics of Care: Impact on Referral and Equitable Care in Traumatic Brain Injury

Foster, Michele (2004) Professional Claims, Uncertainty and the Politics of Care: Impact on Referral and Equitable Care in Traumatic Brain Injury. Brain Impairment, 5 1: 3-11. doi:10.1375/brim.5.1.3.35405


Author Foster, Michele
Title Professional Claims, Uncertainty and the Politics of Care: Impact on Referral and Equitable Care in Traumatic Brain Injury
Journal name Brain Impairment   Check publisher's open access policy
ISSN 1443-9646
Publication date 2004
Sub-type Article (original research)
DOI 10.1375/brim.5.1.3.35405
Volume 5
Issue 1
Start page 3
End page 11
Total pages 9
Place of publication Australia
Publisher Australian Academic Press
Language eng
Subject 110321 Rehabilitation and Therapy (excl. Physiotherapy)
160508 Health Policy
Abstract Rising healthcare expenditure and more explicit rationing of healthcare resources is a central feature of healthcare systems globally. In Australia, reform efforts have targeted the high cost areas such as the public hospital system. This has increased the demands on professionals to reduce length of stay and complicated post-hospital referral of people with complex and severe injury. In the area of traumatic brain injury (TBI), pressures on existing rehabilitation resources and a changing healthcare environment, with greater emphasis on efficiency and evidence-based practice, confront professionals’ efforts to provide equitable care. In this paper, some of the key issues important in understanding patterns of referral in TBI are presented. It is argued that referral decisions exemplify a negotiation of professional claims and value judgements that not only conceal the uncertainty in decision-making, but also more notably, reflect the lack of attention to equity in the broader politics of care. Case studies are used to illustrate these issues and to discuss the implications for equitable care in the contemporary healthcare environment in Australia. The paper concludes by outlining the challenges and opportunities in applying evidence-based decision-making in TBI and some future directions for attaining more equitable patterns of referral
References http://espace.library.uq.edu.au/workflow/edit_metadata.php?id=147219&wfs_id=778 Edit Journal Article - UQ eSpace
Q-Index Code C1
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collections: Faculty of Humanities and Social Sciences - Publications
Excellence in Research Australia (ERA) - Collection
 
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Created: Thu, 12 Mar 2009, 13:06:37 EST by Alexandra Cooney on behalf of Faculty of Social & Behavioural Sciences