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Effects of Back Pain and Mental Health Conditions on Health Care Utilization and Costs : = A Population-Based Perspective Using a Novel Data Platform in Back Pain Research.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Effects of Back Pain and Mental Health Conditions on Health Care Utilization and Costs :/
其他題名:	A Population-Based Perspective Using a Novel Data Platform in Back Pain Research.
作者:	Wong, Jessica Jayne.
面頁冊數:	1 online resource (397 pages)
附註:	Source: Dissertations Abstracts International, Volume: 84-12, Section: B.
Contained By:	Dissertations Abstracts International84-12B.
標題:	Epidemiology. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=29398810click for full text (PQDT)
ISBN:	9798379762339

Effects of Back Pain and Mental Health Conditions on Health Care Utilization and Costs : = A Population-Based Perspective Using a Novel Data Platform in Back Pain Research.
Wong, Jessica Jayne.

Effects of Back Pain and Mental Health Conditions on Health Care Utilization and Costs :A Population-Based Perspective Using a Novel Data Platform in Back Pain Research. - 1 online resource (397 pages)

Source: Dissertations Abstracts International, Volume: 84-12, Section: B.

Thesis (Ph.D.)--University of Toronto (Canada), 2023.

Includes bibliographical references

Back pain is the leading cause of disability globally, and a driver of health care utilization across health systems. Back pain is a complex condition with multiple contributors to disability, including biopsychosocial factors and comorbidities. Notably, this includes mental health conditions as common comorbidities that can negatively impact back pain outcomes. Given the growing burden of back pain and its relationship with mental health, this dissertation aims to comprehensively examine the effects of back pain and mental health conditions at the population level.The first objective assessed the effects of back pain on health care utilization and costs among Ontario adults in a single-payer health system. In this population-based cohort study, adults with back pain had substantially higher rates of health care utilization and costs than those without back pain. Incremental costs corresponded to an annual burden of $759 million in Ontario. The second objective assessed the association between depressive symptoms/depression and outcomes in persons with back pain. This systematic review and meta-analysis found that depressive symptoms may be associated with disability and worse recovery for acute and chronic back pain, and greater primary health care utilization for acute back pain. The third objective assessed the joint effects of back pain and mental health conditions on health care utilization and costs among Ontario adults in a single-payer health system. In this population-based cohort study, the joint effects of back pain and mental health conditions on back pain-specific utilization and opioid prescription were greater than expected, with evidence of synergism.Study findings quantify the substantial burden of back pain on the Ontario health system, and highlight adults with back pain and mental health conditions as a priority group with worse outcomes and greater health care needs. This dissertation offers unique contributions to musculoskeletal epidemiologic research through several methodological approaches, including novel linkages between survey and administrative data for Ontario, propensity-score matching, prognostic review methodology, and analyses of joint effects. Overall, this dissertation provides the evidentiary basis to inform health programs and resources planning tailored to back pain and mental health conditions, to improve population health and health care sustainability in Ontario.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9798379762339Subjects--Topical Terms:

568544
Epidemiology.
Subjects--Index Terms:

Back painIndex Terms--Genre/Form:

542853
Electronic books.

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