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dc.contributor.authorHarrington, Rosamund
dc.contributor.authorFoster, Michele
dc.contributor.authorFleming, Jennifer
dc.date.accessioned2018-04-13T07:09:58Z
dc.date.available2018-04-13T07:09:58Z
dc.date.issued2015
dc.identifier.issn0269-9052
dc.identifier.doi10.3109/02699052.2015.1075142
dc.identifier.urihttp://hdl.handle.net/10072/173528
dc.description.abstractPrimary objective: To explore experiences of pathways, outcomes and choice after motor vehicle accident (MVA) acquired severe traumatic brain injury (sTBI) under fault-based vs no-fault motor accident insurance (MAI). Methods: In-depth qualitative interviews with 10 adults with sTBI and 17 family members examined experiences of pathways, outcomes and choice and how these were shaped by both compensable status and interactions with service providers and service funders under a no-fault and a fault-based MAI scheme. Participants were sampled to provide variation in compensable status, injury severity, time post-injury and metropolitan vs regional residency. Interviews were recorded, transcribed and thematically analysed to identify dominant themes under each scheme. Results: Dominant themes emerging under the no-fault scheme included: (a) rehabilitation-focused pathways; (b) a sense of security; and (c) bounded choices. Dominant themes under the fault-based scheme included: (a) resource-rationed pathways; (b) pressured lives; and (c) unknown choices. Participants under the no-fault scheme experienced superior access to specialist rehabilitation services, greater surety of support and more choice over how rehabilitation and life-time care needs were met. Conclusions: This study provides valuable insights into individual experiences under fault-based vs no-fault MAI. Implications for an injury insurance scheme design to optimize pathways, outcomes and choice after sTBI are discussed.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherTaylor & Francis
dc.relation.ispartofpagefrom1561
dc.relation.ispartofpageto1571
dc.relation.ispartofissue13-14
dc.relation.ispartofjournalBrain Injury
dc.relation.ispartofvolume29
dc.subject.fieldofresearchBiomedical and clinical sciences
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode32
dc.subject.fieldofresearchcode52
dc.titleExperiences of pathways, outcomes and choice after severe traumatic brain injury under no-fault versus fault-based motor accident insurance
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorFoster, Michele M.


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