دورية أكاديمية
An international survey of the structure and process of care for traumatic spinal cord injury in acute and rehabilitation facilities : lessons learned from a pilot study
| العنوان: | An international survey of the structure and process of care for traumatic spinal cord injury in acute and rehabilitation facilities : lessons learned from a pilot study |
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| المؤلفون: | Abedi, Aidin, Biering-Sørensen, Fin, Chhabra, Harvinder S, D'Andréa Greve, Julia Maria, Khan, Nasser M, Koskinen, Eerika, Kwan, Kenny Yat Hong, Liu, Nan, Middleton, James W, Moslavac, Sasa, Rahimi-Movaghar, Vafa, O'Connell, Colleen, Previnaire, Jean G, Patel, Alpesh, Scivoletto, Giorgio, Sharwood, Lisa N, Townson, Andrea, Urquhart, Susan, Vainionpää, Aki, Zaman, Atiq Uz, Noonan, Vanessa K, Cheng, Christiana L |
| المساهمون: | Tampere University, Clinical Medicine, Department of Neurosciences and Rehabilitation |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | 3124 Neurology and psychiatry |
| الوصف: | BACKGROUND: To describe the key findings and lessons learned from an international pilot study that surveyed spinal cord injury programs in acute and rehabilitation facilities to understand the status of spinal cord injury care. METHODS: An online survey with two questionnaires, a 74-item for acute care and a 51-item for rehabilitation, was used. A subset of survey items relevant to the themes of specialized care, timeliness, patient-centeredness, and evidence-based care were operationalized as structure or process indicators. Percentages of facilities reporting the structure or process to be present, and percentages of indicators met by each facility were calculated and reported separately for facilities from high-income countries (HIC) and from low and middle-income countries (LMIC) to identify "hard to meet" indicators defined as those met by less than two-thirds of facilities and to describe performance level. RESULTS: A total of 26 acute and 26 rehabilitation facilities from 25 countries participated in the study. The comparison of the facilities based on the country income level revealed three general observations: 1) some indicators were met equally well by both HIC and LMIC, such as 24-hour access to CT scanners in acute care and out-patient services at rehabilitation facilities; 2) some indicators were hard to meet for LMIC but not for HIC, such as having a multidisciplinary team for both acute and rehabilitation settings; and 3) some indicators were hard to meet by both HIC and LMIC, including having peer counselling programs. Variability was also observed for the same indicator between acute and rehabilitation facilities, and a wide range in the total number of indicators met among HIC facilities (acute 59-100%; rehabilitation 36-100%) and among LMIC facilities (acute: 41-82%; rehabilitation: 36-93%) was reported. CONCLUSIONS: Results from this international pilot study found that the participating acute and rehabilitation facilities on average adhered to 74% of the selected indicators, suggesting ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | fulltext |
| اللغة: | English |
| تدمد: | 1472-6963 |
| العلاقة: | 1565; 22; PubMedCentral: PMC9768992; https://trepo.tuni.fi/handle/10024/145006Test; URN:NBN:fi:tuni-202301121365 |
| DOI: | 10.1186/s12913-022-08847-w |
| الإتاحة: | https://doi.org/10.1186/s12913-022-08847-wTest https://trepo.tuni.fi/handle/10024/145006Test |
| حقوق: | cc by 4.0 ; openAccess |
| رقم الانضمام: | edsbas.E9F71A9B |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 14726963 |
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| DOI: | 10.1186/s12913-022-08847-w |