Improving primary care for persons with spinal cord injury: Development of a toolkit to guide care.
J Spinal Cord Med
; 43(3): 364-373, 2020 05.
Article
en En
| MEDLINE
| ID: mdl-29733260
ABSTRACT
OBJECTIVE:
To identify a set of essential components for primary care for patients with spinal cord injury (SCI) for inclusion in a point-of-practice toolkit for primary care practitioners (PCP) and identification of the essential elements of SCI care that are required in primary care and those that should be the focus of specialist care.DESIGN:
Modified Delphi consensus process; survey methodology.SETTING:
Primary care.PARTICIPANTS:
Three family physicians, six specialist physicians, and five inter-disciplinary health professionals completed surveys. OUTCOMEMEASURES:
Importance of care elements for inclusion in the toolkit (9-point scale 1 = lowest level of importance, 9 = greatest level of importance) and identification of most responsible physician (family physician, specialist) for completing key categories of care. Open-ended comments were solicited.RESULTS:
There was consensus between the respondent groups on the level of importance of various care elements. Mean importance scores were highest for autonomic dysreflexia, pain, and skin care and lowest for preventive care, social issues, and vital signs. Although, there was agreement across all respondents that family physicians should assume responsibility for assessing mental health, there was variability in who should be responsible for other care categories. Comments were related to the need for shared care approaches and capacity building and lack of knowledge and specialized equipment as barriers to optimal care.CONCLUSION:
This study identified important components of SCI care to be included in a point-of-practice toolkit to facilitate primary care for persons with SCI.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Atención Primaria de Salud
/
Traumatismos de la Médula Espinal
/
Actitud del Personal de Salud
/
Personal de Salud
/
Guías de Práctica Clínica como Asunto
/
Mejoramiento de la Calidad
Tipo de estudio:
Guideline
/
Prognostic_studies
Límite:
Adult
/
Humans
Idioma:
En
Revista:
J Spinal Cord Med
Asunto de la revista:
NEUROLOGIA
/
REABILITACAO
Año:
2020
Tipo del documento:
Article
País de afiliación:
Canadá