Perspective of the World Rehabilitation Alliance: Global Strategies to Strengthen Spinal Cord Injury Rehabilitation Services in Health Systems

被引:0
作者
O'Connell, Colleen [1 ]
Armstrong, Jo [2 ]
de la Cerna-luna, Roger [3 ]
Ganvir, Suvarna [4 ,5 ]
Brigneti, Paula Arnillas [3 ]
机构
[1] Dalhousie Univ, Fac Med, Stan Cassidy Ctr Rehabil, Dalhousie Med New Brunswick, Fredericton, NB E3B 0C7, Canada
[2] Stoke Mandeville Hosp, Natl Spinal Injuries Ctr, Bucks HP21 8AL, England
[3] Hosp Nacl Edgardo Rebagliati Martins, Phys Med & Rehabil Dept, Lima 15072, Peru
[4] Maharashtra Univ Hlth Sci, DVVPFs Coll Physiotherapy, Ahmednagar 414111, Maharashtra, India
[5] Indian Federat Neurorehabil IFNR, Primary Care Task Force, Mumbai 400020, Maharashtra, India
关键词
spinal cord injuries; rehabilitation; sustainable development; emergencies; workforce; health services; EARTHQUAKE; MANAGEMENT; CARE;
D O I
10.3390/healthcare12222313
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background/Objectives: Spinal cord injury (SCI) is a disabling condition prevalent worldwide, requiring rehabilitation services from injury through community living. This study, conducted by representatives of the World Rehabilitation Alliance (WRA), aims to identify strategies for strengthening SCI rehabilitation services globally, with particular attention to settings where resources are limited. Methods: Three focus groups were held between 2023 and 2024 with WRA representatives specializing in SCI rehabilitation. Discussions focused on four key areas: workforce and education, health policy and systems research, primary care, and emergency response. Perspectives were developed taking into account frameworks from the World Health Organization (WHO). Results: Key insights into SCI rehabilitation services emphasize workforce and education as critical areas, underscoring the importance of specialized training, certification, and ongoing support to build capacity. In health systems and policy research, significant gaps in evidence-based practices were highlighted, emphasizing the need for comprehensive data collection and national registries to guide policy and align SCI care with global standards. The integration into primary care systems is recommended to improve access and address common complications in low- and middle-income countries (LMICs). For emergency response, this study stresses the importance of preparedness and establishing multi-disciplinary teams capable of managing SCI cases in resource-limited settings, reducing preventable complications, and improving patient outcomes. Conclusions: SCI rehabilitation services are essential to global health, with a need for workforce development, research, national registries, and integration into primary and emergency care. Such efforts should improve accessibility and align with global best practices, ensuring comprehensive and accessible rehabilitation for all.
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页数:12
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