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  4. Does stronger primary care improve access to health services for persons with spinal cord injury? Evidence from eleven European countries

Does stronger primary care improve access to health services for persons with spinal cord injury? Evidence from eleven European countries

The Journal of Spinal Cord Medicine, 2024 · DOI: 10.1080/10790268.2023.2188390 · Published: January 1, 2024

Spinal Cord InjuryHealthcare

Simple Explanation

This study looked at whether having good primary care doctors helps people with spinal cord injuries (SCI) get the healthcare they need. It checked information from over 6,000 adults with SCI in eleven European countries. The study found that in countries with stronger primary care systems, people with SCI were less likely to report problems getting healthcare. The most common problem reported was not having services available. The research suggests that improving primary care could make it easier for people with SCI to access the healthcare services they require, especially regarding the availability of such services.

Study Duration
2017-2019
Participants
6658 adults with chronic SCI
Evidence Level
Observational study

Key Findings

  • 1
    Twelve percent of participants reported unmet healthcare needs, with the highest percentage in Poland (25%) and the lowest in Switzerland and Spain (7%).
  • 2
    The most prevalent access restriction was service unavailability (7%).
  • 3
    Stronger primary care was associated with lower odds of reporting unmet healthcare needs, service unavailability, unaffordability and unacceptability.

Research Summary

This study examined the association between the strength of primary care and access to follow-up health services among persons with chronic SCI in eleven European countries. The study found that stronger primary care was associated with lower odds of reporting unmet healthcare needs, service unavailability, unaffordability and unacceptability among individuals with SCI. The conclusion suggests that strengthening primary care could improve healthcare access for persons with chronic SCI, especially concerning service availability.

Practical Implications

Policy Implications

Further primary care strengthening is needed to improve healthcare access for persons with SCI.

Healthcare Delivery

Integrated primary care models with SCI specialists collaboration may serve an essential function in the care continuum.

Targeted Interventions

Address service availability and affordability restrictions, particularly for females, younger individuals, and those with poorer health status.

Study Limitations

  • 1
    Self-reported cross-sectional data was used.
  • 2
    Difficulties obtaining information, waiting times, physical inaccessibility of medical facilities, and negative attitude of the healthcare providers were not included.
  • 3
    The sampling frames in most countries covered a specific region only and did not represent the entire country.

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