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  4. Medical, dental, and optical care utilization among community-living people with spinal cord injury in the United States

Medical, dental, and optical care utilization among community-living people with spinal cord injury in the United States

The Journal of Spinal Cord Medicine, 2024 · DOI: 10.1080/10790268.2022.2110817 · Published: January 1, 2024

Spinal Cord InjuryHealthcareDisability

Simple Explanation

This study examines how people with spinal cord injuries (SCI) use healthcare services like primary care, SCI-specific care, dental, and optical care. It looks at whether certain groups, like those with lower incomes or different injury types, have different patterns of healthcare use. The study found that many people with SCI don't get healthcare services as often as recommended. It also found differences in healthcare use based on factors like income, education, and how long ago they were injured. Understanding these patterns can help researchers and healthcare providers address barriers that prevent people with SCI from getting the care they need, which can improve their health and independence.

Study Duration
2017-2020
Participants
617 adults with chronic, traumatic SCI
Evidence Level
Cross-sectional survey data analysis

Key Findings

  • 1
    A significant portion of individuals with SCI do not utilize healthcare services, including primary, SCI-specific, dental, and optical care, at recommended rates.
  • 2
    Those with higher household incomes were more likely to utilize dental care, highlighting socioeconomic disparities in accessing dental services.
  • 3
    Individuals injured for a shorter duration (≤ 5 years) and those with higher educational attainment were more likely to utilize SCI care.

Research Summary

This study investigates healthcare utilization patterns among community-living individuals with spinal cord injury (SCI) in the United States, focusing on primary, SCI-specific, dental, and optical care. The findings reveal that rates of healthcare utilization among people with SCI are below recommended levels, with notable disparities across demographic, socioeconomic, and injury-related subgroups. The study emphasizes the need for targeted interventions to address barriers to healthcare access for community-living people with SCI, which can improve health outcomes and prevent secondary complications.

Practical Implications

Informed Interventions

The findings can inform targeted interventions to improve healthcare access for specific subgroups within the SCI community.

Policy Recommendations

The results can be used to advocate for policy changes that address socioeconomic barriers to dental and optical care for people with SCI.

Clinical Practice

Healthcare providers can use the information to better understand the unique needs and challenges of people with SCI, leading to more effective care.

Study Limitations

  • 1
    The study is limited by the available measures in the source data, lacking a full assessment of healthcare utilization patterns.
  • 2
    The analytic sample was obtained from 6 regional SCIMS centers and may not be representative of all people with SCI living in the United States.
  • 3
    The possibility of recall bias or social desirability bias in self-report measures may affect the accuracy of reported healthcare utilization.

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