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  4. Optimal management of health care for persons with disability related to spinal cord injury: learning from the Sunnaas model of telerehabilitation

Optimal management of health care for persons with disability related to spinal cord injury: learning from the Sunnaas model of telerehabilitation

Spinal Cord Series and Cases, 2020 · DOI: 10.1038/s41394-020-00338-6 · Published: August 25, 2020

Spinal Cord InjuryHealthcareTelehealth & Digital Health

Simple Explanation

Telemedicine is changing healthcare delivery, especially benefiting individuals with disabilities like spinal cord injury (SCI) who face travel challenges. The COVID-19 pandemic accelerated the adoption of telemedicine, suggesting it should be a permanent part of hospital systems. The Sunnaas rehabilitation hospital in Norway has developed a successful telerehabilitation model using videoconferencing to provide long-term follow-up for individuals with SCI, improving accessibility and knowledge transfer. Telerehabilitation involves communication via videoconferencing to improve wellness or rehabilitation status, ensuring data safety and privacy. It includes training for participants in ethical guidelines and equipment use.

Study Duration
7 years
Participants
Individuals with SCI, stroke and cerebral palsy
Evidence Level
Not specified

Key Findings

  • 1
    The Sunnaas model of telerehabilitation improves public health and supports more sustainable health services, including accessibility, prevention, and better interaction between healthcare providers.
  • 2
    Telerehabilitation has been expanded to include other diagnostic groups, such as stroke and cerebral palsy, and incorporates exercise supervision.
  • 3
    Videoconferencing ensures consumers receive necessary follow-up and makes it possible for caregivers and local healthcare providers to interact virtually, resulting in proximity at a distance between all participants.

Research Summary

This perspective discusses the implementation of telerehabilitation as part of a healthcare system, using the Sunnaas model as an example. It defines telerehabilitation as communication via videoconferencing to improve an individual's wellness or rehabilitation status. The Sunnaas model involves education and mentoring for staff, collaborative hospitals, home care providers, patients, and families, particularly benefiting those needing continuous follow-up, such as individuals with SCI. Success factors for telerehabilitation include organizational management support, technical assistance, development of dynamic guidelines, stakeholder involvement, and a dedicated telemedicine team.

Practical Implications

Improved Accessibility

Telerehabilitation can overcome geographical barriers, reduce travel burdens, and ensure necessary follow-up for patients with disabilities.

Enhanced Coordination

Videoconferencing facilitates better cooperation between hospitals, municipalities, and local care providers, especially during transitions of care.

Optimized Rehabilitation

Integrating telerehabilitation into healthcare planning ensures rehabilitation services are available regardless of location, improving patient outcomes and quality of life.

Study Limitations

  • 1
    Complex management structures
  • 2
    Lack of infrastructure
  • 3
    Poor communications technology

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