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  4. Primary Care in the Spinal Cord Injury Population: Things to Consider in the Ongoing Discussion

Primary Care in the Spinal Cord Injury Population: Things to Consider in the Ongoing Discussion

Current Physical Medicine and Rehabilitation Reports, 2023 · DOI: 10.1007/s40141-023-00379-6 · Published: February 18, 2023

Spinal Cord InjuryHealthcarePublic Health

Simple Explanation

Spinal cord injury (SCI) creates specific health needs that, if not addressed, can negatively impact the health and quality of life of individuals with SCI. Preventive care is essential to reduce illness and death in this population, but SCI patients face challenges in accessing such care. Preventive care is typically provided by primary care doctors, but they may lack training in SCI-specific needs. SCI specialists, on the other hand, may not be fully trained in all aspects of preventive care. Effective care requires knowledge of recommended screenings, management of SCI-specific conditions, and care coordination. Focusing on preventive care can improve the health and quality of life for SCI patients. Addressing knowledge gaps among both primary care providers and SCI specialists can increase the likelihood that SCI patients receive the necessary preventive and specialized care.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Not specified

Key Findings

  • 1
    Preventive care is generally provided by general primary care providers, but not all primary care providers are trained in recognizing and addressing spinal cord injury-specific needs.
  • 2
    SCI providers generally are not trained in addressing all aspects of preventive care.
  • 3
    Knowing the recommended preventive care screenings, recognizing and managing specific conditions seen after a SCI, and seamless coordination of care between general practitioners and SCI specialists are some of the interventions to help prevent health complications.

Research Summary

Prioritized focus on preventive care is necessary for a positive impact on the overall health and QOL in this population. Addressing the knowledge gap reported by primary care providers and SCI providers may help increase the probability of SCI patients getting their preventive and specialty care needs addressed. We present a “cheat sheet” of recommendations for the preventive care evaluation of a person living with a SCI.

Practical Implications

Improved Primary Care Training

Medical education programs should include comprehensive training on the unique primary and preventive care needs of SCI patients.

Enhanced Care Coordination

Establish clear protocols and communication channels between primary care physicians and SCI specialists to ensure seamless and coordinated care for SCI patients.

Development of Standardized Guidelines

Create national guidelines for comprehensive evaluations and preventive care for individuals with SCI/D, including the frequency and essential elements of these evaluations.

Study Limitations

  • 1
    Lack of consensus on the ideal primary care provider for SCI patients.
  • 2
    Limited data on the impact of exercise on cardiovascular risk in SCI.
  • 3
    Absence of standardized recommendations for assessing respiratory function frequency in SCI patients.

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