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  4. Residential location of people with chronic spinal cord injury: the importance of local health care infrastructure

Residential location of people with chronic spinal cord injury: the importance of local health care infrastructure

BMC Health Services Research, 2018 · DOI: https://doi.org/10.1186/s12913-018-3449-3 · Published: August 7, 2018

Spinal Cord InjuryHealthcare

Simple Explanation

People with spinal cord injuries (SCI) often need specialized medical care due to secondary health issues. This care is frequently located in centralized areas, making it hard for those in remote locations to access. This might cause individuals to relocate to areas with better healthcare access. This study found that people with SCI tend to live in specific areas, often near specialized SCI centers and in urban areas with a high density of outpatient physicians. This suggests they choose their residence based on access to healthcare infrastructure. The study also explored whether people with SCI would consider moving as they age. It found that those in rural areas were more likely to consider relocating to urban areas. However, language barriers could deter them from moving closer to specialized centers.

Study Duration
2007-2013 (Data Collection)
Participants
3054 individuals with SCI (SwiSCI), 10,456 from hospital discharge data
Evidence Level
Not specified

Key Findings

  • 1
    People with SCI were more likely to reside close to specialized SCI centers, indicating that access to specialized care influences residential choices.
  • 2
    Individuals with SCI were more likely to live in urban areas with a high density of outpatient physicians, suggesting a preference for readily available healthcare services.
  • 3
    People with SCI living in rural areas were more inclined to consider relocating when aging, but language barriers could prevent moves closer to specialized centers.

Research Summary

The study investigated the residential distribution of people with SCI in Switzerland and its relation to healthcare infrastructure. Findings revealed that individuals with SCI tend to cluster around specialized centers and urban areas with high physician density, indicating a preference for accessible healthcare. The research also highlighted the impact of language barriers on relocation considerations and the potential underrepresentation of elderly individuals in SCI cohort studies.

Practical Implications

Healthcare Planning

Healthcare services should be strategically located, considering the residential preferences of people with SCI.

Language Accessibility

Healthcare providers should offer services in multiple languages to overcome language barriers and ensure equal access.

Urban Planning

Urban planning initiatives should consider the needs of individuals with disabilities, ensuring accessibility to amenities and services.

Study Limitations

  • 1
    Cross-sectional design limits causal inference regarding relocation after SCI onset.
  • 2
    Hospital discharge data may have inaccurate coding of SCI.
  • 3
    Potential underrepresentation of elderly people in the SwiSCI study.

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