Spinal Cord Research Help
AboutCategoriesLatest ResearchContact
Subscribe
Spinal Cord Research Help

Making Spinal Cord Injury (SCI) Research Accessible to Everyone. Simplified summaries of the latest research, designed for patients, caregivers and anybody who's interested.

Quick Links

  • Home
  • About
  • Categories
  • Latest Research
  • Disclaimer

Contact

  • Contact Us
© 2025 Spinal Cord Research Help

All rights reserved.

  1. Home
  2. Research
  3. Spinal Cord Injury
  4. The role of payment sources in the continuation of rehabilitation therapy in tertiary hospitals for patients with traumatic spinal cord injury: a study in Southwest China

The role of payment sources in the continuation of rehabilitation therapy in tertiary hospitals for patients with traumatic spinal cord injury: a study in Southwest China

Annals of Medicine, 2024 · DOI: https://doi.org/10.1080/07853890.2024.2333890 · Published: January 1, 2024

Spinal Cord InjuryHealthcareRehabilitation

Simple Explanation

This study examines how payment methods affect discharge plans for patients with traumatic spinal cord injuries (TSCI) in China, specifically regarding continued rehabilitation therapy. The research found that medical insurance coverage, which is limited to a short period after the injury, significantly influences whether patients can continue receiving rehabilitation at tertiary hospitals. Patients with other payment sources consider the severity of their injury and associated complications more when deciding on their discharge plan.

Study Duration
10 Months
Participants
135 patients with TSCI
Evidence Level
Cross-sectional, observational study

Key Findings

  • 1
    Medical insurance patients' discharge plans are primarily affected by the duration of their spinal cord injury due to coverage limitations.
  • 2
    Patients with non-medical insurance payment sources, discharge plans are influenced by the caregiver, payment sources, AIS level, and co-UTI.
  • 3
    Patients consider a higher AIS level and co-UTI as the requirement for tertiary hospital therapy.

Research Summary

This cross-sectional study investigated the discharge plans of 135 patients with traumatic spinal cord injury (TSCI) in Southwest China, focusing on the influence of payment sources on the continuation of rehabilitation therapy. The study revealed that medical insurance, covering 43% of cases, significantly impacted discharge plans due to its limited duration, while out-of-pocket payments accounted for over 27% of the patients. The findings suggest that the restricted duration of medical coverage influenced the discharge plan of most patients with TSCI, highlighting the economic burden and its impact on healthcare decisions.

Practical Implications

Policy Adjustment

Re-evaluate and adjust medical insurance policies to provide extended coverage for rehabilitation therapy for TSCI patients.

Resource Allocation

Allocate resources to community hospitals to enhance their capacity to provide adequate post-acute rehabilitation services.

Financial Support

Develop financial aid programs to assist TSCI patients with out-of-pocket rehabilitation expenses.

Study Limitations

  • 1
    Single-center study limiting generalizability.
  • 2
    Lack of comparison of other functional factors in the discharge plan.
  • 3
    Underreporting of patients with milder injuries.

Your Feedback

Was this summary helpful?

Back to Spinal Cord Injury