Views of health care users and providers: Solutions to improve the prevention of secondary health conditions among people with spinal cord injury, South Africa

Spinal Cord Series and Cases, 2022 · DOI: https://doi.org/10.1038/s41394-022-00530-w · Published: June 16, 2022

Spinal Cord Injury Healthcare Rehabilitation

Simple Explanation

This study explored solutions to improve the prevention of secondary health conditions in people with spinal cord injury. The study involved interviews with therapists and people with spinal cord injury at a public rehabilitation hospital. The main theme was access to adequate health care. Categories included availability of health services, patient-centred care, strengthening rehabilitation care, access to resources and training health professionals. The study suggests that providing adequate access to health care is central to preventing and managing secondary health conditions for people with spinal cord injury.

Study Duration

August 2018 to July 2019

Participants

21 therapists and 17 people with spinal cord injury

Evidence Level

Not specified

Key Findings

1
Participants highlighted the need for health care services closer to where they live for pressure sore management care, weekly check-up and follow-up care.
2
Participants with SCI emphasized the importance of patient-centered care, and the sub-categories include listening to patients, health education on SHCs and prevention, and patient support system.
3
Participants stressed the importance of strengthening rehabilitation care by ensuring that it is needs-based, supports the transition process, and facilitates continuity of care when they are home.

Research Summary

This study explored solutions to improve the prevention of secondary health conditions (SHCs) in people with spinal cord injury (SCI) in South Africa, gathering views from both healthcare users and providers. The key finding was that 'access to adequate health care' is crucial, encompassing availability of services, patient-centered care, strengthened rehabilitation, resource access, and healthcare professional training. The study highlights the necessity of integrating rehabilitation at all levels of care to enhance access, preventive care, resource allocation for assistive devices, medication, and human resources, ultimately aiming to improve the lives of individuals with SCI.

Practical Implications

Policy and Practice

Integrate rehabilitation services at all levels of healthcare to improve access to preventive care and resources for individuals with SCI.

Healthcare Provider Training

Enhance training for health professionals on patient-centered care, biopsychosocial approaches, and the importance of health maintenance and preventative care.

Community Support

Strengthen community-based outreach services and home-based care to provide continuity of care and enhance patient support post-discharge.

Study Limitations

1
Findings may not be generalizable due to the qualitative study design and specific study setting.
2
The study had few female participants with SCI, limiting the understanding of their specific needs and challenges.
3
The selection of participants was limited to those who could access the rehabilitation hospital, potentially excluding patients with financial or transportation barriers.

Your Feedback

Was this summary helpful?

Back to Spinal Cord Injury