TOWARD A HEALTH-SERVICES RESEARCH CAPACITY IN SPINAL-CORD INJURY

被引：14

作者：

DEJONG, G

BATAVIA, AI

机构：

[1] National Rehabilitation Hospital Research Center, Department of Community and Family Medicine, Georgetown University School of Medicine, Washington, DC

来源：

PARAPLEGIA | 1991年 / 29卷 / 06期

关键词：

HEALTH SERVICES RESEARCH; SPINAL CORD INJURY;

D O I：

10.1038/sc.1991.53

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Health services research (HSR) is the research field that seeks to examine systematically the organisation, provision, and financing of health care services. There currently is only a rudimentary HSR capacity in the area of spinal cord injury (SCI). To a large extent, the HSR community has not addressed issues concerning persons with SCI, and the disability research and medical rehabilitation communities have not considered issues of HSR that affect the SCI population. However, due to recent changes in (1) the clinical management of SCI; (2) the expectations of persons with SCI, and (3) health care delivery and finance, the time is now ripe for the development of a HSR capacity in SCI. This article summarises current efforts at HSR in SCI in the United States, which have been primarily in the areas of trauma care and medical rehabilitation. It considers an agenda for future health services research in SCI, which must include research on post-rehabilitation health care and personal assistance needs. Finally, this article suggests strategies for developing a comprehensive HSR capacity in SCI.

引用

页码：373 / 389

页数：17

共 30 条

[1] Baker S.P., O' Neill B., Haddon W., Long W.B., The injury severity score: A method for describing patients with multiple injuries and evaluating emergency care, Thejournal A/Trauma, 14, (1974)
[2] Batavia A.I., The Payment of Medical Rehabilitation Services: Current Mechanisms and Potential Models, (1988)
[3] Batavia A.I., The Payors of Medical Rehabilitation: Eligibility, Coverage, and Payment Policies. National Association of Rehabilitation Facilities, (1989)
[4] Batavia A.I.G., Developing a comprehensive health services research capacity in physical disability and rehabilitation, Journal Oj Disability Policy Studies, 1, 1, pp. 37-61, (1990)
[5] Batavia A.I., Dejong G., Burns T.J., Smith Q.W., Melus S., Butler D., A managed care program for working-age persons with physical disabilities: A feasibility study, National RehabilitationHospital Office of Research, (1989)
[6] Batavia A.I., De Jong G., Halstead L., Smith Q.W., The primary medical needs of people with disabilities, American Rehabilitation, 14, 41, pp. 9-12, (1988)
[7] Burnside I.D., Cook J.B., Factors influencing readmission to hospital, Paraplegia, 14, pp. 220-224, (1976)
[8] Champion H.S., Sacco W.J., Carnazzo A.J., Copes W.S., Fouty W.J., Trauma Score. Critical Care Medicine, 9, (1981)
[9] Dejong G., Independent living: From social movement to analytic paradigm, Archives Ofphysical Medicine and Rehabilitation, 60, pp. 435-446, (1979)
[10] Dejong G., Environmental Accessibility and Independent Living Outcomes: Directions for Disability Policy and Research. Michigan State University, University Center for InternationalRehabilitation, (1981)

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