Weaver Frances M, LaVela Sherri L
Center for Management of Complex Chronic Care, Health Services Research (151H), VA Hospital, Hines, IL 60141, USA.
Phys Med Rehabil Clin N Am. 2007 May;18(2):297-316, vii. doi: 10.1016/j.pmr.2007.03.002.
Individuals with disabilities are less likely to receive preventive care services than those in the general population. Prevention is very important in persons with spinal cord injuries and disorders for both common conditions such as respiratory infections and for conditions common in spinal cord disorders such as neurogenic bowel, because these individuals are at increased risk for negative outcomes. Clinical practice guidelines provide evidence-based recommendations for patient care. However, dissemination of guidelines is not sufficient to increase use of recommended care. Implementation research has identified strategies to increase use of evidence-based care and subsequently improve patient outcomes.
与普通人群相比，残疾人获得预防性保健服务的可能性较小。预防对于脊髓损伤和疾病患者非常重要，无论是对于常见疾病如呼吸道感染，还是对于脊髓疾病中常见的疾病如神经源性肠病，因为这些个体出现负面结果的风险增加。临床实践指南为患者护理提供了基于证据的建议。然而，指南的传播不足以增加推荐护理的使用。实施研究已经确定了增加循证护理使用并随后改善患者结局的策略。
