Ho Chester H
a Division of Physical Medicine & Rehabilitation, Department of Clinical Neurosciences ; Hotchkiss Brain Institute, University of Calgary , Calgary , AB , Canada.
J Spinal Cord Med. 2016 Sep;39(5):500-3. doi: 10.1080/10790268.2016.1182696. Epub 2016 Jul 27.
Primary care for persons with spinal cord injury (SCI) has long been recognized as an important issue. Over the last two decades, there has not been any consensus on its contents, pathway or delivery model. Despite the lack of attention on this issue, various health care organizations and settings have successfully developed their own version of primary care for persons with SCI. On the other hand, persons with SCI have also found different ways to obtain primary care through Family Physicians and specialists, often depending on the health care structure of their country. This has blurred the line between what is traditionally seen as primary vs. specialist care. The "medical home" model may be ideal for SCI primary care, and it may be establishsed in different care settings. In order to create this model, health care funding structure, appropriate access to physical facility and SCI knowledge, interdisciplinary provider availability and collaboration, as well as active engagement with persons with SCI are necessary. The SCI community should endorse SCI primary care with effective advocacy and implementation.
脊髓损伤（SCI）患者的初级保健长期以来一直被视为一个重要问题。在过去二十年中，对于其内容、途径或提供模式尚未达成任何共识。尽管这个问题缺乏关注，但各种医疗保健组织和机构已经成功地为脊髓损伤患者开发了各自版本的初级保健服务。另一方面，脊髓损伤患者也找到了通过家庭医生和专科医生获得初级保健的不同方式，这通常取决于他们所在国家的医疗保健结构。这模糊了传统上被视为初级保健与专科保健之间的界限。“医疗之家”模式可能是脊髓损伤初级保健的理想模式，并且可以在不同的护理环境中建立。为了创建这种模式，医疗保健资金结构、适当的物理设施和脊髓损伤知识获取途径、跨学科医疗服务提供者的可用性和协作，以及与脊髓损伤患者的积极互动都是必要的。脊髓损伤群体应该通过有效的宣传和实施来支持脊髓损伤初级保健。
