Pacheco Diana, Gross-Hemmi Mirja H
From the Swiss Paraplegic Research, Guido A. Zäch Institute, Nottwil, Switzerland.
Am J Phys Med Rehabil. 2017 Feb;96(2 Suppl 1):S41-S54. doi: 10.1097/PHM.0000000000000664.
The Learning Health System for Spinal Cord Injury (LHS-SCI) is an initiative aligned with the World Health Organization's (WHO) Global Disability Action Plan. Based on the outcomes of this initiative, countries will be able to shape their health systems to better respond to the needs of persons with SCI. This paper describes and compares the macroeconomic situation and societal response to SCI across 27 countries from all 6 WHO regions that will participate in the LHS-SCI initiative.
A concurrent mixed-methods study was conducted to identify key indicators that describe the situation of persons with SCI, the general societal response, the health and rehabilitation system, and the experience for a SCI person after discharge from inpatient rehabilitation.
A strong correlation was found between the efficiency of a healthcare system and the amount a country invests in health. Higher availability of resources does not necessarily imply that unrestricted access to the healthcare system is warranted. Variations in the health systems were found for various domains of the health and rehabilitation systems.
The evaluation and comparative analysis of the societal response to SCI raise the awareness of the need of more standardized data to identify current needs and gaps in the quality and access to SCI-specific health system.
脊髓损伤学习健康系统（LHS-SCI）是一项与世界卫生组织（WHO）全球残疾行动计划相一致的倡议。基于该倡议的成果，各国将能够调整其卫生系统，以更好地满足脊髓损伤患者的需求。本文描述并比较了来自WHO所有6个区域的27个将参与LHS-SCI倡议的国家的宏观经济状况以及对脊髓损伤的社会应对情况。
开展了一项同步混合方法研究，以确定描述脊髓损伤患者状况、总体社会应对、卫生与康复系统以及脊髓损伤患者出院后体验的关键指标。
发现卫生保健系统的效率与一个国家在卫生方面的投资额之间存在很强的相关性。资源的更高可获得性并不一定意味着就保证能不受限制地使用卫生保健系统。在卫生与康复系统的各个领域发现了卫生系统的差异。
对脊髓损伤社会应对情况的评估和比较分析提高了人们对需要更标准化数据以确定当前需求以及脊髓损伤特定卫生系统在质量和可及性方面差距的认识。
