Lam Chor-Yin, Su Ivan Yuen-Wang, Law Joyce Yuk-Mui
Department of Orthopaedics and Traumatology, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
SAHK, Hong Kong SAR, China.
Healthcare (Basel). 2024 Nov 28;12(23):2388. doi: 10.3390/healthcare12232388.
Spinal cord injuries (SCI) are devastating conditions which often cause multiple permanent physical impairments and psychosocial complications. Discharge from hospital is often delayed and precious health resources are consumed. In Hong Kong SAR, China, the government welfare system and the public hospital system have worked together to address these problems through partnership with non-governmental organizations. An SCI transitional care facility (the Jockey Club New Page Inn, JCNPI) run by a non-governmental organization (SAHK), was inaugurated in 2008. Review the local experience of the implementation of SCI transitional care in Hong Kong SAR, China. A narrative review of the service model, facilitators and barriers, and future development. Service output and outcomes were evaluated with quantitative and qualitative means. The SCI transitional care in Hong Kong provides person-centred transitional care and support, including a time-limited residential rehabilitation, a post-discharge community day rehabilitation programme, and a residential respite care. The current intervention strategy is based on the WHO's International Classification of Functioning, Disability, and Health (ICF). In the past 16 years, a total of 226 clients were discharged from the residential rehabilitation service. A total of 223 (98.6%) clients have successfully returned to community living. Positive feedback was received from the service users. : The SCI transitional care has transformed care for SCI patients from the previous biomedical-oriented, hospital-based rehabilitation into a journey with an empowering and participatory approach addressing their biopsychosocial needs. The model has proven to be a key player in the continuum of care and sustainable community reintegration of individuals with SCI.
脊髓损伤（SCI）是极具破坏性的病症，常常会导致多种永久性身体损伤和心理社会并发症。出院时间往往延迟，宝贵的医疗资源被消耗。在中国香港特别行政区，政府福利系统和公立医院系统通过与非政府组织合作，共同努力解决这些问题。一家由非政府组织（香港伤健协会）运营的脊髓损伤过渡护理设施（赛马会新里程复康院，JCNPI）于2008年启用。回顾中国香港特别行政区实施脊髓损伤过渡护理的本地经验。对服务模式、促进因素和障碍以及未来发展进行叙述性综述。通过定量和定性方法评估服务产出和结果。香港的脊髓损伤过渡护理提供以人为本的过渡护理和支持，包括限时住院康复、出院后社区日间康复计划以及住院暂托护理。当前的干预策略基于世界卫生组织的《国际功能、残疾和健康分类》（ICF）。在过去16年中，共有226名客户从住院康复服务中出院。共有223名（98.6%）客户成功回归社区生活。服务使用者给予了积极反馈。脊髓损伤过渡护理已将脊髓损伤患者的护理从以往以生物医学为导向、基于医院的康复转变为一种采用赋权和参与式方法满足其生物心理社会需求的过程。该模式已被证明是脊髓损伤患者连续护理和可持续社区重新融入过程中的关键因素。
