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为新发生脊髓损伤的患者提供快速启动:一种提供上门咨询和支持的新型护理模式。

Providing a QuickStart for people with newly acquired spinal cord injury: a new model of care offering in-reach advice and support.

作者信息

Stoikov Susan M, Do Chau T D, Pershouse Kiley J, Panagoda Claire E, Harre Donna G, Amsters Delena I

机构信息

Queensland Spinal Cord Injuries Service, Metro South Health, Brisbane, QLD, Australia.

Department of Rehabilitation, Princess Alexandra Hospital, Metro South Health, Brisbane, QLD, Australia.

出版信息

Spinal Cord. 2025 May 13. doi: 10.1038/s41393-025-01086-w.

DOI:10.1038/s41393-025-01086-w
PMID:40360791
Abstract

STUDY DESIGN

Descriptive study of a pilot model of care named QuickStart.

OBJECTIVES

To describe the eligibility, rehabilitation pathways, team composition, and service delivery of a novel model of care for people with newly acquired spinal cord injuries (SCI).

SETTING

Queensland Spinal Cord Injuries Service, Metro South Health, Queensland, Australia.

METHODS

In April 2022, QuickStart was established with a multidisciplinary team of health professionals to provide early in-reach specialist SCI expertise to individuals with newly acquired spinal cord injury and their treating clinicians.

RESULTS

Between July 2022 and June 2024, QuickStart accepted 508 patients who were admitted to a Queensland or northern New South Wales hospital. Patients who received QuickStart support followed one of two pathways: they completed their primary rehabilitation in the Spinal Injuries Unit (SIU) at Princess Alexandra Hospital or at another facility. QuickStart provides specialised SCI support to patients and their treating team via a range of modalities including face-to-face review, telephone and videoconference. Referral numbers increased by 22% from the first year of operation, along with a 38% increase in the average QuickStart caseload. Patients received, on average, 12 occasions of service and a total service provision time of 452 min. All QuickStart patients received referrals to other specialised SCI community services within the Queensland Spinal Cord Injuries Service.

CONCLUSION

QuickStart is a promising model of care that has improved access to specialised SCI expertise for individuals with newly acquired SCI, particularly those who may not have immediate access to specialised rehabilitation services.

摘要

研究设计

对名为QuickStart的试点护理模式进行描述性研究。

目的

描述一种针对新发生脊髓损伤(SCI)患者的新型护理模式的资格标准、康复途径、团队构成及服务提供情况。

地点

澳大利亚昆士兰州,南布里斯班都会区健康服务中心的昆士兰脊髓损伤服务部。

方法

2022年4月,由多学科医疗专业人员团队建立了QuickStart,为新发生脊髓损伤的患者及其主治临床医生提供早期上门的专科SCI专业知识服务。

结果

在2022年7月至2024年6月期间,QuickStart接收了508名入住昆士兰州或新南威尔士州北部医院的患者。接受QuickStart支持的患者遵循两种途径之一:他们在亚历山德拉公主医院的脊髓损伤科(SIU)或其他机构完成了初级康复。QuickStart通过一系列方式为患者及其治疗团队提供专门的SCI支持,包括面对面评估、电话和视频会议。转诊人数从运营的第一年起增加了22%,同时QuickStart的平均病例量增加了38%。患者平均接受了12次服务,总服务提供时间为452分钟。所有QuickStart患者都被转诊至昆士兰脊髓损伤服务部内的其他专门的SCI社区服务机构。

结论

QuickStart是一种有前景的护理模式,它改善了新发生SCI患者获得专科SCI专业知识的机会,特别是那些可能无法立即获得专门康复服务的患者。

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