Spinal cord injury (SCI) is a chronic condition that results in high healthcare utilization and lifetime cost across the care continuum. In the absence of a standardized model of care delivery for SCI in western countries such as Canada, a scoping review of the literature was performed to identify and summarize existing international SCI models of care delivery. Four databases were searched using key words and subject headings for concepts such as: “spinal cord injury,” “delivery of healthcare,” “model of care,” “patient care planning,” and “care pathway.” Title, abstract, and full text review were competed by two independent reviewers. A combined total of 46 peer-reviewed and gray literature articles were included. No single SCI model of care has been adopted across different countries internationally. However, optimal attributes of models of care were identified, including the importance of having multidisciplinary SCI specialty care providers along the continuum, provision of rural SCI services and outreach, integration of primary care, peer mentoring, and using a hub and spokes model of care. These findings inform the future development of an SCI model of care, which ideally would serve all geographical locations and span the continuum of care, improving the health status and quality of life of persons with SCI.

中文翻译：

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脊髓损伤从康复到社区的护理模式：范围审查

脊髓损伤 (SCI) 是一种慢性疾病，导致整个护理过程中的医疗保健利用率和终生成本很高。在加拿大等西方国家缺乏针对 SCI 的标准化护理模式的情况下，对文献进行了范围界定，以识别和总结现有的国际 SCI 护理模式。使用关键词和主题词搜索了四个数据库的概念，例如：“脊髓损伤”、“医疗保健的提供”、“护理模式”、“患者护理计划”和“护理途径”。标题、摘要和全文评审由两名独立评审员进行竞争。共纳入 46 篇同行评议和灰色文献。国际上不同国家都没有采用单一的 SCI 护理模式。然而，确定了护理模式的最佳属性，包括在连续体中拥有多学科 SCI 专业护理提供者的重要性，提供农村 SCI 服务和外展，整合初级保健，同伴指导，以及使用中心和辐条式护理模式。这些发现为 SCI 护理模式的未来发展提供了信息，理想情况下，该模式将服务于所有地理位置并跨越护理的连续性，改善 SCI 患者的健康状况和生活质量。