STUDY DESIGN Qualitative study using semi-structured interviews. OBJECTIVES To describe and compare models of service delivery intended to support community integration in the immediate period following inpatient rehabilitation for SCI, and describe the characteristics of these models or approaches. SETTING Spinal services from multiple international countries METHODS: Semi-structured interviews were completed with 12 participants from a convenience sample of ten spinal services from developed economies. Interviews were audio-recorded, transcribed verbatim and thematically analysed. RESULTS Three themes were identified, and are described with supporting quotations. These are: Theme One-Models of service delivery (sub-themes: staffing, peer mentors, facilitating community integration during inpatient rehabilitation; Theme Two-Services provided (sub-themes: telehealth, vocational services, groups); Theme Three-Facilitating self-efficacy and self-management. CONCLUSIONS A variety of models aimed at supporting community integration in the immediate period following inpatient rehabilitation for SCI were found. Multi-disciplinary staffing and involvement of peer mentors was common to all services. The importance of vocational rehabilitation was acknowledged by all participants, although the approaches taken to this varied. Telehealth has the potential to assist in self-management, particularly for patients who live a long distance from the spinal unit or are confined to the home for health reasons, and could be further developed. Although service models are greatly influenced by the funding context, the findings from this study can be used to inform service planning in this area.

中文翻译：

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对旨在支持在脊髓损伤住院康复后不久的社区整合中提供服务的模型的比较研究。

研究设计使用半结构化访谈进行定性研究。目的描述和比较旨在为SCI住院康复后的近期内支持社区融合提供服务的模型，并描述这些模型或方法的特征。设置来自多个国际国家的脊柱服务方法：半结构化访谈由来自发达经济体的十种脊柱服务的便利样本中的12名参与者完成。对访谈进行录音，逐字记录并进行专题分析。结果确定了三个主题，并用引用语进行了描述。它们是：服务提供的主题一模型（子主题：人员配备，同伴指导，在住院病人康复期间促进社区融合；提供的主题二服务（子主题：远程医疗，职业服务，团体）；主题三：促进自我效能感和自我管理。结论发现了多种模式，旨在在SCI住院康复后的近期内支持社区融合。在所有服务中，多学科的人员配备和同伴导师的参与是共同的。所有参与者都承认职业康复的重要性，尽管为此采取的方法各不相同。远程医疗具有协助自我管理的潜力，特别是对于那些与脊柱单元相距较远或出于健康原因而被限制在家中的患者，这种远程医疗可能会得到进一步发展。尽管服务模式受资金环境的影响很大，