A geospatial examination of specialist care accessibility and impact on health outcomes for patients with acute traumatic spinal cord injury in New South Wales, Australia: a population record linkage study.
Lisa Nicole SharwoodDavid WhyattBharat P VaikuntamChristiana L ChengVanessa K NoonanAnthony P JosephJonathon BallRalph E StanfordMei-Ruu KokSamuel R WithersJames W MiddletonPublished in: BMC health services research (2021)
Getting patients with acute TSCI patients to the right place at the right time is dependent on numerous factors; some are still being triaged directly to non-trauma services which delays specialist and surgical care and increases complication risks. The higher rates of complication following delayed transfer to a SCIU should motivate health service policy makers to investigate reasons for this practice and consent to improvement strategies. More stringent adherence to recommended guidelines would prioritise direct SCIU transfer for patients injured within 60 min radius, enabling the benefits of specialised care.
Keyphrases
- healthcare
- palliative care
- spinal cord injury
- end stage renal disease
- ejection fraction
- chronic kidney disease
- quality improvement
- primary care
- prognostic factors
- public health
- mental health
- spinal cord
- pain management
- gene expression
- metabolic syndrome
- genome wide
- human health
- dna methylation
- clinical practice
- insulin resistance
- hiv infected
- weight loss
- high density