Exploring Post-acute Care Challenges and Opportunities in Spinal Cord Injuries : Perspectives from 3 Distinct Countries: Canada, the United States, and Mexico - 19/11/24

Doi : 10.1016/j.pmr.2024.08.003

Niña Carmela R. Tamayo, DO, MS, MPH ^a,^⁎ , Jimena Quinzaños-Fresnedo, MD, PhD ^b, Adalberto Loyola-Sanchez, MD, MSc, PhD ^c, Mariana Velasquez-Cano, MD ^a, Monica A. Aceves, MD ^d, Emory L. Reyes, DO ^e, Benjamin A. Abramoff, MD, MS ^f
^a Physical Medine and Rehabilitation, Prime Directives PM&R, LLC/ Cleveland Clinic Edwin Shaw Rehabilitation Hospital, 4389 Medina Road, Copley, OH 44321, USA
^b Division of Neurological Rehabilitation, National Rehabilitation Institute, Av. México-Xochimilco 289, Arenal de Guadalupe, Mexico City 14389, Mexico
^c Division of Physical Medicine and Rehabilitation, Department of Medicine, University of Alberta, GRH 10230 111 Avenue, Edmonton, Alberta T5G0B7, Canada
^d Florence Medical Center, Av Gral Ferreira 2224, Col. Madero (Cacho), Tijuana, Baja California 22040, Mexico
^e Department of Physical Medicine and Rehabilitation, University of Arkansas for Medical Sciences, 4301 West Markham Street #602, Little Rock, AR 72205, USA
^f Department of Physical Medicine and Rehabilitation, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19146, USA

^∗Corresponding author.

Résumé

This article describes the differences and similarities in post-acute care for patients with spinal cord injuries in Canada, the United States, and Mexico. It provides a comprehensive description of the current state of spinal cord injury post-acute care in each country, including the prevalent practices, rehabilitation continuum of care, as well as challenges and opportunities related to clinical services, psychosocial factors, economic considerations, and cultural influences.

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Keywords : Spinal cord injury, Post-acute care, Health care services, Models of care, Delivery of care, International spinal cord injury care