Preventive Care in Spinal Cord Injuries and Disorders: Examples of Research and Implementation - 15/08/11

Doi : 10.1016/j.pmr.2007.03.002

Frances M. Weaver, PhD ^a,^b,^c,^⁎ , Sherri L. LaVela, MPH, MBA ^a,^b,^d,^e,^⁎
^a Center for Management of Complex Chronic Care (CMC3), Health Services Research (151H), VA Hospital, Hines, IL 60141, USA
^b SCI Quality Enhancement Research Initiative, Department of Veterans Affairs (DVA), Health Services Research (151H), VA Hospital, Hines, IL 60141, USA
^c Neurology Department, Northwestern University, Feinberg School of Medicine, 303 E. Chicago Avenue, Chicago, IL 60611, USA
^d US National Institutes of Health, National Institute on Aging, 1747 West Roosevelt Road, Chicago, IL 60608, USA
^e Center for Research on Health and Aging, Institute for Health Research and Policy, 1747 West Roosevelt Road, Chicago, IL 60608, USA

Corresponding authors. Department of Veterans Affairs, Hines VA Hospital, HSR&D P.O. Box 5000 (151H), Midwest Center for Health Services & Policy Research, 5th Avenue and Roosevelt Road, Hines, IL 60141-5000.

Abstract

Individuals with disabilities are less likely to receive preventive care services than those in the general population. Prevention is very important in persons with spinal cord injuries and disorders for both common conditions such as respiratory infections and for conditions common in spinal cord disorders such as neurogenic bowel, because these individuals are at increased risk for negative outcomes. Clinical practice guidelines provide evidence-based recommendations for patient care. However, dissemination of guidelines is not sufficient to increase use of recommended care. Implementation research has identified strategies to increase use of evidence-based care and subsequently improve patient outcomes.

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