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B - What Does the E-Scan Tell Us

Figure 4.0 BOXPLOT OF THE Mean and Range of Budgets Reported for SCI Rehabilitation Sites (n = 13). 2009-2010 Canadian Dollars (millions) 12.5 10 7.5 5 2.5 0 Who Provides Rehabilitation Services? In 13 sites, the number of providers, for inpatient and outpatient rehabilitation, and the number of sites providing services, on a consulting basis (within or outside the rehabilitation site or hospital corporation), are reported in full-time equivalents (FTEs) in Table 7.0. Given the diversity of bed capacity, and different admission rates, in each site, it is inappropriate to look at staffing ratios without carefully considering each site’s capacity, in more detail. The E-Scan data provides a picture that shows healthcare human resources, working with the SCI population (457.4 for inpatients and 74.2 for outpatients), form a relatively small “community of practice”, compared with other types of health conditions. It should be possible to capture this well-defined, specialized group of health professionals, for continuing professional development and best practice implementation, to enhance future rehabilitation for individuals with SCI. Rehabilitation services, are predominantly provided by nurses (Figure 5.0), by occupational therapists (for activities of daily living (ADLs, etc.), and by physical therapists (for mobility, etc.). Chapters on Informed Self-Management, Walking, Wheeled Mobility and Reaching, Grasping and Manipulation, as well as others, describe the services provided by these professionals. Relatively few psychologists and psychiatrists provide psychosocial counselling services to this population. They are, for the most part, provided by social workers (Figure 6.0). In a modern healthcare system, the small number of FTEs, dedicated to help individuals to adjust to such catastrophic injuries, is somewhat surprising. Table 7.0 Total Health Profesionals (FTEs) for E-Scan SCI Rehabilitation Sites (n = 13). HEALTH Provider Have Service Inpatient (Total FTE) Family Practitioner Physician 11/13 9/13 (8.46) 2/13 (0.45) Within 2/13 Occupational Therapist 13/13 13/13 (44.28) 11/13 (18.14) Within 2/13 Physiatrist 13/13 12/13 (10.06) 10/13 (7.49) Within 1/13 Physical Therapist 13/13 13/13 (46.16) 12/13 (22.34) Within 2/13 Rehabilitation Therapist 4/13 2/13 (1.7) 2/13 (0.8) Within 2/13 Speech- Language Pathologist 13/13 7/13 (2.27) 3/13 (0.76) Within 8/13 Social Worker 13/13 13/13 (21.62) 9/13 (4.88) Within 1/13 Therapeutic Recreation Specialist 12/13 11/13 (9.11) 6/13 (1.91) Within 2/13 Internist 9/13 - - Within 6/13 Neurologist 11/13 - - Within 7/13 Nurse (RN) 13/13 13/13 (195.13) 9/13 (13.36) Within 2/13 Nurse (RNA/RPN) 11/13 11/13 (107.28) - Within 1/13 Psychologist 13/13 11/13 (11.13) 6/13 (4.3) Within 4/13 Psychiatrist 13/13 - - Within 9/13 Urologist 13/13 1/13 (0.2) 2/13 (0.3) Within 8/13 Total FTE 457.4 74.7 Figure 5.0 Total FTE of Nurses for Inpatients and Outpatients acros Sites (n = 13). Outpatient (Total FTE) Consults (within or external) External 1/13 External 1/13 External 1/13 External 3/13 External 5/13 External 3/13 External 4/13 0 50 100 150 200 250 Nurse (RN) Nurse (RNA/RPN) Full-time Equivalent Outpatients Inpatients 42 CAPTURING CAPACITY IN CANADIAN SCI REHABILITATION


B - What Does the E-Scan Tell Us
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