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T - New Perspectives From E-Scan

New Perspectives From E-Scan C Craven, MD; M Verrier, MHSc PT; and the E-Scan Investigative Team FIGURE 1.0 Total Traumatic and Non-traumatic in-patient SCI admisions by site Data provided by the National Rehabilitation Reporting System (NRS) at the Canadian Institute for Health Information (CIHI). Data pertains to inpatient rehabilitation in fiscal year 2010 Total TSCI + NTSCI Admissions 0 1 - 10 11 - 20 21 - 30 31 - 40 41 - 50 > 50 E-Scan Data Site 0 125 250 500 km The primary objective of this scoping review is to describe current SCI rehabilitation services, for individuals with subacute and chronic SCI, admitted to tertiary SCI rehabilitation sites, in Canada. Secondary objectives are to identify national trends, gaps (regional and/or process disparity) and priorities in SCI rehabilitation service delivery; and to use these findings to inform future enhancements in that delivery. The following section contains emerging themes, and key national messages, derived from the scoping review process. SCI Challenges the Single Disease Framework for Healthcare Delivery The sequelae of SCI are catastrophic for individuals and their families. Individuals with SCI develop complex health states, including chronic multi morbidity, secondary health conditions and disruption of wellbeing. SCI challenges the Canadian healthcare system at all levels - locally, provincially and nationally - to discover new evidence, ensure an informed, integrated continuum of care; and to develop and enact health policies that recognize state-of-the-art rehabilitation practices to improve health, wellbeing and prosperity. The comprehensive nature of approaches required is daunting. The E-Scan has examined the complexities of SCI rehabilitation, provides a description of the state of rehabilitation practice, and maps the actions required to transform practice. NEW PERSPECTIVES FROM E-SCAN 199


T - New Perspectives From E-Scan
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