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Improving Quality of Care in Traumatic Spinal Column/Spinal Cord Injuries (Tsc/Sci) in Iran: A Policy Brief Publisher Pubmed



Sadeghinaini M1 ; Kankam SB2, 3 ; Zeinaddinimeymand A3 ; Ghodsi Z3, 4 ; Baigi V3, 5 ; Jazayeri SB3 ; Azadmanjir Z3, 6 ; Rahimimovaghar V3, 4, 7, 8, 9
Authors
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Authors Affiliations
  1. 1. Department of Neurosurgery, Lorestan University of Medical Sciences, Lorestan, Iran
  2. 2. International Neurosurgery Group (ING), Universal Scientific Education and Research Network (USERN), Tehran, Iran
  3. 3. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Universal Scientific Education and Research Network (USERN), Tehran, Iran
  9. 9. Institute of Biochemistry and Biophysics, University of Tehran, Tehran, Iran

Source: Spinal Cord Series and Cases Published:2024


Abstract

Study design: Descriptive study. Objectives: The National Spinal Cord/Column Injury Registry of Iran (NSCIR-IR) is a registry system to survey Traumatic Spinal Column/Spinal Cord Injuries (TSC/SCIs) patients and obtain the required data for quality-of-care assessment. Setting: Iran. Methods: In 2022, the pre-hospital, in-hospital, and post-hospital Quality of Care (QoC) of registered patients with TSC/SCIs in 8 referral hospitals in Iran were studied. Results: Based on the study reports, TSCI/SCIs and their complication management were highly influenced by the health system’s performance. In particular, the health system structure and medical process were identified to affect patient outcomes. According to the QoC study reports, several recommendations, including goal setting by emergency medical service providers to transport patients with possible spinal injury to first care facilities in <1 h and to an equipped care facility in <8 h, the dedication of operating room available 24/7 for patients with TSC/SCIs in referral centers, the distinction between early vs late surgery in patients with TSC/SCIs by healthcare insurance to increase the propensity for early surgery, operating a specialized SCI care unit with trained physicians and personnel in the management of acute complications following SCI and early rehabilitation in referral hospitals were specified. Conclusion: This article provides a policy brief of this report. The role of the health system and medical process, as well as addressing TSC/SCIs health concerns by policymakers and stakeholders in the Ministry of Health and the parliament, to improve the QoC for patients with TSC/SCIs are discussed. © The Author(s), under exclusive licence to International Spinal Cord Society 2024.
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