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How Can Policymakers Be Encouraged to Support People With Spinal Cord Injury—Scoping Review Publisher



Arejan RH1, 2 ; Azadmanjir Z1, 3 ; Ghodsi Z1 ; Dehghan HR4 ; Sharifalhoseini M1 ; Tabary M5 ; Khaleghinekou M1 ; Naghdi K1 ; Vaccaro AR6 ; Zafarghandi MR1 ; Rahimimovaghar V1, 7, 8, 9, 10, 11
Authors
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Authors Affiliations
  1. 1. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Rehabilitation Office, State Welfare Organization of Iran, Tehran, Iran
  3. 3. Health Information Management Department, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Research Center for Health Technology Assessment and Medical Informatics, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
  5. 5. Experimental Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Department of Orthopedics and Neurosurgery, Rothman Institute, Thomas Jefferson University, Philadelphia, PA, United States
  7. 7. Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  9. 9. Universal Scientific Education and Research Network (USERN), Tehran, Iran
  10. 10. Institute of Biochemistry and Biophysics, University of Tehran, Tehran, Iran
  11. 11. Spine Program, University of Toronto, Toronto, Canada

Source: Global Spine Journal Published:2022


Abstract

Study Design: Scoping review. Objective: Regarding that inappropriate medical care approaches, absence of rehabilitation services, and existing barriers in physical, social, and policy environments lead to poor outcomes in individuals with spinal cord injury (SCI) and provision for appropriate interventions and care must be created by health policymakers, we conducted this scoping review to investigate how policymakers can be persuaded to set new plans for individuals with SCI. Methods: This review was performed according to Arksey and O’Malley’s framework. PubMed was searched in February2019 without language limitation. We looked for other potential gray literature sources and some professional websites. References sections of selected articles were also scanned for other relevant literature. Results: We included literature that met inclusion criteria to answer our research question. The literature was divided into 3 categories. The first category included economic impact of SCI. The second category included the role of research and developing research strategy. The third category included effective interaction and communication with policymakers. Conclusion: It is essential to consider multiple factors for influencing policymakers’ decisions. These factors include knowing how to communicate with policymakers and presenting constructive ideas, providing a source of valid, reliable, and consistent data, considering the role of patients’ advocacy groups and Non-Governmental Organizations (NGOs), and presentation of the importance of early intervention in reducing healthcare system costs. Ultimately, the goal is to have a comprehensive and flexible plan for influencing policymakers. © The Author(s) 2021.
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2. Direct Cost of Illness for Spinal Cord Injury: A Systematic Review, Global Spine Journal (2022)
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