ArticleSpinal cord2022
Ethical issues and dilemmas in spinal cord injury rehabilitation in the developing world: a mixed-method study.
Article in Spinal cord, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 10 citations in OpenAlex.
- Reframing spinal cord injury rehabilitation in fragile contexts: a multi-level systems framework for Lebanon.Global health action · 2026Article
- A qualitative study uncovering rehabilitation challenges: Perspectives of individuals with spinal cord injury.The journal of spinal cord medicine · 2026Article
- The Power of Professional Clinical Ethicists in Low- and Middle-Income Countries: An Ethiopian Perspective.The American journal of bioethics : AJOB · 2025Article
- Analyzing the composition of the editorial boards in high-impact medical ethics journals: a survey study.BMC medical ethics · 2024Article
- Challenges in traumatic spinal cord injury care in developing countries - a scoping review.Frontiers in public health · 2024Article
- Strengths, gaps, and future directions on the landscape of ethics-related research for spinal cord injury.Spinal cord · 2023Review
- "Leadership in Rehabilitation Teamwork: Challenges for Developing Countries".Frontiers in rehabilitation sciences · 2022Review
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designMixed-method study (small group discussions and online literature search).
objectivesIdentify the ethical issues and dilemmas faced by rehabilitation professionals involved in the service delivery to the persons with spinal cord injury (SCI) in the low income and lower-middle-income countries (LIC/LMIC) located in Asia.
settingSmall group discussions in three biomedical conferences in Dhaka, Bangladesh and Kualalampur, Malaysia.
methodsThree small group discussions (30-45 min each) were held during three international conferences in 2019. The conferences brought together experts in the fields of neurology, rehabilitation, neurorehabilitation, and bioethics. A summary of SCI practice points and dilemmas were documented including goals of care, duties of rehabilitation professionals, health care worker-patient relationships, roles, and expectations of family members at different care settings.
resultsThere is a paucity of literature on this topic. The application of the principles of contemporary bioethics in the pluralistic societies of LIC/LMIC can be challenging. The ethical dilemmas faced by rehabilitation professionals working in LIC/LMIC are diverse and different from those reported from the Western and developed countries. Ethical issues and dilemmas identified were understanding patient autonomy in decision making, lack of insurance for SCI rehabilitation, financial challenges, challenges of providing emerging technology in SCI rehabilitation and SCI rehabilitation during disasters.
conclusionsWe have summarized the possible ethical issues and dilemmas which rehabilitation professionals in LIC/LMIC may encounter during delivery of SCI rehabilitation services. We hope it generates a discussion on an often-neglected aspect of SCI care in the LIC/LMIC and helps identify the complexities of ethical dilemmas unique to persons with SCI living in a developing country.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.