Evidence map›Paper›PMID 36972217›Full record

ArticleThe journal of spinal cord medicine2024

Does stronger primary care improve access to health services for persons with spinal cord injury? Evidence from eleven European countries.

Olena Bychkovska, Piotr Tederko, Vegard Strøm, Alvydas Juocevicius, Armin Gemperli

Open access · hybridAbstract read
In one paragraph

Article in The journal of spinal cord medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.0field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 4 countries.

Olena BychkovskaSwiss Paraplegic Research, Guido A. Zäch Institute, Nottwil, Switzerland.ORCID 0000-0002-1543-312X
Piotr TederkoDepartment of Rehabilitation, Medical University of Warsaw, Warsaw, Poland.ORCID 0000-0002-2008-0357
Vegard StrømDepartment of Research, Sunnaas Rehabilitation Hospital, Nesoddtangen, Norway.ORCID 0000-0002-1990-0071
Alvydas JuoceviciusFaculty of Health Sciences, Klaipeda University, Klaipeda, Lithuania.
Armin GemperliSwiss Paraplegic Research, Guido A. Zäch Institute, Nottwil, Switzerland.ORCID 0000-0002-2363-0625
University of Lucerne · CHKlaipėda University · LTMedical University of Warsaw · PLSunnaas sykehus · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the association between the strength of primary care and perceived access to follow-up care services among persons with chronic spinal cord injury (SCI).

designData analysis of the International Spinal Cord Injury (InSCI) cross-sectional, community-based questionnaire survey conducted in 2017-2019. The association between the strength of primary care (Kringos

settingCommunity in eleven European countries: France, Germany, Greece, Italy, Lithuania, the Netherlands, Norway, Poland, Romania, Spain and Switzerland.

participants6658 adults with chronic SCI.

interventionNone. OUTCOME MEASURES: Share of persons with SCI that reported unmet healthcare needs as a measure of access.

resultsTwelve percent of the participants reported unmet healthcare needs: the highest in Poland (25%) and lowest in Switzerland and Spain (7%). The most prevalent access restriction was service unavailability (7%). Stronger primary care was associated with lower odds of reporting unmet healthcare needs, service unavailability, unaffordability and unacceptability. Females, persons of younger age and lower health status, had higher odds of reporting unmet needs.

conclusionsIn all investigated countries, persons with chronic SCI face access barriers, especially with service availability. Stronger primary care for the general population was also associated with better health service access for persons with SCI, which argues for further primary care strengthening.

Indexed as

Health Services AccessibilityPrimary Health CareSpinal Cord InjuriesAdultAgedCross-Sectional StudiesEuropeFemaleHumansMaleMiddle AgedSurveys and Questionnaires01.06 (Observational studies)10.150 (Chronic SCI)200.160 (Quantitative methods)210 (Systems of care)Health services accessibilityPrimary healthcareSpinal cord injuries

Identifiers

PMID36972217
PMCPMC11378665
OpenAlexW4361017430

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.