Evidence map›Paper›PMID 38806626›Full record

ArticleSpinal cord2024

Unmet healthcare needs, access to services and experiences with health providers among persons with spinal cord injury in Australia.

Samantha J Borg, David N Borg, Mohit Arora, James W Middleton, Ruth Marshall, Andrew Nunn, Timothy Geraghty

Abstract read
In one paragraph

Article in Spinal cord, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. 'From Superman to Barely Can:' The Experience of Ageing for Australians With Spinal Cord Injury Sustained Below the Age of 65-A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2026
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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

7 authors.

Samantha J BorgThe Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Brisbane, QLD, Australia. s.borg@griffith.edu.au.ORCID 0000-0003-1376-5320
David N BorgThe Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Brisbane, QLD, Australia.ORCID 0000-0002-0152-571X
Mohit AroraJohn Walsh Centre for Rehabilitation Research, Northern Sydney Local Health District, St Leonards, NSW, Australia.ORCID 0000-0003-1024-3682
James W MiddletonJohn Walsh Centre for Rehabilitation Research, Northern Sydney Local Health District, St Leonards, NSW, Australia.ORCID 0000-0002-2777-8619
Ruth MarshallSouth Australian Spinal Cord Injury Service, Central Adelaide Local Health Network, Adelaide, SA, Australia.
Andrew NunnVictorian Spinal Cord Service, Austin Health, Heidelberg, VIC, Australia.
Timothy GeraghtyThe Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Brisbane, QLD, Australia.ORCID 0000-0002-8571-8315

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designCross-sectional survey.

objectivesAppropriate and timely lifelong access to healthcare following a spinal cord injury (SCI) is critical, yet unmet healthcare needs in this population are common. Poor experiences with healthcare providers can be a barrier to health-seeking behaviour, and we hypothesised that there would be an association between unmet healthcare needs and care experiences. This study aimed to: (1) describe healthcare provider utilisation in the past year, unmet care needs and satisfaction with healthcare services; (2) explore the association between experiences with healthcare providers and unmet healthcare needs; and (3) explore the association between healthcare provider utilisation and participant characteristics, including unmet healthcare needs.

settingCommunity.

methodsAnalysis of data for 1579 Australians aged ≥ 18, who were ≥ 1-year post-SCI and living in the community. Bayesian penalised regression was used to model six binary outcomes: unmet healthcare needs; the use of general practitioners (GPs), allied health practitioners, rehabilitation specialists; medical specialists; and hospitalisations in the past 12-months.

resultsUnmet needs were reported by 17% of participants, with service cost the common deterrent. There was evidence of an effect for provider experiences on unmet healthcare needs, but no evidence that unmet healthcare needs was associated with the use of GPs, allied health practitioners, and rehabilitation or medical specialists.

conclusionsUnmet healthcare needs were reported in the context of high healthcare use and large proportions of secondary conditions in a cohort with long-term SCI. Improved health access for people with SCI include better primary-secondary care collaboration is needed.

Indexed as

Health Services AccessibilityHealth Services Needs and DemandSpinal Cord InjuriesAdolescentAdultAgedAustraliaCross-Sectional StudiesFemaleHealth PersonnelHumansMaleMiddle AgedPatient Acceptance of Health CarePatient SatisfactionYoung Adult

Identifiers

PMID38806626
PMCPMC11230905

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.