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Perceptions of Person-Centered Care Following Spinal Cord Injury
Heinemann, A. W., LaVela, S. L., Etingen, B., Miskovic, A., Locatelli, S. M., Neumann, H., & Chen, D. (2016). Perceptions of Person-Centered Care Following Spinal Cord Injury. Archives of Physical Medicine and Rehabilitation, Advance Online Publication(8), 1338-1344. https://doi.org/10.1016/j.apmr.2016.03.016
OBJECTIVES: To (1) evaluate perceptions of person-centered care (PCC) in individuals with traumatic spinal cord injury (SCI); and (2) examine perceived differences in PCC concepts between patients continuing to receive any services from a Spinal Cord Injury Model Systems (SCIMS) facility and those who are not. DESIGN: We used a cross-sectional design, mailed a paper survey, and followed up with a second mailing to nonrespondents after 4 weeks. SETTING: Community. PARTICIPANTS: Individuals (N=326) who received initial rehabilitation at an SCIMS facility and agreed to participate in this research study. We distinguished respondents who received any SCIMS outpatient services in the past 2 years (SCIMS users, n=137) or longer ago (SCIMS nonusers, n=189). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Participants completed the Patient Activation Measure (PAM), the Patient Assessment of Chronic Illness Care, the Global Practice Experience measure, and 5 Press-Ganey questions that assessed key elements of patient- and family-centered care. RESULTS: Patient perspectives of chronic illness care were more positive in the SCIMS users than nonusers (3.15 vs 2.91, P