Application of the Andersen%26apos;s health care utilization framework to secondary complications of spinal cord injury: a scoping review

作者：Guilcher Sara J T; Craven B Cathy; McColl Mary Ann; Lemieux Charles Louise; Casciaro Tiziana; Jaglal Susan B^*

来源：Disability and Rehabilitation, 2012, 34(7): 531-541.

DOI：10.3109/09638288.2011.608150

• Andersen model
• environmental characteristics
• health care use
• secondary complications
• spinal cord injury

Purpose: The purpose of this scoping review was to identify research priority areas related to secondary complications and associated health care use for individuals with spinal cord injury (SCI). Method: Data Sources: Peer-reviewed journals were identified using CINAHL, MEDLINE, PubMed, Embase, Social Sciences Abstracts, Social Works Abstract and PsycInfo search engines. Key references were hand searched. Study Selection: A total of 289 abstracts were identified from the initial search strategy. We removed studies that did not measure health care and those that did not involve analytical investigation. Data Extraction: The selected 31 studies were reviewed in detail using a coding template based on the domains and sub-components of the Andersen model (i.e. environmental, population characteristics, health behavior and outcome). Results: Most studies measured predisposing characteristics (e. g. age, gender) and need characteristics (e. g. level of injury). There was a notable absence of environmental characteristics (e. g. health system, neighborhood variables), enabling characteristics and health behaviors (beyond diet and nutrition). Conclusions: We identified a gap in the SCI literature. Future research should focus on longitudinal study designs with more representation of non-traumatic spinal cord injury, as well as utilizing more advanced statistical analyses (i.e. multivariate level) to adjust for confounding variables.

• 出版日期2012