The Perceived Role of Healthcare Providers and Systems in the Development of Secondary Health Conditions among Adults with Spinal Cord Injury

Michelle A. Meade, Karla Reed, Melinda Jarnecke, Kristian Manley and James S. Krause
Additional contact information
Michelle A. Meade: Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI 48109, USA
Karla Reed: College of Health Professions, Medical University of South Carolina, Charleston, SC 29425, USA
Melinda Jarnecke: College of Health Professions, Medical University of South Carolina, Charleston, SC 29425, USA
Kristian Manley: College of Health Professions, Medical University of South Carolina, Charleston, SC 29425, USA
James S. Krause: College of Health Professions, Medical University of South Carolina, Charleston, SC 29425, USA

Disabilities, 2022, vol. 2, issue 2, 1-13

Abstract: Individuals with spinal cord injury (SCI), with high healthcare utilization rates and costs, require special attention and tailored care protocols to meet their healthcare needs. This qualitative study collected narrative information from adults with SCI and their family members and/or caregivers to examine the perceived role of healthcare providers and systems in the development and treatment of secondary health conditions (SHCs). After personal information was collected, individuals participated in focus groups which were recorded and transcribed; transcripts were then reviewed, cleaned, and uploaded to NVivo10 software to facilitate the analysis. An initial stage of coding was conducted which identified potential categories and themes; afterwards, the perceived role of healthcare providers in the development and management of secondary health conditions (SHC) was prioritized and transcripts were re-coded. Two overlapping themes emerged: (1) Iatrogenic and nosocomial factors; and (2) Relationships with healthcare providers. Iatrogenic and nosocomial factors had three subthemes: (1) Misdiagnosis; (2) Perceived mistreatment or mistakes made during treatment; and (3) Unintended consequences of medical treatment; while three subthemes were identified for Relationships with healthcare providers: (1) Respect; (2) Knowledge and experience; and (3) Patient Expertise. To improve safety, reduce healthcare costs, and facilitate more favorable perceived outcomes for individuals with SCI, healthcare providers, organizations and systems need to implement principles of high reliability organizations to improve outcomes through the treatment and prevention of SHC.

Keywords: spinal cord injury; secondary health conditions; high reliability; quality of care; veterans (search for similar items in EconPapers)
JEL-codes: I (search for similar items in EconPapers)
Date: 2022
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/2673-7272/2/2/20/pdf (application/pdf)
https://www.mdpi.com/2673-7272/2/2/20/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jdisab:v:2:y:2022:i:2:p:20-292:d:821810

Access Statistics for this article

Disabilities is currently edited by Ms. Cici Zhou

More articles in Disabilities from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().