Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 10 , Pages 1941-1947 , October 2008

Issues and Challenges for Development of a Sustainable Service Model for People With Spinal Cord Injury Living in Rural Regions

Presented in part to the Australian and New Zealand Spinal Cord Society Conference, November 1–3, 2007, Sydney, Australia.

  • James W. Middleton, MBBS, PhD

      Affiliations

    • Rehabilitation Studies Unit, Faculty of Medicine, University of Sydney, Sydney, Australia
    • New South Wales Spinal Outreach Service, Sydney, Australia
    • New South Wales State Spinal Cord Injury Service, Sydney, Australia
    • Corresponding Author InformationCorrespondence to James W. Middleton, MBBS, PhD, Rehabilitation Studies Unit, Faculty of Medicine, University of Sydney, PO Box 6, Ryde NSW 1680, Australia
  • ,
  • Melissa McCormick, RN, BaHSc, MPH

      Affiliations

    • New South Wales Spinal Outreach Service, Sydney, Australia
  • ,
  • Stella Engel, MBBS

      Affiliations

    • Spinal and Rehabilitation Medicine Department, Prince of Wales Hospital, Sydney, Australia
  • ,
  • Susan B. Rutkowski, MBBS, MHA

      Affiliations

    • Spinal Cord Injury Outpatient Services and Research, Royal North Shore Hospital, Sydney, Australia
  • ,
  • Ian D. Cameron, MBBS, PhD

      Affiliations

    • Rehabilitation Studies Unit, Faculty of Medicine, University of Sydney, Sydney, Australia
  • ,
  • Peter Harradine, MBBS

      Affiliations

    • Rehabilitation Unit, Tamworth Base Hospital, Tamworth, NSW, Australia
  • ,
  • Jennifer L. Johnson, BAppSci, MHA

      Affiliations

    • New South Wales Spinal Outreach Service, Sydney, Australia
    • New South Wales State Spinal Cord Injury Service, Sydney, Australia
  • ,
  • David Andrews, RN, GradCertHSM

      Affiliations

    • New South Wales State Spinal Cord Injury Service, Sydney, Australia

  • Image Result

    Distribution of rural participants with SCI for different geographic zones based on population size.

    Distribution of rural participants with SCI for different geographic zones based on population size.

  • Image Result

    Results of education for: (A) health professionals (medical practitioners, nurses, allied health practitioners), ambulance officers, and other community workers; and (B) people with SCI, family, and c

    Results of education for: (A) health professionals (medical practitioners, nurses, allied health practitioners), ambulance officers, and other community workers; and (B) people with SCI, family, and caregivers.

  • Image Result
    Frequency of goal categories.

    Frequency of goal categories.

 Supported by the Motor Accidents Authority of New South Wales, the Commonwealth Government through the Medical Specialist Outreach Assistance Program (travel support), the Paraplegic and Quadriplegic Association of New South Wales (travel and accommodation costs), the Australian Quadriplegic Association (now Spinal Cord Injuries Australia), and the New South Wales Spinal Outreach Service.

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

 Reprints are not available from the author.

PII: S0003-9993(08)00500-5

doi: 10.1016/j.apmr.2008.04.011

Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 10 , Pages 1941-1947 , October 2008