Zainudin, Muhamad F. and Hashim, Natiara M. and Zohdi, Wan N. W. M. and Hasnan, Nazirah and Engkasan, Julia P. (2025) A path analysis of the healthcare utilization and services satisfaction among community-dwelling individuals with spinal cord injury in Malaysia. Journal of Rehabilitation Medicine, 57. jrm40621. ISSN 1650-1977, DOI https://doi.org/10.2340/jrm.v57.40621.
Full text not available from this repository.Abstract
Purpose: To explore healthcare utilization patterns and healthcare services satisfaction among individuals with spinal cord injury in Malaysia. Methods: This cross-sectional study utilized the International Spinal Cord Injury (InSCI) Community Survey and involved 8 hospitals and 1 spinal cord injury organization. A total of 285 participants met the inclusion criteria. Subsequently, 6/11 sections of the InSCI questionnaire were analysed through a path analysis. Results: The 3 most utilized healthcare providers reported were physical and rehabilitation medicine specialists (76.5%), physiotherapists (36.8%), and primary care physicians (27.4%). The top 3 most severe health problems reported were sexual dysfunction, muscle spasm and spasticity, and contractures. Healthcare services satisfaction was high. Health problems predicted healthcare utilization (beta= 0.443), while activity limitation and participation restriction predicted healthcare services satisfaction (beta = -0.202). The activity limitation and participation restriction in male participants was moderated by the spinal cord injury severity (B = 2.330, p < 0.001) and health problems (B = 0.550, p < 0.001). Conclusions: Individuals with spinal cord injury in Malaysia rely heavily on physical and rehabilitation medicine specialists, highlighting accessibility challenges due to the centralized specialized rehabilitation services. Sexual dysfunction remains a significant yet under-addressed health concern. Despite these issues, satisfaction with healthcare services is high.
| Item Type: | Article |
|---|---|
| Funders: | UNSPECIFIED |
| Uncontrolled Keywords: | spinal cord injury; rehabilitation; healthcare; health services; patient satisfaction |
| Subjects: | G Geography. Anthropology. Recreation > GV Recreation Leisure R Medicine > R Medicine (General) |
| Divisions: | Faculty of Medicine > Rehabilitation Medicine Department |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 26 May 2025 01:42 |
| Last Modified: | 26 May 2025 01:42 |
| URI: | http://eprints.um.edu.my/id/eprint/48048 |
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