| Domain – issues |
Solutions |
| 1. Knowledge Translation and
Dissemination |
Challenge finding useful information on SCI that is primary
care-based Hard to meet learning requirements (specific issues related to
primary care in SCI when it is needed i.e. point of
practice) Lack of primary care guidelines for SCI; limited awareness/
use of existing guidelines Low priority knowledge requirement: low prevalence of SCI in
individual practices competing against much more common conditions that
PCPs must keep updated Challenge to reaching PCPs who are inundated with practice
guidelines and updates and have vastly different practice
models Lack of awareness of non-traumatic SCI
(identification/management) Consumers often educating PCP on their condition |
Create an enabling network to create and share knowledge and
work collaboratively to improve care Coordinate and utilize expertise from effective existing
knowledge mobilization groups; utilize methods that appeal to PCPs in
various ways: online modules, case-based modules, point of care
tools Manage low volume/low prevalence conditions and competing
interests in primary care by changing perspectives (increase importance
by leveraging common conditions such as multiple sclerosis, stroke,
amyotrophic lateral sclerosis), empowering consumers, and creating
point-of-practice solutions Enable consumer empowerment to inform/translate best
practices Raise awareness among PCPs about SCI including non-traumatic
SCI and degenerative cervical myelopathy and explore opportunities for
collaboration with specialists for education in primary care. |
| 2. Application of Best
Practices |
Limited knowledge regarding SCI and secondary complications
and preventative care issues related to SCI Lack of standardized best practices Limited awareness and accessibility of resources and
guidelines |
Establish evidence informed living guidelines to inform
primary care best practices Further develop and promote point of practice tools and an
on-line repository for SCI resources for PCPs Further develop Community of Practice (CoP) including all
relevant stakeholders such as consumers, cross sector care
providers Foster knowledge empowerment through mentorship, development
of CoP and strategies to make knowledge accessible. Create an online repository of resources. |
| 3.
Communication |
Lack of patient advocacy and empowerment Everyone working in silos – very limited communication between
sectors and services resulting in duplication of
services Geographic discrepancies can enhance communication
gaps Systemic remuneration deficiencies are barriers to
communication and collaboration |
Create an integrated health record to empower consumers with
their health records Utilize face to face and virtual appointments; further expand
virtual outreach such as eConsult and PCVC Engage SCI consumers to identify strategies to improve
communication among PCP utilizing SCI consumer voice Build a provider network to clarify system care pathways and
roles and responsibilities for care Lobby for equitable compensation to support care |
| 4. Research |
Limited funding Difficulty identifying non-traumatic SCI Limited access to information across services and sectors
(different EMRs, lack of coding for SCI) Lack of national strategy for SCI primary care Inability to coordinate research, lack of primary care
data Low prevalence, lack of consumer involvement |
Align funding to support care (e.g. decreasing UTI in
community; understanding prevalence of SCI through EMR
coding) Use working group and SCI Consumer Advisory Committee to
identify key priorities and leverage available funding
opportunities Examine economic implications of SCI and effects of practice
changes Identify key indicators or outcomes Raise awareness among PCPs about SCI including non-traumatic
SCI and degenerative cervical myelopathy and explore opportunities for
collaboration with specialists for education Expand the critical mass to further the impact of initiatives
on a systemic level (i.e. leverage other conditions with similar
barriers) Engage with PCPs in the identification of persons with SCI in
their practices to understand current care and promote use of
tools Analyze health system utilization by persons with SCI using
population databases Pilot a post graduate fellowship in family medicine focused on
research and care of those with physical disability Create access to front line data to better code and understand
SCI in primary care; partner with key organizations to identify
opportunities. |
