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J Neurotrauma. 2017 Mar 12. doi: 10.1089/neu.2016.4927. [Epub ahead of print]

Methodology of the Access to Care and Timing Simulation Model for Traumatic Spinal Cord Injury Care.

Author information

1
Rick Hansen Institute, Vancouver, British Columbia, Canada ; asantos@rickhanseninstitute.org.
2
Rick Hansen Institute, Vancouver, British Columbia, Canada ; nfallah@rickhanseninstitute.org.
3
University of British Columbia, 8166, Vancouver, British Columbia, Canada ; rachel.lewis@sauder.ubc.ca.
4
University of British Columbia, Vancouver, British Columbia, Canada ; Marcel.dvorak@ubc.ca.
5
University of Toronto, 7938, Toronto, Ontario, Canada ; michael.fehlings@uhn.ca.
6
University of Toronto, 7938, Toronto, Ontario, Canada ; anthony.burns@uhn.ca.
7
Rick Hansen Institute, Vancouver, British Columbia, Canada ; vnoonan@rickhanseninstitute.org.
8
Rick Hansen Institute, Vancouver, British Columbia, Canada ; ccheng@rickhanseninstitute.org.
9
Rick Hansen Institute, Vancouver, British Columbia, Canada ; echan@rickhanseninstitute.org.
10
Toronto Western Hospital, 26625, Toronto, Ontario, Canada ; Anoushka.singh@uhn.ca.
11
Vancouver General Hospital, Vancouver, British Columbia, Canada ; Lise.Belanger@vch.ca.
12
University of British Columbia, Vancouver, British Columbia, Canada ; derek.atkins@sauder.ubc.ca.

Abstract

Despite the relatively low incidence, the management and care of persons with traumatic spinal cord injury (tSCI) can be resource intensive and complex, spanning multiple phases of care and disciplines. Using a simulation model built with a system level view of the healthcare system allows for prediction of the impact of interventions on patient and system outcomes from injury through to community reintegration after tSCI. The Access to Care and Timing (ACT) project developed a simulation model for tSCI care using techniques from operations research and its development has been described previously. The objective of this article is to briefly describe the methodology and the application of the ACT Model as it was used in several of the articles in this focus issue. The approaches employed in this model provide a framework to look into the complexity of interactions both within and among the different SCI programs, sites and phases of care.

KEYWORDS:

Other; TRAUMATIC SPINAL CORD INJURY; spinal cord injury

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