{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:17:16Z","timestamp":1787019436947,"version":"build-2736575974"},"reference-count":60,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2023,6,16]],"date-time":"2023-06-16T00:00:00Z","timestamp":1686873600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Survey study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>People living with spinal cord injury (SCI) are major healthcare and rehabilitation services consumers and have unmet healthcare needs. This study aimed to describe the socioeconomic characteristics of people living with SCI in Spain and to determine the level of use and satisfaction with the public healthcare system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a survey (the Spanish version of the International Spinal Cord Injury Community Survey) consisting of 134 questions. We analyzed the age, sex, neurological classification of the injury on the American Spinal Injury Association Impairment Scale, time of injury, socio-occupational and socioeconomic status, and level of use and satisfaction with the public health system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>472 people responded to the survey [68.9% male; mean age 51.2\u00a0years (standard deviation: 13.9\u00a0years); 61.7% with paraplegia and 38.3% with tetraplegia]. 89.2% of those surveyed were unemployed and 77.1% received a disability pension. The number of medical visits was 2.3\/year, and 19.8% of the patients required at least 1 hospital admission during the previous year. 94.7% of the people with SCI considered the health care received as good or very good.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Respondents with SCI in Spain considered they had good access to primary and specialized care and were satisfied with the healthcare system. Notably, we observed a high average of annual visits to medical professionals but a low rate of hospitalizations. Technical aids and state services related to disability should be the most important elements to be improved.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21925682231183972","type":"journal-article","created":{"date-parts":[[2023,6,16]],"date-time":"2023-06-16T06:58:20Z","timestamp":1686898700000},"page":"2381-2388","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["International Spinal Cord Injury Community Survey: Socioeconomic and Healthcare Satisfaction in Spain"],"prefix":"10.1177","volume":"14","author":[{"given":"Miguel Angel","family":"Gonz\u00e1lez-Viejo","sequence":"first","affiliation":[{"name":"SCI Unit, Hospital Universitario Vall d\u2019Hebron, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Merce","family":"Avellanet","sequence":"additional","affiliation":[{"name":"Rehabilitation Department, Hospital Nostra Senyora de Meritxell, Escaldes-Engordany, Andorra"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4048-3310","authenticated-orcid":false,"given":"Anna","family":"Boada-Pladellorens","sequence":"additional","affiliation":[{"name":"Rehabilitation Department, Hospital Nostra Senyora de Meritxell, Escaldes-Engordany, Andorra"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Llu\u00efsa","family":"Montesinos-Magraner","sequence":"additional","affiliation":[{"name":"SCI Unit, Hospital Universitario Vall d\u2019Hebron, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda Luisa","family":"Ja\u00faregui-Abrisqueta","sequence":"additional","affiliation":[{"name":"SCI Unit, Hospital Universitario Cruces, Barakaldo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrique","family":"B\u00e1rbara-Bataller","sequence":"additional","affiliation":[{"name":"SCI Unit, Hospital Universitario Insular Materno-infantil de Gran Canaria, Las Palmas de Gran Canaria, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bosco","family":"M\u00e9ndez-Ferrer","sequence":"additional","affiliation":[{"name":"SCI Unit, Hospital Universitario Virgen del Roc\u00edo, Sevilla, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"S\u00e1nchez-Raya","sequence":"additional","affiliation":[{"name":"SCI Unit, Hospital Universitario Vall d\u2019Hebron, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nora","family":"C\u00edvicos","sequence":"additional","affiliation":[{"name":"SCI Unit, Hospital Universitario Cruces, Barakaldo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Luis","family":"M\u00e9ndez-Suarez","sequence":"additional","affiliation":[{"name":"SCI Unit, Hospital Universitario Insular Materno-infantil de Gran Canaria, Las Palmas de Gran Canaria, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juana Mar\u00eda","family":"Barrera-Chac\u00f3n","sequence":"additional","affiliation":[{"name":"SCI Unit, Hospital Universitario Virgen del Roc\u00edo, Sevilla, 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