title: Enhancing primary care for persons with spinal cord injury: More than improving physical accessibility.
abstract: In Ontario, Canada, legislation exists that mandates that all medical practices be fully accessible by 2025, in an effort to improve access to primary care for persons with physical disabilities. The simple removal of physical barriers may not guarantee improved access to appropriate care. In this clinical note, members of an interprofessional primary care-based Mobility Clinic reflect on opportunities to improve primary care beyond just better physical accessibility for persons with spinal cord injury (SCI). The importance of collaborations between funders, researchers, and clinicians are examined. Using a participatory action research model, the unique perspective of consumers and consumer networks are incorporated into the Mobility Clinic's clinical and research efforts to improve primary care for persons with SCI.
authors.affiliation: a Centre for Family Medicine Family Health Team , Kitchener , Ontario , Canada.|b Department of Family Medicine, Faculty of Health Sciences , McMaster University , Hamilton , Ontario , Canada.|c Schlegel-University of Waterloo Research Institute for Aging , Waterloo , Ontario , Canada.
authors.forename: James
authors.initials: J
authors.lastname: Milligan
authors.affiliation: a Centre for Family Medicine Family Health Team , Kitchener , Ontario , Canada.|b Department of Family Medicine, Faculty of Health Sciences , McMaster University , Hamilton , Ontario , Canada.
authors.forename: Joseph
authors.initials: J
authors.lastname: Lee
mesh_terms: D001107:Architectural Accessibility / Q000331:legislation & jurisprudence / Q000592:standards*; D006801:Humans; D009864:Ontario; D011320:Primary Health Care / Q000331:legislation & jurisprudence / Q000592:standards*; D011787:Quality of Health Care; D013119:Spinal Cord Injuries / Q000534:rehabilitation* / Q000628:therapy; D014910:Wheelchairs / Q000600:supply & distribution
keywords: Accessibility; Mobility; Physical disability; Primary care; Spinal cord injury