Abstract：
People with an acquired brain injury (ABI) experience substantial access inequalities and unmet health needs, with many experiencing insufficient access to appropriate rehabilitation in the community. To deepen our understanding of what appropriate access to post-acute care services is for this population, and to facilitate optimal recovery, there is a need to synthesise research from the service user perspective. A scoping review study was conducted to identify key characteristics of \'appropriate\' access to post-acute care services, as defined by the personal experiences of adults with ABI. Electronic scientific databases Medline, PsycINFO, Proquest Central and CINAHL were searched for studies published between 2000 and 2020. The initial search identified 361 articles which, along with articles retrieved from reference list searches, resulted in 52 articles included in the final analysis. Results indicated that a majority of the studies sampled participants with an average of over 1 year post-injury, with some studies sampling participants ranging over 10 years in difference in time post-injury. A thematic synthesis was conducted and results indicated a number of dominant elements which relate to (1) the characteristics of services: provider expertise, interpersonal qualities, partnership and adaptability; (2) characteristics of the health system: navigable system, integrated care, adequacy, and opportunity. These findings provide some insight into what might be considered appropriate. However, rigorous research, focused on personalised access to post-acute care services, is recommended to verify and elaborate on these findings.
摘要：
患有获得性脑损伤（ABI）的人经历了大量的获取不平等和未满足的健康需求，许多人在社区中无法获得适当的康复服务。为了加深我们对这一人群适当获得急性后护理服务的理解，并促进最佳恢复，有必要从服务用户的角度综合研究。进行了范围审查研究，以确定“适当”获得急性后护理服务的关键特征，根据成人ABI患者的个人经历定义。电子科学数据库Medline,PsycINFO,搜索ProquestCentral和CINAHL在2000年至2020年之间发表的研究。最初的搜索确定了361篇文章，以及从参考列表搜索中检索到的文章，最终分析了52篇文章。结果表明，大多数研究对受伤后平均超过1年的参与者进行了抽样，一些研究对受伤后时间差异超过10年的参与者进行抽样。进行了专题综合，结果表明了一些主要因素，这些因素与(1)服务的特征：提供者的专业知识，人际交往素质，伙伴关系和适应性；(2)卫生系统的特点：导航系统，综合护理,充分性，和机会。这些发现为什么可能被认为是适当的提供了一些见解。然而,严谨的研究,专注于个性化获得急性后护理服务，建议对这些发现进行验证和详细说明。
