Evaluating outcome after spinal cord injury: what determines success? 1996 Donald Munro Lecture

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Lecture on the definition and measurement of success after spinal cord injury (SCI), delivered at a 1996 meeting of the American Paraplegia Society. Discusses definitions in terms of the World Health Organization (WHO) Model of Disablement and in terms of subjective well-being. Discusses measurements of impairment, disability, handicap, subjective well-being, and health status, as well as determinants of successful outcomes in these five areas of measurement. The author concludes that program evaluation standards for SCI care should be expanded to include measures of handicap, subjective well-being, and health status, as well as environmental factors which influence those outcomes. To measure the environment, it will be necessary to follow patients longer, in fact, for a lifetime.

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