{
  "abstract": "Background: Spinal cord injury (SCI) is a condition requiring lifelong coordinated health and social services. Despite high-quality rehabilitation in Switzerland, gaps persist in long-term follow-up, psychosocial support, and equitable access to services across regions. This article describes the development of the Swiss National Strategy for SCI (2025–2033) and its relevance for public health policy.\n\nMethods: The strategy was developed through a structured participatory process combining scientific evidence, stakeholder consultation, and multi-level governance. Findings from the Swiss Spinal Cord Injury Cohort Study (SwiSCI) and related studies informed the identification of needs and system gaps. People with SCI, caregivers, clinicians, researchers, insurers, NGOs, and public authorities contributed through consultation rounds and stakeholder workshops to identify and prioritize strategic objectives.\n\nResults: Nine fields of action were identified, including safeguarding existing services, prevention, lifelong follow-up, psychosocial support, accessibility, employment, caregiver support, and data-driven quality development. Inclusion was defined as a cross-cutting principle integrated across all fields through measures addressing barriers, strengthening capabilities, and supporting participation. Each field includes specific goals and measures. Early implementation follows annual prioritization cycles, with selected measures further developed through dedicated working groups.\n\nConclusions: This article shows that a national strategy can originate through a participatory, bottom-up approach and translate shared priorities into a governance framework designed to support implementation. It may inform similar efforts in other countries.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland",
    "Swiss Paraplegic Research, Nottwil, Switzerland",
    "Swiss Paraplegic Foundationm, Nottwil, Switzerland",
    "Independent counsellor, Bern, Switzerland"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Sara Rubinelli"
    },
    {
      "affs": [
        0
      ],
      "name": "Gerold Stucki"
    },
    {
      "affs": [
        1
      ],
      "name": "Mirjam Brach"
    },
    {
      "affs": [
        2
      ],
      "name": "Heidi Hanselmann"
    },
    {
      "affs": [
        3
      ],
      "name": "Michael Jordi"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Claudia Zanini"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/dyttz78ejrssy.bib",
  "cited_by": 0,
  "doi": "10.3389/fresc.2026.1878464",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13733447/",
  "id": "dyttz78ejrssy",
  "issns": [
    "2673-6861"
  ],
  "landing_url": "https://doi.org/10.3389/fresc.2026.1878464",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Research"
    ],
    [
      "openalex",
      "2728|Spinal Cord Injury Research"
    ]
  ],
  "openalex": "W7223122329",
  "pdf_url": "https://www.frontiersin.org/journals/rehabilitation-sciences/articles/10.3389/fresc.2026.1878464/pdf",
  "pmcid": "PMC13733447",
  "pmid": "42985569",
  "published": "2026-10-21",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/dyttz78ejrssy.ris",
  "sources": [
    {
      "first_seen": "2026-11-08T12:23:13Z",
      "native_id": "PMC13733447",
      "source": "pmc",
      "url": "https://doi.org/10.3389/fresc.2026.1878464"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2728|Spinal Cord Injury Research",
      "subfield": "neurology"
    }
  ],
  "title": "The Swiss national strategy for spinal cord injury as a model of inclusive public health policy",
  "title_text": "The Swiss national strategy for spinal cord injury as a model of inclusive public health policy",
  "type": "peer-reviewed",
  "updated_at": "2026-11-08T12:23:13Z",
  "url": "https://research.draconitic.com/paper/dyttz78ejrssy",
  "venue": "Frontiers in Rehabilitation Sciences",
  "versions": []
}