National Health Insurance interprofessional practice implementation in hand rehabilitation service delivery in South Africa

IF 1 Q4 REHABILITATION
Monique M. Keller
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Abstract

South Africa’s current healthcare system is unequal and inefficient, with 71% of the population accessing underfunded public healthcare facilities. The imminent National Health Insurance (NHI) aims to balance the inequality between private and public health services by providing universal healthcare. The high levels of road accidents, violence and injuries in South Africa, being one of the quadruple burdens of diseases frequently causing hand injuries with resultant devastating economic and functional implications without rehabilitation services, are concerning. The plea is that for specialised injuries, such as hand injuries, the NHI implementation requires innovative interprofessional health education and practice when managing individuals who sustained hand injuries optimally to return to preinjury functioning. When considering the devastating burden of mismanaged hand injuries on all levels of the International Classification of Functioning, Disability and Health (ICF) framework, all South Africans deserve rehabilitation by physiotherapists and occupational therapists based on each occupation’s unique strengths. Anecdotally, a lack of interprofessional undergraduate and postgraduate hand rehabilitation education and hand-injured patient management exists in South Africa, highlighting the need for urgent change towards future practice and NHI. This commentary aims to apply the ICF core sets to inform interprofessional hand rehabilitation delivery by physiotherapists and occupational therapists.Clinical implication: Interprofessional rehabilitation framed in the ICF Core Set, accompanied by inclusive interprofessional education opportunities according to the Health Professions Council of South Africa (HPCSAs) scope of practice, will benefit South Africans who sustained hand injuries to fully recover and maximise their functional performance considering the type of injuries sustained.
在南非手部康复服务中实施国家医疗保险跨专业实践
南非目前的医疗保健系统不平等且效率低下,71% 的人口使用资金不足的公共医疗保健设施。迫在眉睫的国家医疗保险(NHI)旨在通过提供全民医疗保健来平衡私人和公共医疗服务之间的不平等。南非的交通事故、暴力和伤害事件频发,是四重疾病负担之一,经常造成手部伤害,如果没有康复服务,会对经济和功能造成破坏性影响,这令人担忧。我们呼吁,对于手部损伤等特殊损伤,国家健康保险的实施需要创新的跨专业健康教育和实践,以最佳方式管理手部损伤患者,使其恢复到受伤前的功能。考虑到国际功能、残疾和健康分类(ICF)框架中所有级别的手部损伤处理不当所造成的破坏性负担,所有南非人都应得到理疗师和职业治疗师根据每个职业的独特优势进行的康复治疗。据传闻,南非缺乏跨专业的本科生和研究生手部康复教育和手部受伤患者管理,这凸显了未来实践和国家健康保险迫切需要改变。本评论旨在应用 ICF 核心集,为物理治疗师和职业治疗师提供跨专业手部康复服务:临床启示:根据南非卫生专业委员会(HPCSAs)的执业范围,以ICF核心内容为框架的跨专业康复治疗,辅以包容性的跨专业教育机会,将有利于手部受伤的南非人完全康复,并最大限度地提高他们的功能表现(考虑到所受伤害的类型)。
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来源期刊
CiteScore
1.70
自引率
9.10%
发文量
35
审稿时长
30 weeks
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