Understanding the value of rehabilitation: Perspectives from South African Stakeholders

IF 1.3 Q4 HEALTH CARE SCIENCES & SERVICES

African Journal of Disability Pub Date : 2024-07-19 DOI:10.4102/ajod.v13i0.1406

Rentia A. Maart, D. Ernstzen, G. Mji, L. Morris

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Abstract

Background: The need for rehabilitation in South Africa has doubled between 1990 and 2017 and is expected to increase in the coming years. However, the rehabilitation needs of South Africans (and globally) remain largely unmet. Establishing a common understanding of the value of rehabilitation can inform clinical practice and policymaking to achieve Universal Health Coverage (UHC).Objectives: This study aims to explore the value of rehabilitation services in South Africa’s public healthcare sector by gathering perspectives from stakeholders. The goal is to inform policy decisions related to the implementation of National Health Insurance (NHI) in South Africa.Method: The study used a phenomenological approach and interpretivist paradigm. Semi-structured interviews were conducted face-to-face, online, or telephonically with 12 stakeholders from various rehabilitation sectors. The value of rehabilitation was analysed and categorised into five main categories: context, service delivery, patient outcomes, economic and financial components, and collaboration within and between sectors.Results: The value of rehabilitation was found to be multifaceted, because of the varying health, economic, and social challenges faced by many South Africans.Conclusion: The study identified components of value-based rehabilitation that should be prioritised in the proposed NHI of South Africa. Future research should explore all stakeholder perspectives, including patients, and provide empirical evidence of rehabilitation’s economic and societal value.Contribution: We highlight priority areas that are central to the value of rehabilitation in South Africa and other low- and middle-income countries (LMICs). Tailoring rehabilitation services to patient and community needs is crucial for achieving value-based care. Given South Africa’s commitment to the United Nations Convention on the Rights of Persons with Disabilities, prioritising rehabilitation remains essential.

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了解康复的价值：南非利益相关者的观点

背景：从 1990 年到 2017 年，南非的康复需求翻了一番，预计未来几年还会增加。然而，南非人（乃至全球）的康复需求在很大程度上仍未得到满足。建立对康复价值的共识可以为临床实践和政策制定提供依据，从而实现全民健康覆盖（UHC）：本研究旨在通过收集利益相关者的观点，探讨南非公共医疗保健部门中康复服务的价值。目的是为南非实施国民健康保险（NHI）的相关决策提供信息：研究采用现象学方法和解释学范式。对来自不同康复部门的 12 名利益相关者进行了面对面、在线或电话的半结构化访谈。对康复的价值进行了分析，并将其分为五大类：背景、服务提供、患者成果、经济和财务要素以及部门内部和部门之间的合作：研究发现，康复的价值是多方面的，因为许多南非人面临着不同的健康、经济和社会挑战：本研究确定了南非拟议的国家健康保险中应优先考虑的以价值为基础的康复内容。未来的研究应探讨包括患者在内的所有利益相关者的观点，并提供康复的经济和社会价值的实证证据：我们强调了对南非和其他中低收入国家（LMICs）康复价值至关重要的优先领域。根据患者和社区的需求量身定制康复服务对于实现以价值为基础的护理至关重要。鉴于南非对联合国《残疾人权利公约》的承诺，优先考虑康复仍然至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

African Journal of Disability HEALTH CARE SCIENCES & SERVICES-

CiteScore

2.10

自引率

5.90%

发文量

审稿时长

20 weeks

期刊介绍： The African Journal of Disability, the official journal of CRS, AfriNEAD and CEDRES, introduce and discuss issues and experiences relating to and supporting the act of better understanding the interfaces between disability, poverty and practices of exclusion and marginalisation. Its articles yield new insight into established human development practices, evaluate new educational techniques and disability research, examine current cultural and social discrimination, and bring serious critical analysis to bear on problems shared across the African continent. Emphasis is on all aspects of disability particularity in the developing African context. This includes, amongst others: -disability studies as an emerging field of public health enquiry -rehabilitation, including vocational and community-based rehabilitation -community development and medical issues related to disability and poverty -disability-related stigma and discrimination -inclusive education -legal, policy, human rights and advocacy issues related to disability -the role of arts and media in relation to disability -disability as part of global Sustainable Development Goals transformation agendas -disability and postcolonial issues -globalisation and cultural change in relation to disability -environmental and climate-related issues linked to disability -disability, diversity and intersections of identity -disability and the promotion of human development.

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