A chasm: Consequences of poor collaboration between health and education in paediatric cerebral palsy care in Johannesburg.

IF 1 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Martha Lydall, Berna Gerber
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引用次数: 1

Abstract

Background: Nearly 20 years since the establishment of the National Rehabilitation Policy, strides have been made within the health and education sectors to improve accessibility to rehabilitation services as well as the quality of life of children with cerebral palsy (CP). Shortfalls, however, still exist in implementing the policy. An in-depth study into the implementation of policy would be beneficial in identifying and understanding the shortfalls of the rehabilitation process.

Objectives: To investigate the perceptions of Speech-Language Therapists (SLTs) working in the Gauteng Department of Health (GDH) and Gauteng Department of Education (GDE), in Johannesburg Region A, about systemic strengths and weaknesses surrounding the service delivery for children with CP, from birth to 6 years.

Method: A qualitative study was conducted. Thirty-one (31) SLTs working in public hospitals, clinics and schools for Learners with Special Educational Needs participated in eight focus group interviews. Interviews were audio-recorded for transcription and subsequent thematic analysis.

Results: The participants reported a lack of resources and knowledge that contributed to a perceived chasm between the GDH and GDE, resulting in fragmented and uncoordinated service delivery for children with CP leaving the health system and entering the education system.

Conclusion: The results suggest that a cohesive plan should be formulated to bridge the perceived chasm between GDH and GDE in the referral process of children with CP from the health setting, into the school environment. This may facilitate communication, collaboration, education, as well as resource-sharing between the departments. Rehabilitation professionals should actively participate in such planning processes.

Abstract Image

Abstract Image

鸿沟:约翰内斯堡儿童脑瘫护理中卫生和教育部门合作不力的后果。
背景:国家康复政策制定近20年来,卫生和教育部门在改善获得康复服务的机会以及脑瘫儿童的生活质量方面取得了长足进展。然而,在执行政策方面仍然存在不足。深入研究政策的执行情况将有助于查明和了解复原过程的不足之处。目的:调查在约翰内斯堡A区豪登省卫生部(GDH)和豪登省教育部(GDE)工作的语言治疗师(SLTs)对从出生到6岁CP儿童服务提供的系统性优势和劣势的看法。方法:进行定性研究。在公立医院、诊所和特殊教育需要学习者学校工作的31名特殊教育工作者参加了8次焦点小组访谈。采访录音以供抄写和随后的专题分析。结果:参与者报告了资源和知识的缺乏,导致国内生产总值和国内生产总值之间存在明显的鸿沟,导致CP儿童离开卫生系统进入教育系统的服务提供支离破碎和不协调。结论:研究结果表明,在CP儿童从健康环境转介到学校环境的过程中,应制定一个连贯的计划来弥合GDH和GDE之间的感知鸿沟。这可以促进部门之间的沟通、合作、教育和资源共享。康复专业人员应积极参与这种规划过程。
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来源期刊
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-
CiteScore
2.10
自引率
36.40%
发文量
37
审稿时长
30 weeks
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