南非公共医疗机构中职业治疗师的医疗过渡实践。

IF 1.3 Q4 HEALTH CARE SCIENCES & SERVICES
African Journal of Disability Pub Date : 2024-08-29 eCollection Date: 2024-01-01 DOI:10.4102/ajod.v13i0.1413
Ilhaam Hoosen, Fiona Breytenbach, Janine van der Linde
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引用次数: 0

摘要

背景:医疗过渡(HCT)是指将青少年从儿科护理过渡到成人护理的过程,对于改善患有慢性疾病的青少年的长期健康状况至关重要。职业疗法在 HCT 中的作用尚未得到充分研究。要确保青少年在整个成长过程中都能获得协调、最佳和不间断的职业治疗服务,就必须采取有效的 HCT 实践:本研究描述了职业治疗师在南非公共卫生机构中对小儿麻痹症治疗的自我认知、所采用的小儿麻痹症治疗方法,以及在这种情况下促进或阻碍小儿麻痹症治疗取得成功的因素:研究采用了定量、非实验和描述性横截面设计。通过专业数据库和社交媒体论坛采用简单方便的滚雪球式抽样来招募参与者。采用在线调查的方式收集数据。采用描述性统计和简单内容分析法对信息进行分析:本研究指出了南非职业治疗实践中对 HCT 的认识和实际实施的局限性。医疗保健过渡的特点是政策使用不充分、过渡准备不足以及结果测量不佳:结论:有必要制定培训计划和实践指南,以优化和支持在南非职业治疗实践中实施 HCT:本研究提供了有关南非公共卫生机构中职业治疗师使用 HCT 实践的新数据。这项研究可能有助于制定有效的 HCT 计划,从而改善南非青少年的功能状况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Healthcare transition practices of occupational therapists in South African public healthcare.

Background: Healthcare transition (HCT), the process of transitioning an adolescent from paediatric- to adult-oriented care, is vital for improving the long-term health of adolescents with chronic conditions. The role of occupational therapy in HCT has not been well-researched. Effective HCT practices are necessary to ensure that adolescents have access to coordinated, optimal and uninterrupted occupational therapy services throughout this period of development.

Objectives: This study describes occupational therapists' self-perceived knowledge of HCT within the context of South African public health facilities, the HCT practices used, and the factors that promote or hinder the success of HCT within this context.

Method: The study utilised a quantitative, non-experimental and descriptive cross-sectional design. Simple convenience and snowball sampling were used to recruit participants via professional databases and social media forums. An online survey was used to collect data. Descriptive statistics and simple content analysis were used to analyse the information.

Results: This study identifies limitations in the knowledge and practical implementation of HCT within South African occupational therapy practice. Healthcare transition is characterised by inadequate use of policies, insufficient transition preparation and poor outcome measurements.

Conclusion: There is a need for the development of training programmes and practice guidelines to optimise and support HCT implementation within South African occupational therapy practice.

Contribution: This study provides novel data on HCT practices utilised by occupational therapists in South African public health facilities. This study has potential use for the development of effective HCT programmes that can improve the functional outcomes of South African adolescents.

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来源期刊
African Journal of Disability
African Journal of Disability HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
5.90%
发文量
50
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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