The Rehabilitation Landscape in a Low-to-Middle-Income Country: Stakeholder Perspectives and Policy Implications—A Qualitative Study.

The need for rehabilitation is increasing on a global level due to a rise in non-communicable diseases, aging and medical advances, and in South Africa (SA), due to the quadruple burden of disease. More information is required regarding rehabilitation scope and practices in SA to optimize the provis...

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Publicado en:Inquiry (00469580) pp. 1 - 14
Autores principales: Maart, Rentia Amelia, Mji, Gubela, Morris, Linzette Deidré, Ernstzen, Dawn Verna
Formato: Artículo
Publicado: Sage Publications Inc. 10/7/2024
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Sage Publications Inc.
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        10.1177/00469580241271973
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        atl: The Rehabilitation Landscape in a Low-to-Middle-Income Country: Stakeholder Perspectives and Policy Implications—A Qualitative Study.
      aug:
        au:
          Maart, Rentia Amelia
          Mji, Gubela
          Morris, Linzette Deidré
          Ernstzen, Dawn Verna
        affil:
          Division of Physiotherapy, Department of Health and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, South Africa
          Centre for Rehabilitation Studies, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, South Africa
          Department of Rehabilitation Sciences, College of Health Sciences, Health Sector, Qatar University, Doha, Qatar
      su:
        Speech therapists
        Audiologist attitudes
        Health services accessibility
        Middle-income countries
        Physical therapists' attitudes
        Research funding
        Qualitative research
        Medical quality control
        Occupational therapists
        Rehabilitation
        Health policy
        Public sector
        Interviewing
        Statistical sampling
        Judgment sampling
        Internet
        Thematic analysis
        Attitudes of medical personnel
        Research methodology
        Telephones
        Medical coding
        Audiologists
        Stakeholder analysis
        Data analysis software
        Psychosocial factors
        Physical therapists
        Medical practice
        Low-income countries
        South Africa
      sug:
        subj:
          South Africa
          Speech therapists
          Audiologist attitudes
          Health services accessibility
          Middle-income countries
          Physical therapists' attitudes
          Research funding
          Qualitative research
          Medical quality control
          Occupational therapists
          Rehabilitation
          Health policy
          Public sector
          Interviewing
          Statistical sampling
          Judgment sampling
          Internet
          Thematic analysis
          Attitudes of medical personnel
          Research methodology
          Telephones
          Medical coding
          Audiologists
          Stakeholder analysis
          Data analysis software
          Psychosocial factors
          Physical therapists
          Medical practice
          Low-income countries
      keyword:
        health care sector
        landscape
        low-to-middle-income countries
        policy
        rehabilitation
        stakeholders
      ab: The need for rehabilitation is increasing on a global level due to a rise in non-communicable diseases, aging and medical advances, and in South Africa (SA), due to the quadruple burden of disease. More information is required regarding rehabilitation scope and practices in SA to optimize the provision of rehabilitation interventions in the context of the transforming health care sector in SA, a low-to-middle-income country (LMIC). The purpose of this study is to explore the perspectives of South African rehabilitation stakeholders on the landscape of rehabilitation in SA. A descriptive qualitative study, with an interpretive approach, was used to explore stakeholder perspectives on rehabilitation practices in the public health care sector of SA. Semi-structured interviews were conducted with 12 rehabilitation stakeholders. Data were analyzed using a combination of deductive and inductive processes to generate themes and categories. We identified 5 main themes, with subsequent categories and sub-categories. The themes include a composite definition of rehabilitation, core elements of rehabilitation provision, challenges affecting rehabilitation practices, the importance of policy implementation, and the progress of rehabilitation in SA. Despite a common understanding of rehabilitation practices in SA amongst stakeholders, many persistent challenges hamper the delivery of effective rehabilitation services. We recommend that further research explore the rehabilitation needs of end-users, together with collaborative research for priority setting on the translation of policy to practice ensuring equitable and quality rehabilitation service delivery.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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