■南非的康复需求在1990年至2017年之间翻了一番,预计未来几年还会增加。然而,南非人(以及全球)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信息,以实现全民健康覆盖(UHC)。
■本研究旨在通过收集利益相关者的观点来探索南非公共医疗保健部门康复服务的价值。目标是为与在南非实施国家健康保险(NHI)有关的政策决定提供信息。
■这项研究采用了现象学方法和解释主义范式。半结构化访谈是面对面进行的,在线,或与来自各个康复部门的12个利益相关者进行电话联系。对康复的价值进行了分析,并将其分为五大类:背景,服务交付,患者结果,经济和金融组成部分,以及部门内部和部门之间的合作。
■发现康复的价值是多方面的,由于健康状况的不同,经济,以及许多南非人面临的社会挑战。
■该研究确定了基于价值的康复的组成部分,这些组成部分应在拟议的南非NHI中优先考虑。未来的研究应该探索所有利益相关者的观点,包括患者,并为康复的经济和社会价值提供经验证据。
我们强调对南非和其他中低收入国家(LMICs)的康复价值至关重要的优先领域。根据患者和社区需求量身定制康复服务对于实现基于价值的护理至关重要。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。
UNASSIGNED: 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).
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: The value of rehabilitation was found to be multifaceted, because of the varying health, economic, and social challenges faced by many South Africans.
UNASSIGNED: 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.
UNASSIGNED: 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.