了解康复的价值:南非利益相关者的观点
Rentia A Maart1, Dawn V Ernstzen2, Gubela Mji3
1Department of Rehabilitation and Health Sciences, Stellenbosch University, Cape Town, South Africa.
African journal of disability
|August 8, 2024
概括
南非日益增长的康复需求尚未得到满足. 了解康复的理解
科学领域:
- 公共卫生 公共卫生
- 康复科学 康复科学 康复科学
- 卫生政策 卫生政策
背景情况:
- 自1990年以来,南非的康复需求翻了一番,并且仍然在很大程度上没有得到满足,影响了全民健康覆盖 (UHC).
- 对康复的价值的共同理解对于临床实践和政策制定至关重要.
研究的目的:
- 从利益相关方的角度探索南非公共部门康复服务的价值.
- 为南非国家健康保险 (NHI) 实施的政策决策提供信息.
主要方法:
- 具有解释主义范式的现象学方法.
- 半结构面试与12个利益相关者在各种康复部门.
- 在五个类别中分析康复价值:背景,服务提供,患者结果,经济/财务方面和合作.
主要成果:
- 康复的价值是多方面的,反映了南非各种健康,经济和社会挑战.
- 确定了基于价值的康复的关键组成部分,以便在南非的NHI内优先考虑.
结论:
- 优先考虑以价值为基础的康复对南非的NHI至关重要,与联合国残疾人权利公约保持一致.
- 未来的研究应该包括患者的观点和实证证据,证明康复在低收入和中等收入国家 (LMICs) 的经济和社会价值.
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