实用洞察力,以提高初级保健康复服务在低资源的背景下
Maria Y Charumbira1, Karina Berner, Quinette A Louw
1Department of Health and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town. yvonne.kamuti@gmail.com.
在南非和津巴布韦的初级医疗保健 (PHC) 环境中,通过将服务更接近家庭,提高患者意识,加强提供者培训,改善利益相关方沟通和宣传,可以改善康复服务.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 康复医学 康复医学 康复医学
- 公共卫生 公共卫生
背景情况:
- 慢性疾病正在增加全球功能障碍的负担,特别是在低收入和中等收入国家.
- 康复服务对于管理这些障碍至关重要,但在南非和津巴布韦的初级医疗保健 (PHC) 环境中往往无法获得.
研究的目的:
- 确定改善 PHC 中康复服务的可访问性和质量的建议.
- 收集南非和津巴布韦的初级保健提供者 (PCP) 和患者的观点.
主要方法:
- 在南非和津巴布韦的十个PHC设施中进行了定性描述性研究.
- 与37名PCP和40名患者进行了半结构面试.
- 使用ATLAS.ti.ti.应用主题分析对转录和翻译的采访数据进行了应用.
主要成果:
- 出现了五个关键建议:分散服务 (基于设施,外展,家庭访问,远程康复),提高患者意识 (教育,社区参与),提高PCP的技能 (培训,指南),改善利益相关者的沟通,并倡导康复融合.
- 患者和医疗服务提供者的观点强调了需要特定背景的策略.
结论:
- 实施这些建议可以提高资源有限的医疗卫生中心环境中的康复服务的可访问性和质量.
- 这些发现支持全球努力将康复纳入卫生系统.
- 未来的研究应该评估这些战略的实施和影响.
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