Tinney M J, Chiodo A, Haig A, Wiredu E
Department of Physical Medicine and Rehabilitation, University of Michigan Hospital, Ann Arbor, Michigan, USA.
Disabil Rehabil. 2007;29(11-12):921-7. doi: 10.1080/09638280701240482.
To explore the current system of medical rehabilitation services for persons with disabilities in a developing country (Ghana) and to identify future needs, opportunities, and barriers.
Information was obtained through a literature review and through interviews with healthcare providers, disabled people's organizations, educators, government officials, and consumers. Direct observations were made of Ghana's capital city, Accra, and of a major tertiary medical center there, Korle Bu Teaching Hospital.
Ghana has virtually no medical rehabilitation and few laws to protect the disabled. There are no occupational therapists or physiatrists in the entire country, and only a handful of physical therapists, prosthetists, orthotists, and speech therapists. There are many barriers to the establishment of such services, including lack of funding, limited government support, cultural stigma of the disabled and poor utilization of existing resources.
A national model for sustainable medical rehabilitation is needed in Ghana and likely in other similar countries.
探索发展中国家（加纳）针对残疾人的医疗康复服务现行体系，并确定未来的需求、机遇和障碍。
通过文献综述以及与医疗服务提供者、残疾人组织、教育工作者、政府官员和消费者进行访谈获取信息。对加纳首都阿克拉及其主要的三级医疗中心——科勒布教学医院进行了实地观察。
加纳几乎没有医疗康复服务，且保护残疾人的法律很少。全国没有职业治疗师或物理治疗师，只有少数物理治疗师、假肢矫形师和言语治疗师。建立此类服务存在诸多障碍，包括资金短缺、政府支持有限、对残疾人的文化歧视以及现有资源利用不足。
加纳需要，其他类似国家可能也需要一个可持续医疗康复的国家模式。
