Department of Health Sciences and Medicine, University of Lucerne, 6002 Lucerne, Switzerland.
Sensory Functions, Disability, and Rehabilitation Unit, Department for Noncommunicable Diseases, World Health Organization, 1211 Geneva 27, Switzerland.
Int J Environ Res Public Health. 2021 Nov 3;18(21):11549. doi: 10.3390/ijerph182111549.
The WHO Systematic Assessment of Rehabilitation Situation (STARS) tool was developed by WHO to facilitate effective prioritization and strategic planning for rehabilitation in countries. The objective of this paper is to present the results of the fourth phase of its development, its field testing in seven countries focusing on its completeness, usefulness, accessibility and feasibility. Field testing occurred in Jordan, Myanmar, Sri Lanka, Solomon Islands, Laos, Haiti, and Guyana. Evaluation occurred through structured interviews and rating exercises with 17 government representatives, international consultants, WHO country or regional office staff and rehabilitation experts who were actively engaged and familiar with the STARS assessment and who were knowledgeable of the rehabilitation situation in the countries. STARS was appraised as relevant, complete and accurate in describing the country situation. Areas of inaccuracy were mostly linked to challenges in describing areas of services similarly when significant diversity existed. Feasibility and accessibility were mostly confirmed and more complex components of the tool as well as the guidance to the assessment process were slightly revised in light of the field-testing results. The field testing of WHO STARS confirmed its completeness, usefulness, accessibility and feasibility, and concerns raised by the interviews informed the last refinement of the tool. STARS is part of the WHO Rehabilitation in Health Systems-Guide for Action, available online, by September 2021, STARS had guided 21 country situation assessments.
世界卫生组织系统康复评估工具（STARS）由世界卫生组织开发，旨在促进各国在康复方面进行有效的优先排序和战略规划。本文的目的是介绍其第四阶段的开发结果，即在七个国家进行现场测试的结果，重点关注其完整性、有用性、可及性和可行性。现场测试在约旦、缅甸、斯里兰卡、所罗门群岛、老挝、海地和圭亚那进行。评估通过与 17 名政府代表、国际顾问、世界卫生组织国家或地区办事处工作人员以及积极参与并熟悉 STARS 评估且了解各国康复情况的康复专家进行结构化访谈和评分练习进行。STARS 被评估为在描述国家情况方面具有相关性、完整性和准确性。不准确性主要与描述服务领域的挑战有关，尤其是在存在显著差异的情况下。可行性和可及性得到了大多确认，工具的更复杂部分以及评估过程的指南根据现场测试结果进行了轻微修订。世界卫生组织 STARS 的现场测试证实了其完整性、有用性、可及性和可行性，访谈中提出的问题为工具的最后完善提供了信息。STARS 是世界卫生组织《卫生系统中的康复-行动指南》的一部分，可在线获取，截至 2021 年 9 月，STARS 已指导了 21 个国家情况评估。
