Department of Physiotherapy, School of Health Sciences, College of Health Sciences, Westville Campus, University of KwaZulu-Natal, 10 Maxwell Street, Empangeni, South Africa.
Syst Rev. 2023 Jan 4;12(1):2. doi: 10.1186/s13643-022-02155-4.
Access to medical rehabilitation remains poor in Sub-Saharan Africa. This is partly due to inadequate service delivery emanating from ill-defined public health policies. Developed countries have adopted public-private partnership (PPP) agreements between the government and private sectors, thus presenting superior quality and access to rehabilitation services. To help develop a PPP model for physiotherapy service delivery in South Africa, this scoping review will map research linked to PPP for medical rehabilitation services delivery and outcomes in the global context.
The Arksey and O'Malley (2005) framework (identify the research question, identify relevant research, select studies, chart the data, collate, summarize, and report findings) will be used to guide this review. Peer-reviewed literature will be searched in PubMed, EBSCOhost, Cochrane library, SCOPUS, and Google Scholar from 2000-2022 using a combination of keywords, Medical Subject Headings, and Boolean terms. Screening of the articles at all stages will be conducted independently by two reviewers using the eligibility criteria as a guide. The reference lists of retrieved articles will be manually searched for relevant studies. Emerging themes and sub-themes will be collated, summarized, and the results reported in the narrative form.
We anticipate identifying literature gaps for future research to inform policy on PPP for rehabilitation services delivery in Sub-Saharan Africa and actual practice. The results of this review will contribute to building a model that will enable the provision of equitable rehabilitation services at the district health level using PPP.
在撒哈拉以南非洲地区,获得医疗康复的机会仍然很少。这在一定程度上是由于公共卫生政策不明确,导致服务提供不足。发达国家已经在政府和私营部门之间达成了公私合作伙伴关系(PPP)协议,从而提供了更优质的康复服务和更高的可及性。为了帮助南非制定医疗康复服务提供的公私合作伙伴关系模式,本范围综述将在全球背景下,对 PPP 在医疗康复服务提供和结果方面的相关研究进行分析。
将使用阿特金和奥马利(2005 年)框架(确定研究问题、确定相关研究、选择研究、绘制数据、整理、总结和报告研究结果)来指导本综述。将在 2000 年至 2022 年期间,在 PubMed、EBSCOhost、Cochrane 图书馆、SCOPUS 和 Google Scholar 中使用关键词、医学主题词和布尔术语的组合,搜索同行评议文献。将由两名评审员独立对所有阶段的文章进行筛选,以资格标准作为指南。将对检索到的文章的参考文献列表进行手动搜索,以查找相关研究。将整理、总结出现的主题和子主题,并以叙述形式报告结果。
我们预计将确定未来研究的文献空白,为撒哈拉以南非洲地区康复服务提供的公私合作伙伴关系政策和实际实践提供信息。本综述的结果将有助于构建一个模型,通过公私合作伙伴关系,在地区卫生层面提供公平的康复服务。