Department of Occupational Therapy, School of Therapeutic Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg.
Afr J Prim Health Care Fam Med. 2024 Jan 29;16(1):e1-e10. doi: 10.4102/phcfm.v16i1.4069.
There is a recognised need for rehabilitation services at primary health care (PHC) level. In addition, there are clear policies (international and national) and guidelines for use by healthcare planners in South Africa to implement rehabilitation services. Although rehabilitation services are provided on the primary platform, its operationalisation has not been in an integrated manner. Clarity on the level of integration within existing PHC rehabilitation service delivery is required for its inclusion in a reengineered PHC.
The study explored the extent to which rehabilitation services are integrated into PHC service delivery based on the expressed reality of rehabilitation professionals.
The Johannesburg Metropolitan District of Gauteng, South Africa.
In-depth interviews with 12 PHC rehabilitation professionals were completed to elicit their experiences with PHC rehabilitation services.
The theme the current state of rehabilitation services - 'this is the reality; you need to do what you need to do' along with its two subcategories, was generated from this study. The theme describes the expressed reality of suboptimal, underdeveloped and poorly integrated rehabilitation services within the Johannesburg Metropolitan District. Rehabilitation service providers have adapted service delivery by including isolated components of rehabilitation integration models, but this has not yielded an integrated service.
Rehabilitation services although recognised as a crucial service in PHC must be critically analysed and adapted to develop integrated service delivery models. There should be a shift from selected coping mechanisms to targeted, integrated services.Contribution: The study describes PHC rehabilitation services and explores best practice models for integrated service planning and delivery.
初级卫生保健（PHC）一级需要康复服务。此外，南非的医疗保健规划者有明确的政策（国际和国家）和准则来实施康复服务。尽管在初级平台上提供了康复服务，但它的运作并没有以综合的方式进行。为了将其纳入重新设计的 PHC，需要明确现有 PHC 康复服务提供中的整合程度。
本研究根据康复专业人员的实际情况，探讨康复服务在多大程度上融入了 PHC 服务提供。
南非豪登省约翰内斯堡大都市地区。
对 12 名 PHC 康复专业人员进行深入访谈，以了解他们在 PHC 康复服务方面的经验。
该主题“当前康复服务的状况——‘这就是现实；你需要做你需要做的事情’”及其两个子类别是从这项研究中产生的。该主题描述了约翰内斯堡大都市地区康复服务不佳、欠发达且整合不良的现状。康复服务提供者通过纳入康复整合模式的孤立部分来调整服务提供，但这并没有产生综合服务。
尽管康复服务被认为是 PHC 的一项重要服务，但必须对其进行严格分析和调整，以制定综合服务提供模式。应该从选择应对机制转变为有针对性的综合服务。
该研究描述了 PHC 康复服务，并探讨了综合服务规划和提供的最佳实践模式。
