Maseko Lebogang, Myezwa Hellen, Adams Fasloen
Occupational Therapy Department, School of Therapeutic Sciences, Faculty of Health Sciences, University of the Witwatersrand, Gauteng, South Africa.
Physiotherapy Department, School of Therapeutic Sciences, Faculty of Health Sciences, University of the Witwatersrand, Gauteng, South Africa.
J Patient Exp. 2024 Aug 31;11:23743735241261222. doi: 10.1177/23743735241261222. eCollection 2024.
Rehabilitation services are critical to improve health outcomes, particularly at community level within primary healthcare settings. As groups with an interest in the health system, rehabilitation service users' and caregivers' involvement in various aspects of health system strengthening is important for healthcare planning and evaluation. This study aimed to explore rehabilitation service users' perceptions of the rehabilitation services and their effect on their functioning in the Johannesburg Metropolitan District. A qualitative study was conducted using purposive sampling of participants attending rehabilitation at nine provincially funded clinics. Semi-structured interviews were conducted, and data were analysed using reflexive thematic analysis. The findings revealed the theme of and five associated categories, namely (1) service provider actions, (2) service organisation, (3) service user actions, (4) service access, and (5) service outcomes. The participants expressed overall satisfaction with their experiences of rehabilitation services, highlighting the importance of effective communication, patient-centred care, strong therapeutic relationships, and active patient engagement to achieve positive outcomes. This study provides the evidence for maintaining and extending rehabilitation at the PHC level in support of the health policy changes proposed for South Africa.
康复服务对于改善健康结果至关重要，尤其是在初级卫生保健机构的社区层面。作为对卫生系统感兴趣的群体，康复服务使用者及其照料者参与卫生系统强化的各个方面对于医疗保健规划和评估很重要。本研究旨在探讨约翰内斯堡都会区康复服务使用者对康复服务的看法及其对其功能的影响。采用目的抽样法，对在九家省级资助诊所接受康复治疗的参与者进行了一项定性研究。进行了半结构化访谈，并使用反思性主题分析法对数据进行了分析。研究结果揭示了 这一主题以及五个相关类别，即(1)服务提供者行为，(2)服务组织，(3)服务使用者行为，(4)服务可及性，以及(5)服务结果。参与者对他们的康复服务体验总体表示满意，强调了有效沟通、以患者为中心的护理、牢固的治疗关系以及患者积极参与以实现积极结果的重要性。本研究为在初级卫生保健层面维持和扩展康复服务提供了证据，以支持南非提议的卫生政策变革。
