Division of Physiotherapy, Department of Health and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, South Africa.
Centre for Rehabilitation Studies, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, South Africa.
Inquiry. 2024 Jan-Dec;61:469580241271973. doi: 10.1177/00469580241271973.
The need for rehabilitation is increasing on a global level due to a rise in non-communicable diseases, aging and medical advances, and in South Africa (SA), due to the quadruple burden of disease. More information is required regarding rehabilitation scope and practices in SA to optimize the provision of rehabilitation interventions in the context of the transforming health care sector in SA, a low-to-middle-income country (LMIC). The purpose of this study is to explore the perspectives of South African rehabilitation stakeholders on the landscape of rehabilitation in SA. A descriptive qualitative study, with an interpretive approach, was used to explore stakeholder perspectives on rehabilitation practices in the public health care sector of SA. Semi-structured interviews were conducted with 12 rehabilitation stakeholders. Data were analyzed using a combination of deductive and inductive processes to generate themes and categories. We identified 5 main themes, with subsequent categories and sub-categories. The themes include a composite definition of rehabilitation, core elements of rehabilitation provision, challenges affecting rehabilitation practices, the importance of policy implementation, and the progress of rehabilitation in SA. Despite a common understanding of rehabilitation practices in SA amongst stakeholders, many persistent challenges hamper the delivery of effective rehabilitation services. We recommend that further research explore the rehabilitation needs of end-users, together with collaborative research for priority setting on the translation of policy to practice ensuring equitable and quality rehabilitation service delivery.
由于非传染性疾病、人口老龄化和医疗技术进步的增加，以及南非（SA）由于四重疾病负担，全球范围内对康复的需求正在增加。为了优化南非转型医疗保健部门背景下康复干预措施的提供，需要更多关于南非康复范围和实践的信息，南非是一个中低收入国家（LMIC）。本研究的目的是探讨南非康复利益相关者对南非康复现状的看法。这项描述性定性研究采用解释性方法，旨在探讨利益相关者对南非公共医疗保健部门康复实践的看法。对 12 名康复利益相关者进行了半结构化访谈。使用演绎和归纳相结合的方法对数据进行分析，以生成主题和类别。我们确定了 5 个主要主题，以及随后的类别和子类别。这些主题包括康复的综合定义、康复服务提供的核心要素、影响康复实践的挑战、政策实施的重要性以及南非康复的进展。尽管利益相关者对南非的康复实践有共同的理解，但许多持续存在的挑战阻碍了有效的康复服务的提供。我们建议进一步研究探索最终用户的康复需求，以及合作研究，以确定政策转化为实践的优先事项，确保公平和高质量的康复服务提供。
