Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan.
Co-Chair Research Work-Stream, World Rehabilitation Alliance, WHO, Geneva, Switzerland.
Health Res Policy Syst. 2024 Oct 9;22(1):143. doi: 10.1186/s12961-024-01235-2.
Despite recognized need and reasonable demand, health systems and rehabilitation communities keep working in silos, independently with minimal recognition to the issues of those who require rehabilitation services. Consolidated effort by health systems and rehabilitation parties, recognizing the value, power and promise of each other, is a need of the hour to address this growing issue of public health importance. In this paper, the importance and the need for integration of rehabilitation into health system is emphasized. The efforts being made to integrate rehabilitation into health systems and the potential challenges in integration of these efforts were discussed. Finally, the strategies and benefits of integrating rehabilitation in health systems worldwide is proposed. Health policy and systems research (HPSR) brings a number of assets that may assist in addressing the obstacles discussed above to universal coverage of rehabilitation. It seeks to understand and improve how societies organize themselves to achieve collective health goals; considers links between health systems and social determinants of health; and how different actors interact in policy and implementation processes. This multidisciplinary lens is essential for evidence and learning that might overcome the obstacles to the provision of rehabilitation services, including integration into health systems. Health systems around the world can no longer afford to ignore rehabilitation needs of their populations and the World Health Assembly (WHA) resolution marked a global call to this effect. Therefore, national governments and global health community must invest in setting a priority research agenda and promote the integration of rehabilitation into health systems. The context-specific, need-based and policy-relevant knowledge about this must be made available globally, especially in low- and middle-income countries. This could help integrate and implement rehabilitation in health systems of countries worldwide and also help achieve the targets of Rehabilitation 2030, universal health coverage and Sustainable Development Goals.
尽管人们认识到了这一需求,也有合理的需求,但卫生系统和康复界仍然各自为政,几乎没有认识到那些需要康复服务的人的问题。卫生系统和康复各方需要共同努力,认识到彼此的价值、力量和潜力,这是解决这一日益严重的公共卫生问题的当务之急。本文强调了将康复纳入卫生系统的重要性和必要性。讨论了将康复纳入卫生系统的努力以及整合这些努力所面临的潜在挑战。最后,提出了在全球范围内将康复纳入卫生系统的策略和效益。卫生政策和系统研究(HPSR)带来了许多资产,这些资产可能有助于解决上述实现康复全覆盖的障碍。它旨在理解和改善社会如何组织自己以实现集体健康目标;考虑卫生系统与健康的社会决定因素之间的联系;以及不同行为体如何在政策和实施过程中相互作用。这种多学科视角对于提供康复服务,包括将康复纳入卫生系统,克服提供康复服务的障碍所需的证据和学习至关重要。世界各国政府和全球卫生界再也不能忽视其民众的康复需求,世界卫生大会(WHA)的决议对此发出了全球呼吁。因此,各国政府和全球卫生界必须投资制定优先研究议程,并促进将康复纳入卫生系统。必须在全球范围内提供有关这方面的具体情况、需求和政策相关的知识,特别是在中低收入国家。这有助于在全球范围内将康复纳入各国的卫生系统,并有助于实现康复 2030 年目标、全民健康覆盖和可持续发展目标。