Access to Rehabilitation: Difference between revisions
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Introduction[edit | edit source]
Access to health care means having timely use of personal health services to achieve the best possible health outcomes and comprises of four components;
- Coverage: Facilitates entry into the health care system.
- Uninsured people are less likely to receive medical care and more likely to have poor health status (Healthy People 2020).
- Services: Having a usual source of care and / or usual health care provider.
- People with a usual source of care have better health outcomes, fewer disparities, and lower costs (Healthy People 2020).
- While people with a usual place of care and a usual provider are more likely to receive preventive services and recommended screenings than people with no usual source of care (Blewett, et al., 2008).
- Timeliness: Ability to provide health care when the need is recognised.
- Timeliness in health care is system’s capacity to provide care quickly after a need is recognized. (Healthy People 2020).
- Timely delivery of appropriate care can help reduce mortality and morbidity for chronic conditions, such as kidney disease (Smart & Titus, 2011).
- Workforce: Health Service with capable, qualified, culturally competent providers.
- Ensuring well-coordinated, high-quality health care requires the establishment of a supportive health system infrastructure (IOM, 2010). Key elements include:
- Well-distributed capable and qualified workforce.
- Organizational capacity to support culturally competent services and ongoing improvement efforts.
- Health care safety net for hospital admissions of vulnerable populations.
- Ensuring well-coordinated, high-quality health care requires the establishment of a supportive health system infrastructure (IOM, 2010). Key elements include:
Challenges[edit | edit source]
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Barriers[edit | edit source]
There are wide range of barriers that can prevent individuals from receiving high quality health care. These include:
- Governmental: Laws or policies that do not consider rehabilitation needs of the population e.g. rehabilitation services and assistive products not covered under a nation’s Health Care Plan
- Institutional: Policies or standards that systematically disadvantage those in need of rehabilitation services e.g. at a health care facility people may need to stand in a long line before receiving services, which can be a barrier for individuals who have balance problems or a hospital administrator who does not allocate needed resources for rehabilitation services. )
- Service Delivery: Negative attitudes, presumptions, prejudices, or misconceptions e.g. low prioritisation of coordination of care by rehabilitation professionals leading to a lack of appropriate referrals for needed continuum of care.
- Environmental: Barriers in the built or natural environment e.g. no ramp to enter the health facility or no public transportation that accommodates wheelchairs
- Informational: Not offering the same health information to all people e.g. lack of data and research on which treatment interventions for specific impairments are most effective.
Facilitators[edit | edit source]
Resources[edit | edit source]
- Cieza A, Causey K, Kamenov K, Hanson SW, Chatterji S, Vos T. Global Estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet. 2020 Dec 1.
References [edit | edit source]