Availability, Accessibility, Acceptability and Quality Framework: Difference between revisions
(Created page with "The [https://gbvguidelines.org/wp/wp-content/uploads/2019/11/AAAQ-framework-Nov-2019-WEB.pdf AAAQ framework] is often used to describe health service delivery and we will use...") |
No edit summary |
||
| Line 1: | Line 1: | ||
<div class="noeditbox">This article or area is currently under construction and may only be partially complete. Please come back soon to see the finished work! ({{REVISIONDAY}}/{{REVISIONMONTH}}/{{REVISIONYEAR}})</div> | |||
<div class="editorbox"> | |||
'''Original Editor '''- [[User:User Name|User Name]] | |||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | |||
</div> | |||
== Introduction == | |||
The [https://gbvguidelines.org/wp/wp-content/uploads/2019/11/AAAQ-framework-Nov-2019-WEB.pdf AAAQ framework] is often used to describe health service delivery and we will use this model to look at rehabilitation in health systems.<ref name=":0" /> | The [https://gbvguidelines.org/wp/wp-content/uploads/2019/11/AAAQ-framework-Nov-2019-WEB.pdf AAAQ framework] is often used to describe health service delivery and we will use this model to look at rehabilitation in health systems.<ref name=":0" /> | ||
| Line 5: | Line 13: | ||
# '''Acceptability''': rehabilitation services must be ethically and culturally appropriate to the populations they serve.<ref name=":0" /> Topic Specialist Cliona O’Sullivan cites a study that looked at 30 years of data of more than 280,000 service users and found that fewer women and girls attended rehabilitation across all health conditions. Further research is indicated to understand the exclusion of women and girls from rehabilitation services as it affects their potential and has a negative impact on their families and greater communities.<ref name=":0" /><ref name=":8" /> | # '''Acceptability''': rehabilitation services must be ethically and culturally appropriate to the populations they serve.<ref name=":0" /> Topic Specialist Cliona O’Sullivan cites a study that looked at 30 years of data of more than 280,000 service users and found that fewer women and girls attended rehabilitation across all health conditions. Further research is indicated to understand the exclusion of women and girls from rehabilitation services as it affects their potential and has a negative impact on their families and greater communities.<ref name=":0" /><ref name=":8" /> | ||
# '''Quality''': Underpinning the quality of rehabilitation services is evidenced-based practice. Unfortunately, there is a mismatch between where rehabilitation research is conducted, with relatively little being done in low-resource contexts.<ref name=":0" /> A 2020 systematic review of interventions for persons with stroke from low- and middle-income countries found only 62 studies, 44 of which were conducted in India.<ref name=":0" /><ref>Dee M, Lennon O, O’Sullivan C (2020) A Systematic Review of Physical Rehabilitation Interventions for Stroke in Low- and Middle-Income Countries. Disability and Rehabilitation. 42:4, 473-501.</ref> This exemplifies the lack of rehabilitation research carried out in low- and middle-income contexts. Another factor limiting the quality of rehabilitation is the inability to access meaningful research. This may be due to a lack of relevancy to the context, articles/research may be blocked by a paywall or there may be a language barrier in terms of reading the research and translating knowledge.<ref name=":0" /> | # '''Quality''': Underpinning the quality of rehabilitation services is evidenced-based practice. Unfortunately, there is a mismatch between where rehabilitation research is conducted, with relatively little being done in low-resource contexts.<ref name=":0" /> A 2020 systematic review of interventions for persons with stroke from low- and middle-income countries found only 62 studies, 44 of which were conducted in India.<ref name=":0" /><ref>Dee M, Lennon O, O’Sullivan C (2020) A Systematic Review of Physical Rehabilitation Interventions for Stroke in Low- and Middle-Income Countries. Disability and Rehabilitation. 42:4, 473-501.</ref> This exemplifies the lack of rehabilitation research carried out in low- and middle-income contexts. Another factor limiting the quality of rehabilitation is the inability to access meaningful research. This may be due to a lack of relevancy to the context, articles/research may be blocked by a paywall or there may be a language barrier in terms of reading the research and translating knowledge.<ref name=":0" /> | ||
== Sub Heading 2 == | |||
== Sub Heading 3 == | |||
== Resources == | |||
https://www.who.int/news-room/fact-sheets/detail/human-rights-and-health | |||
https://ijrcenter.org/refugee-law/ | |||
== References == | |||
<references /> | |||
[[Category:PREP Content Development Project]] | |||
[[Category:Course Pages]] | |||
[[Category:Physioplus Content]] | |||
[[Category:Refugees]] | |||
Revision as of 00:11, 31 May 2022
This article or area is currently under construction and may only be partially complete. Please come back soon to see the finished work! (31/05/2022)
Original Editor - User Name
Top Contributors - Naomi O'Reilly, Kim Jackson, Kirenga Bamurange Liliane and Nupur Smit Shah
Introduction[edit | edit source]
The AAAQ framework is often used to describe health service delivery and we will use this model to look at rehabilitation in health systems.[1]
- Availability: in low-resource countries, there are often little or no rehabilitation services available. Where it is available, rehabilitation is often concentrated in urban centres or is delivered by NGOs which means the services are not integrated into the local health service system.[1]
- Accessibility: access can be limited by expense, the need to pay out-of-pocket or long wait times.[1] Topic Specialist Cliona O’Sullivan cites a study that looked at access for people with amputation in conflict environments and found that the delay between amputation and ability to access rehabilitation services was 8.2 years for people with traumatic amputation and three years for people with amputation due to non-traumatic causes.[1][2]
- Acceptability: rehabilitation services must be ethically and culturally appropriate to the populations they serve.[1] Topic Specialist Cliona O’Sullivan cites a study that looked at 30 years of data of more than 280,000 service users and found that fewer women and girls attended rehabilitation across all health conditions. Further research is indicated to understand the exclusion of women and girls from rehabilitation services as it affects their potential and has a negative impact on their families and greater communities.[1][2]
- Quality: Underpinning the quality of rehabilitation services is evidenced-based practice. Unfortunately, there is a mismatch between where rehabilitation research is conducted, with relatively little being done in low-resource contexts.[1] A 2020 systematic review of interventions for persons with stroke from low- and middle-income countries found only 62 studies, 44 of which were conducted in India.[1][3] This exemplifies the lack of rehabilitation research carried out in low- and middle-income contexts. Another factor limiting the quality of rehabilitation is the inability to access meaningful research. This may be due to a lack of relevancy to the context, articles/research may be blocked by a paywall or there may be a language barrier in terms of reading the research and translating knowledge.[1]
Sub Heading 2[edit | edit source]
Sub Heading 3[edit | edit source]
Resources[edit | edit source]
https://www.who.int/news-room/fact-sheets/detail/human-rights-and-health
https://ijrcenter.org/refugee-law/
References[edit | edit source]
- ↑ 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 Cite error: Invalid
<ref>tag; no text was provided for refs named:0 - ↑ 2.0 2.1 Barth CA, Wladis, A, Blake C, Bhandarkar P, O’Sullivan C, (2020) Users of rehabilitation services in 14 countries and territories affected by conflict, 1988-2018. Bulletin of the World Health Organisation. 2020 September 98:599-614
- ↑ Dee M, Lennon O, O’Sullivan C (2020) A Systematic Review of Physical Rehabilitation Interventions for Stroke in Low- and Middle-Income Countries. Disability and Rehabilitation. 42:4, 473-501.
