Access to Rehabilitation: Difference between revisions
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== Facilitators == | == Facilitators == | ||
* reforming policies, laws, and delivery systems, including development or revision of national rehabilitation plans; | |||
* developing funding mechanisms to address barriers related to financing of rehabilitation; | |||
* increasing human resources for rehabilitation, including training and retention of rehabilitation personnel; | |||
* expanding and decentralising service delivery; | |||
* increasing the use and affordability of technology and assistive devices; | |||
* expanding research programmes, including improving information and access to good practice guidelines. | |||
== Resources == | == Resources == | ||
* Cieza A, Causey K, Kamenov K, Hanson SW, Chatterji S, Vos T. [https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)32340-0/fulltext 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. | * Cieza A, Causey K, Kamenov K, Hanson SW, Chatterji S, Vos T. [https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)32340-0/fulltext 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. |
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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:
Barriers[edit | edit source]
There are wide range of barriers that can prevent individuals from receiving high quality health care. These include:
Governmental[edit | edit source]
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[edit | edit source]
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[edit | edit source]
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[edit | edit source]
Barriers in the built or natural environment e.g. no ramp to enter the health facility or no public transportation that accommodates wheelchairs
Informational[edit | edit source]
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]
- reforming policies, laws, and delivery systems, including development or revision of national rehabilitation plans;
- developing funding mechanisms to address barriers related to financing of rehabilitation;
- increasing human resources for rehabilitation, including training and retention of rehabilitation personnel;
- expanding and decentralising service delivery;
- increasing the use and affordability of technology and assistive devices;
- expanding research programmes, including improving information and access to good practice guidelines.
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]