Access to Rehabilitation: Difference between revisions
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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 | 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''' === | ===='''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. ) | 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''' === | ===='''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. | 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''' === | ===='''Environmental'''==== | ||
Barriers in the built or natural environment e.g. no ramp to enter the health facility or no public transportation that accommodates wheelchairs | Barriers in the built or natural environment e.g. no ramp to enter the health facility or no public transportation that accommodates wheelchairs | ||
=== '''Informational''' === | ===='''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. | 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. | ||
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* increasing the use and affordability of technology and assistive devices; | * increasing the use and affordability of technology and assistive devices; | ||
* expanding research programmes, including improving information and access to good practice guidelines. | * expanding research programmes, including improving information and access to good practice guidelines. | ||
== Right To Health == | |||
The right to health contains four elements: | |||
'''Availability:''' Functioning public health and health care facilities, goods and services, as well as programmes in sufficient quantity. | |||
'''Accessibility:''' Health facilities, goods and services accessible to everyone, within the jurisdiction of the State party. Accessibility has four overlapping dimensions: non-discrimination; physical accessibility; economical accessibility (affordability); and information accessibility. | |||
'''Acceptability:''' All health facilities, goods and services must be respectful of medical ethics and culturally appropriate as well as sensitive to gender and life-cycle requirements. | |||
'''Quality:''' Health facilities, goods and services must be scientifically and medically appropriate and of good quality. | |||
== Resources == | == Resources == | ||
== References == | == References == | ||
<references /> | <references /> |
Revision as of 20:48, 15 August 2021
Original Editors - Add your name/s here if you are the original editor/s of this page. User Name
Top Contributors - Naomi O'Reilly, Tarina van der Stockt, Vidya Acharya, Tony Lowe, Oyemi Sillo, Kim Jackson, Rucha Gadgil and Olajumoke Ogunleye
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[edit | edit source]
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[edit | edit source]
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[edit | edit source]
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[edit | edit source]
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.
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.
Right To Health[edit | edit source]
The right to health contains four elements:
Availability: Functioning public health and health care facilities, goods and services, as well as programmes in sufficient quantity.
Accessibility: Health facilities, goods and services accessible to everyone, within the jurisdiction of the State party. Accessibility has four overlapping dimensions: non-discrimination; physical accessibility; economical accessibility (affordability); and information accessibility.
Acceptability: All health facilities, goods and services must be respectful of medical ethics and culturally appropriate as well as sensitive to gender and life-cycle requirements.
Quality: Health facilities, goods and services must be scientifically and medically appropriate and of good quality.
Resources[edit | edit source]
References [edit | edit source]