Integrating Rehabilitation and Social Care: Opportunities for Advancing Research, Training, Practice, and Policy

Smeltz, Lydia; Lee, Kheng Hock; Bettger, Janet Prvu

doi:10.1016/j.apmr.2022.04.015

Cited by 1 publication

(4 citation statements)

References 22 publications

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“…(24) Secondly, integration of rehabilitation care with other social domains that therefore can target social determinants of health. (25) Thirdly, integration of rehabilitation within primary care. (26) The value of each of these three becomes apparent when reflecting on the critical factors and sub-systems identified in this review.…”

Section: Discussionmentioning

confidence: 99%

“…Hence, rehabilitation-led models of integrated rehabilitation- and social care (e.g., case manager) that comprehensively address social determinants of health can make a remarkable difference in the burden of disability and health inequities. (25) Awareness of individuals‘ social needs, adjustment of care provided, assistance for the individual to have needs met, alignment of efforts with community and social care organizations, and advocacy for changes to infrastructure and policy (both health and social) may facilitate such rehabilitation-led models. (25)…”

Section: Discussionmentioning

confidence: 99%

“…(25) Awareness of individuals‘ social needs, adjustment of care provided, assistance for the individual to have needs met, alignment of efforts with community and social care organizations, and advocacy for changes to infrastructure and policy (both health and social) may facilitate such rehabilitation-led models. (25)…”

Section: Discussionmentioning

confidence: 99%

“…(25) Awareness of individuals' social needs, adjustment of care provided, assistance for the individual to have needs met, alignment of efforts with community and social care organizations, and advocacy for changes to infrastructure and policy (both health and social) may facilitate such rehabilitation-led models. (25) Primary care is a model of care that supports first-contact, accessible, continuous, comprehensive, and coordinated person-focused care. The World Health organisation has specifically called for strengthening and scale-up of NCD interventions within primary care in their draft 2023-2030 roadmap on the prevention and control on NCDs.…”

Section: Integrated Rehabilitationmentioning

confidence: 99%

See 3 more Smart Citations

Towards a framework for the scale-up of rehabilitation for patients with non-communicable disease in low-resource settings

Heine

Derman

Hanekom

2022

Preprint

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Objective To explore and synthesize critical factors for the scale-up of comprehensive rehabilitation care for people with non-communicable disease in low-resourced settings. Methods A core set of 81 articles were selected from two published scoping reviews. Using the principles of thematic analysis, the core set was analysed for factors that may directly or indirectly affect the feasibility or scale-up of rehabilitation. Categories and themes were formulated via an iterative team approach using the core set (n=81). Subsequently, we triangulated the thematic analysis against our findings from a feasibility study conducted in a low-resourced, urban, setting in South Africa. Next, a validation article set (n=63) was identified by updating the searches for the respective published reviews, and a purposeful sample of articles drawn from the validation set (n=13; 20%) was used to validate the factors identified in the primary analysis based on the principles of data saturation. Findings A total of 40 different themes (i.e., critical factors) were derived from 169 categories. Subsequently the identified factors could be packaged into nine system elements principal for the scale-up of rehabilitation for people with NCDs in terms of increasing population coverage, increasing comprehensiveness, and integration within existing health structures. Conclusion A multitude of factors which affect the feasibility and scale-up of rehabilitation for NCDs in low resource settings were identified. These factors are multi-dimensional and multi-directional. Researchers and policy makers should consider these factors and their interconnectedness when planning to address the rehabilitation needs through implementation and scale-up initiatives

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%