Volume 25, Issue 1 (Spring 2024)
jrehab 2024, 25(1): 2-25 |
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Rahmani N, Kajbafvala M, Takian A, Shirazikhah M, Hamidi H, Ehsanzadeh S J. A Comparative Study of Rehabilitation Policies in Selected Countries: A Narrative Review. jrehab 2024; 25 (1) :2-25
URL: http://rehabilitationj.uswr.ac.ir/article-1-3160-en.html
URL: http://rehabilitationj.uswr.ac.ir/article-1-3160-en.html
Nahid Rahmani1 
, Mehrnaz Kajbafvala * 2, Amirhossein Takian3 , Marziyeh Shirazikhah4 , Hadi Hamidi5 , Seyed Jafar Ehsanzadeh5
, Mehrnaz Kajbafvala * 2, Amirhossein Takian3 , Marziyeh Shirazikhah4 , Hadi Hamidi5 , Seyed Jafar Ehsanzadeh5
1- Department of Physiotherapy, Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran., Tehran
2- Department of Physiotherapy, Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran. ,mehrnaz.kajbafvala@gmail.com
3- Department of Global Health and Public Policy, School of Health, Tehran University of Medical Sciences, Tehran, Iran., Tehran
4- Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran., Tehran
5- Department of English Language, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran., Tehran
2- Department of Physiotherapy, Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran. ,
3- Department of Global Health and Public Policy, School of Health, Tehran University of Medical Sciences, Tehran, Iran., Tehran
4- Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran., Tehran
5- Department of English Language, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran., Tehran
Abstract: (1843 Views)
Objective According to the World Health Organization (WHO), more than 1 billion people (approximately 15% of world population) live with disability. Also, about half of these people lack access to healthcare facilities. Therefore, providing timely healthcare services, especially rehabilitation, is of great significance for these people. The goal of the study was to determine the objectives and policies in the field of rehabilitation in middle- and high-income countries and compare them with Iran.
Materials & Methods Based on available databases, a comprehensive review of documents, papers, and books was performed in the field of rehabilitation related to high- and middle-income countries.
Results Due to a lack of coordinated services, inappropriate access, unplanned distribution, unclear service delivery levels, neglect of health promotion and prevention levels, lack of a transparent referral system, unclear insurance system, and weak financial resources, the need for a national program with a service integration approach is strongly felt. The review of the rehabilitation programs and documents in other countries help us to design a conceptual framework of the rehabilitation service model, which is based on three principles: Removing barriers and developing access to healthcare services and programs; strengthening and developing rehabilitation using technology, community-based support, and rehabilitation services; and promoting comparable international data collection on disability and supporting research on disability and related rehabilitation services.
Conclusion The national rehabilitation program, with a service integration approach, provides a good platform for fair access to rehabilitation services for all people with disability. In this program, the health system is the most important reference to meet these needs. Therefore, it is suggested that this program pursue three main objectives: Fair promotion of the healthcare services of rehabilitation for recipients, improving the response to the needs of rehabilitation service recipients, and reducing the financial and social risks of service recipients.
Materials & Methods Based on available databases, a comprehensive review of documents, papers, and books was performed in the field of rehabilitation related to high- and middle-income countries.
Results Due to a lack of coordinated services, inappropriate access, unplanned distribution, unclear service delivery levels, neglect of health promotion and prevention levels, lack of a transparent referral system, unclear insurance system, and weak financial resources, the need for a national program with a service integration approach is strongly felt. The review of the rehabilitation programs and documents in other countries help us to design a conceptual framework of the rehabilitation service model, which is based on three principles: Removing barriers and developing access to healthcare services and programs; strengthening and developing rehabilitation using technology, community-based support, and rehabilitation services; and promoting comparable international data collection on disability and supporting research on disability and related rehabilitation services.
Conclusion The national rehabilitation program, with a service integration approach, provides a good platform for fair access to rehabilitation services for all people with disability. In this program, the health system is the most important reference to meet these needs. Therefore, it is suggested that this program pursue three main objectives: Fair promotion of the healthcare services of rehabilitation for recipients, improving the response to the needs of rehabilitation service recipients, and reducing the financial and social risks of service recipients.
Type of Study: Review |
Subject:
Physical Therapy
Received: 31/07/2022 | Accepted: 1/03/2024 | Published: 1/04/2024
Received: 31/07/2022 | Accepted: 1/03/2024 | Published: 1/04/2024
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This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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