ArticleBMC health services research2024
A qualitative study on rehabilitation services at primary health care: insights from primary health care stakeholders in low-resource contexts.
Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Virtual reality in neurorehabilitation for musculoskeletal disorders: a bibliometric analysis from 2010 to 2025.Frontiers in neurology · 2026Pooled it
- Perceptions, Attitudes, and Expectations Toward Primary Health Care Service Provision and Their Association with Service Utilization in Subdistrict Health Promoting Hospitals in Northeastern Thailand: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Occupational Therapy Services for Community-Dwelling Patients With Stroke in Thailand: Explanatory Sequential Mixed Methods Study.Journal of participatory medicine · 2026Article
- Pathways for enhancing service capability of primary healthcare institutions: a dynamic qualitative comparative analysis.Frontiers in public health · 2026Article
- Comparison of the clinicians' and experts' assessments of rehabilitation service needs for patients in the middle of China.Scientific reports · 2025Article
- Rehabilitation needs at rural primary health care settings: perspectives of health center nurses in Burera district of Rwanda.BMC primary care · 2025Article
- Physical rehabilitation delivery by community health workers: Views of the users and caregivers.African journal of primary health care & family medicine · 2025Article
- Rehabilitation Service Delivery Models to Foster Healthy Ageing in the WHO European Region: Results From a Cross-Sectional Stakeholder Consultation Involving 45 Countries.Advances in rehabilitation science and practiceArticle
- Protocol for the development and validation of a Core Set for exercise-based rehabilitation of adults with multiple long-term conditions (multimorbidity) based on the World Health Organization's International Classification of Functioning, Disability, and Health (ICF) framework.Journal of multimorbidity and comorbidityArticle
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5 authors.
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Abstract
backgroundThe chasm between rehabilitation needs and available rehabilitation services is widening. In most low-resource contexts, there are inadequate rehabilitation professionals at primary health care (PHC), leaving nonrehabilitation primary care providers' (PCPs) and district rehabilitation professionals and managers to address patients' rehabilitation needs. This study explored rehabilitation and non-rehabilitation PCPs' and managers' perspectives on the situation of rehabilitation service provision in PHC settings and the challenges experienced in providing rehabilitation care.
methodsIn this descriptive, exploratory qualitative study, individual semi-structured interviews and focus group discussions were conducted with purposefully sampled PCPs in Manicaland, Zimbabwe and Eastern Cape, South Africa. The transcripts were analysed thematically using Atlas.ti. version 22.2
resultsThirty-six PCPs (29 nonrehabilitation and 7 rehabilitation) and one district manager participated in the study. The current PHC rehabilitation services in the two low-resource contexts were described as inadequate, if not nonexistent. District rehabilitation professionals attempted to fill the gap through outreach and home visits, but resource limitations, particularly in Zimbabwe, often hampered this strategy. The nonrehabilitation PCPs took on task-shifting roles in the identification, referral, and education of patients with rehabilitation needs in the absence of rehabilitation professionals at PHC. Challenges encountered in providing rehabilitation care at PHC included unsupportive leadership, human resource shortages, lack of comprehensive PHC rehabilitation guidelines, no or delayed rehabilitation referral, lack of clear communication strategies, and users' low demand for PHC rehabilitation.
conclusionTailored approaches, including context-specific rehabilitation guidance for existing task-shifting models, increased investment in rehabilitation and increased rehabilitation awareness, are needed to establish basic rehabilitation services in the described contexts because they are mostly absent. Importantly, the PHC systems in which rehabilitation is to be nested need to be strengthened.
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