Exploring the care pathway for neurological conditions in a Gauteng rehabilitation hospital, South Africa.

Background: People with neurological conditions resulting in disabilities face a multitude of challenges in their journey of care. Existing evidence recommends exploring region-specific care pathways to understand the multi-faceted factors that influence the health outcomes of people with neurological conditions. Objectives: To explore the care pathway for neurological conditions in a specialised rehabilitation hospital in Gauteng, South Africa. Method: This study used an explorative qualitative design. Semi-structured interviews were conducted with a purposeful sample of patients with neurological conditions and health professionals. All interviews were transcribed verbatim, and a framework analysis was used for data processing and interpretation. Results: Two overarching themes emerged: the lack of an integrated care pathway and the key role players along the care pathway. Components in the care pathway continuum included the onset and emergency management, admission into an acute facility, waiting for admission into the rehabilitation hospital, inpatient and outpatient specialised rehabilitation care and community care. Participants described role players in the care pathway. Conclusion: This study describes a detailed care pathway for people with neurological conditions in the healthcare system. Evidence suggests the lack of an integrated pathway for people with neurological conditions, especially in acute and community care settings. Multiple key components and role players are recommended for an integrated care pathway. Contribution: There is a need to develop an integrated care pathway for neurological conditions to minimise clinical risk and improve patient outcomes.