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Rehabilitation Guidelines in PHC - Coggle Diagram
Rehabilitation Guidelines in PHC
Paragraph 1
Topic Sentence
Need for rehab is increasing
Plan Sentence
Need is increasing especially in LMICs
Point
Most vulnerable have least access to rehab
Evidence
WHO rehab....
Explanation
Poor integration of rehab in health systems in LMICs
Link
Link to poor access at PHC
Paragraph 2
Point
Therefore poor resources at PHC e.g., HR
Evidence
...
Plan sentence
Rehab not integrated into PHC package
Explanation
No policies on rehab in PHC so no guidance on implementation
Topic sentence
PHC has poorest access to rehab
Link
Link tio NHI/ SA
Paragraph 3
Topic sentence
SA rehab not included in original NHI/ most policies
Plan sentence
Rehab in general is not included in policies etc./centralised care
Point
Due to the above rehab has decreased resources, esp at PHC
Explanation
Rehab has not been prioritised by policies and stakeholders as there is no evidence for inclusion of rehabilitation
Link
Link to evidence and research
Evidence
Mostly HR decreased and finances at PHC
Paragraph 4
Point
As a result there are very few rehab guidelines and if there are it's mostly for HIC
Evidence
Prof papers on CPGs
Plan sentence
Rehab research does not include RCTs and therefore not "high" grade evidence
Explanation
With no CPGs and evidence it's difficult to set up policies and therefore no guidance for therapists, especially regarding PHC/rural where there are complicated cases and no resources
Topic sentence
Lack of research on rehab in general
Link
Something about digital health
Paragraph 5
Evidence
Point
Optimising functioning is rehab's ultimate objective
Explanation
By aiming interventions on functioning rather than disease we can improve person's well-being
Plan sentence
It is better to focus on the persons functioning rather than the disease or diagnosis.
Link
By focusing on this we can motivate for rehab in a relatable way for policy makers and government officials
Topic sentence
Nature of PHC pt presentations where there is no diagnosis and complicated disease/impairment factors
Paragraph 6
Point
By classifying rehab interventions/need according to ICF we can focus on population needs
Evidence
Plan sentence
How ICF can be used as a tool to plan policies and structure of rehab services
Explanation
Due to the nature of ICF where contextual factors are taken into account it "forces" us to take population's context into account
Topic sentence
Functioning and ICF
Link
Importance of contextual factors and effectiveness of rehab services
Paragraph 7
Point
If rehab develops something similar could be impactful
Evidence
Plan sentence
Usefulness of PACK for PHC environment
Explanation
As PHC mostly run by nurses similar guidance will be effective and furthermore useful to rehab professionals
Topic sentence
Success of PACK manual
Link
Guidance to digital format
Paragraph 8
Topic sentence
Digital health way forward for rehabilitation
Plan sentence
What has been done with regards to digital health and rehab and how COVID has fast tracked this
Point
Digital resources are easily accessible for persons working in isolated areas and readily available
Evidence
Explanation
By providing an online tool we can target a variety of PHC professionals and make it simplified
Link
Link to aim of study