Towards a needs-based design of the physical rehabilitation workforce in South Africa

Detalhes bibliográficos
Autor(a) principal: Louw, Q.
Data de Publicação: 2021
Outros Autores: Grimmer, K., Berner, K., Conradie, T., Bedada, D. T., Jesus, Tiago Silva
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/122598
Resumo: Funding Information: This research was funded by the National Research Foundation Research Chair Initiative (UID 115461). Publisher Copyright: © 2021, The Author(s).
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spelling Towards a needs-based design of the physical rehabilitation workforce in South Africatrend analysis [1990–2017] and a 5-year forecasting for the most impactful health conditions based on global burden of disease estimatesGlobal burden of diseaseHuman resourcesRehabilitation workforceYLDsPublic Health, Environmental and Occupational HealthSDG 3 - Good Health and Well-beingSDG 17 - Partnerships for the GoalsSDG 10 - Reduced InequalitiesFunding Information: This research was funded by the National Research Foundation Research Chair Initiative (UID 115461). Publisher Copyright: © 2021, The Author(s).Background: Rehabilitation can improve function in many people with chronic health conditions. It is important to consider priority conditions requiring rehabilitation, so it can be realistically positioned and costed in national health financing systems like South Africa (SA)‘s proposed National Health Insurance (NHI). This paper describes temporal trends of top-ranked conditions on years lived with disability (YLDs) rates in SA, for which physical rehabilitation can ameliorate associated disability. Methods: This study is a systematic synthesis of publicly available Global Burden of Disease (GBD) 2017 estimates. The top 11 conditions contributing most to YLDs and for which evidence-based rehabilitation interventions exist were identified. Age-standardized rates per 100,000 and YLDs counts were extracted from 1990 to 2017. Significance of changes in temporal trends was determined using Mann-Kendall trend tests. Best-fit rates of yearly changes were calculated per condition, using GBD estimates (2012–2017), and extrapolated (by imposing the best-fit regression line onto results for each subsequent predicted year) as forecasts (2018–2022). Results: Trends for YLDs counts per condition year (1990–2017) and forecasted values (2018–2022) showed an overall steady increase for all conditions, except HIV and respiratory conditions. YLDs counts almost doubled from 1990 to 2017, with a 17% predicted increase from 2017 to 2022. The proportionate contribution to YLDs counts reduced over time for all conditions, except HIV. Although age-standardized YLDs rates appear relatively stable over the analyzed periods for all conditions (except HIV, respiratory conditions and type 2 diabetes), trend changes in YLDs rates over 28 years were significant for all conditions, except neonatal (p = 0.855), hearing loss (p = 0.100) and musculoskeletal conditions (p = 0.300). Significant trend decreases were apparent for 4/9 conditions, implying that another 5/9 conditions showed trend increases over 28 years. Predicted all-age prevalence in 2022 suggests relatively large increases for cardiovascular disease and heart failure, and burns, while relative decreases are predicted for fractures and dislocations, stroke, and musculoskeletal conditions. Conclusion: Rehabilitation needs in SA are potentially massive and unmet, highlighting the need for innovative and context-specific rehabilitation that considers current local needs and projected changes. These findings should be considered when designing the NHI and other schemes in SA to ensure human and financial resources are deployed efficiently.Instituto de Higiene e Medicina Tropical (IHMT)Global Health and Tropical Medicine (GHTM)RUNLouw, Q.Grimmer, K.Berner, K.Conradie, T.Bedada, D. T.Jesus, Tiago Silva2021-08-16T23:20:25Z2021-122021-12-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/122598engPURE: 33050005https://doi.org/10.1186/s12889-021-10962-yinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:04:10Zoai:run.unl.pt:10362/122598Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:44:47.939178Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Towards a needs-based design of the physical rehabilitation workforce in South Africa
trend analysis [1990–2017] and a 5-year forecasting for the most impactful health conditions based on global burden of disease estimates
title Towards a needs-based design of the physical rehabilitation workforce in South Africa
spellingShingle Towards a needs-based design of the physical rehabilitation workforce in South Africa
Louw, Q.
Global burden of disease
Human resources
Rehabilitation workforce
YLDs
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
SDG 17 - Partnerships for the Goals
SDG 10 - Reduced Inequalities
title_short Towards a needs-based design of the physical rehabilitation workforce in South Africa
title_full Towards a needs-based design of the physical rehabilitation workforce in South Africa
title_fullStr Towards a needs-based design of the physical rehabilitation workforce in South Africa
title_full_unstemmed Towards a needs-based design of the physical rehabilitation workforce in South Africa
title_sort Towards a needs-based design of the physical rehabilitation workforce in South Africa
author Louw, Q.
author_facet Louw, Q.
Grimmer, K.
Berner, K.
Conradie, T.
Bedada, D. T.
Jesus, Tiago Silva
author_role author
author2 Grimmer, K.
Berner, K.
Conradie, T.
Bedada, D. T.
Jesus, Tiago Silva
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Instituto de Higiene e Medicina Tropical (IHMT)
Global Health and Tropical Medicine (GHTM)
RUN
dc.contributor.author.fl_str_mv Louw, Q.
Grimmer, K.
Berner, K.
Conradie, T.
Bedada, D. T.
Jesus, Tiago Silva
dc.subject.por.fl_str_mv Global burden of disease
Human resources
Rehabilitation workforce
YLDs
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
SDG 17 - Partnerships for the Goals
SDG 10 - Reduced Inequalities
topic Global burden of disease
Human resources
Rehabilitation workforce
YLDs
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
SDG 17 - Partnerships for the Goals
SDG 10 - Reduced Inequalities
description Funding Information: This research was funded by the National Research Foundation Research Chair Initiative (UID 115461). Publisher Copyright: © 2021, The Author(s).
publishDate 2021
dc.date.none.fl_str_mv 2021-08-16T23:20:25Z
2021-12
2021-12-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/122598
url http://hdl.handle.net/10362/122598
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv PURE: 33050005
https://doi.org/10.1186/s12889-021-10962-y
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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