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Building capacity in primary care rehabilitation clinical practice guidelines : a South African initiative

dc.contributor.authorLouw, Q.en_ZA
dc.contributor.authorGrimmer, K.en_ZA
dc.contributor.authorDizon, J. Men_ZA
dc.contributor.authorMachingaidze, S.en_ZA
dc.contributor.authorParker, H.en_ZA
dc.contributor.authorErnstzen, D.en_ZA
dc.date.accessioned2018-10-01T05:39:19Z
dc.date.available2018-10-01T05:39:19Z
dc.date.issued2018-09-29
dc.identifier.citationLouw, Q. et al. 2018. Building capacity in primary care rehabilitation clinical practice guidelines : a South African initiative. Health Research Policy and Systems, 16:96, doi:10.1186/s12961-018-0368-z.
dc.identifier.issn1478-4505 (online)
dc.identifier.otherdoi:10.1186/s12961-018-0368-z
dc.identifier.urihttp://hdl.handle.net/10019.1/104540
dc.descriptionCITATION: Louw, Q. et al. 2018. Building capacity in primary care rehabilitation clinical practice guidelines : a South African initiative. Health Research Policy and Systems, 16:96, doi:10.1186/s12961-018-0368-z.
dc.descriptionThe original publication is available at https://health-policy-systems.biomedcentral.com
dc.description.abstractBackground: The large number of South Africans with disability who cannot access good quality rehabilitation presents a public health and human rights challenge. A cost-effective, efficient approach is required to address this. Implementation of high-quality, contextually relevant clinical practice guidelines (CPGs) could be a solution; however, this requires significant investment in innovative capacity-building. Methods: A qualitative descriptive national study was conducted to explore the perspectives of South African stakeholders in rehabilitation, regarding CPG capacity-building. Twenty rehabilitation professionals (physiotherapists, occupational therapists, speech language therapists, podiatrists, rehabilitation managers or directors) were interviewed. Transcribed interview data were analysed using a deductive content analysis approach, mapping findings to an international capacity-building framework to produce new knowledge. Results: Capacity-building is required in content, purpose and construction of locally relevant CPGs, as well as personal, workforce and systems capacity. Principles and strategies were derived to underpin implementation of CPGs that are user friendly, context specific, relevant to the needs of end-users, and achievable within available resources. Collaboration, networks and communication are required at national, provincial and regional level, within and between sectors. A central agency for CPG methods, writing, implementation and evaluation is indicated. Conclusion: South African rehabilitation can benefit from a multi-level CPG capacity-building focusing on performance, personal, workforce and systems issues.en
dc.description.sponsorshipMRC Flagship-funded SAGE project
dc.description.urihttps://health-policy-systems.biomedcentral.com/articles/10.1186/s12961-018-0368-z
dc.format.extent11 pages ; illustrations
dc.language.isoen
dc.publisherBioMed Central
dc.subjectHospitals -- Rehabilitation services -- South Africaen_ZA
dc.subjectPeople with disabilities -- Services foren_ZA
dc.subjectMedical protocols -- South Africaen_ZA
dc.titleBuilding capacity in primary care rehabilitation clinical practice guidelines : a South African initiativeen_ZA
dc.typeArticle
dc.date.updated2018-09-30T03:55:14Z
dc.description.versionPublisher's version
dc.rights.holderAuthors retain copyright


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