Models for Integrating Rehabilitation and Primary Care: A Scoping Study

Awareness of Community-Based Rehabilitation with a Focus on Public Health Centers

“…If the CBR program focuses on PHCs, this service can spread widely across the entire country 13) . It is necessary to systemize PHCs to increase flexibility because as the importance of social integration for the disabled increases 17,[19][20][21] , physical therapy services are becoming more important in the community 15) .…”

“…The function and role of PHCs has increased to provide health care equally for the whole nation and CBR with a focus on 45 PHCs is being implemented across the nation until 2011 11) . However, CBR implementation in PHCs has been unsuccessful, and efforts have been made to identify the causes of CBR inactivity 6,7,[11][12][13] . Many studies on the demand for CBR among the disabled suggest a strong demand for emotional, cognitive and social services, as well as transport, health management, activities of daily l i v i n g ( A D L ) , e c o n o m i c , a n d o t h e r t h e r a p e u t i c rehabilitation services.…”

“…Some studies have explored the use of PHCs 3,8,13) . In particular, Hong found that the use of PHCs was low 11) .…”

Occupational Therapy Association of South Africa (OTASA). Position Statement on Occupational Therapy in Primary Health Care (PHC)

“…✥ Greater life expectancy, well-being and productivity for at-risk populations [2][3][4][5][6][7][8][9] . ✥ Mitigation of the physical, social and economic impact of many health conditions, resulting in:…”

Optimal Positioning of Occupational Therapy

“…As health care reforms have been initiated, research to explore the role and contributions of occupational therapy and other rehabilitation professions in primary health care contexts has emerged. McColl, Shortt, et al (2009) conducted a scoping review that identified six models of integrating rehabilitation into primary health care and proposed a number of themes related to such integration. Richardson, Letts, Chan, Stratford, et al (2010) reported the results of a randomized controlled trial designed to evaluate the effectiveness of a rehabilitation (physiotherapy and occupational therapy) multicomponent intervention for adults with chronic illnesses in a primary health care setting.…”