A systematic review and cross-sectional survey of rehabilitation resources for injury patients in the Kilimanjaro Region of Tanzania.
A systematic review and cross-sectional survey of rehabilitation resources for injury patients in the Kilimanjaro Region of Tanzania.
复制标题
对坦桑尼亚乞力马扎罗地区受伤患者康复资源的系统回顾和横断面调查。
DOI：
10.1080/09638288.2023.2179674
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发表时间：
2024
影响因子：
2.2
通讯作者：
Staton,Catherine
中科院分区：
文献类型：
--
作者：
Zimmerman,Armand;Minnig,MaryCatherine;Meela,Joseph;Tupetz,Anna;Bettger,JanetPrvu;Vissoci,JoaoRicardoNickenig;Staton,Catherine
据估计，坦桑尼亚全国有1000万人患有某种疾病，可以从康复治疗中受益。然而，获得康复的机会仍然不足以满足坦桑尼亚人民的需要。本研究的目的是确定和表征坦桑尼亚乞力马扎罗山地区受伤患者可用的康复资源。方法采用两种方法识别和描述康复服务。首先，我们对同行评议文献和灰色文献进行了系统回顾。其次，我们对通过系统审查确定的康复诊所以及乞力马扎罗山基督教医疗中心的工作人员进行了问卷调查。结果通过系统评价确定了11家提供康复服务的机构。其中8个组织回应了我们的调查问卷。被调查的组织中有七个为脊髓损伤、短期残疾或永久性运动障碍的患者提供护理。其中六个为受伤和残疾患者提供诊断和治疗程序。其中6家提供家庭护理支持。两种不需要付款。只有三个接受医疗保险。没有人提供资金支持。结论在乞力马扎罗山地区有相当数量的卫生诊所为受伤患者提供康复服务。然而，仍然需要将该地区更多的患者与长期康复护理联系起来。对康复的影响损伤是世界范围内死亡和残疾的主要原因，对低收入和中等收入国家（LMICs）人口的影响尤为严重。康复是损伤护理的一个重要组成部分，但在低收入和中等收入国家中，估计有50%需要康复的患者没有得到康复。这项研究提供了对具有重大伤害负担的低收入国家的康复服务的可用性和使用的见解。
PurposeAn estimated 10 million people across Tanzania have a condition that would benefit from rehabilitative care. However, access to rehabilitation remains inadequate to meet the needs of Tanzania’s population. The goal of this study was to identify and characterize rehabilitation resources available to injury patients in the Kilimanjaro region of Tanzania.MethodsWe used two approaches to identify and characterize rehabilitation services. First, we conducted a systematic review of peer-reviewed and gray literature. Second, we administered a questionnaire to rehabilitation clinics identified through the systematic review as well as through staff at Kilimanjaro Christian Medical Centre.ResultsOur systematic review identified eleven organizations offering rehabilitation services. Eight of these organizations responded to our questionnaire. Seven of the surveyed organizations provide care to patients with spinal cord injuries, short term disability, or permanent movement disorders. Six offer diagnostic and treatment procedures to injured and disabled patients. Six offer homecare support. Two require no payment. Only three accept health insurance. None offer financial support.ConclusionsThere is a sizable portfolio of health clinics offering rehabilitation services to injury patients in the Kilimanjaro region. However, there remains an ongoing need to connect more patients in the region to long-term rehabilitative care.IMPLICATIONS FOR REHABILITATIONInjury is a leading cause of death and disability worldwide and disproportionately affects populations in low- and middle-income countries (LMICs).Rehabilitation is an essential component of injury care, yet an estimated 50% of patients in LMICs who need rehabilitation do not receive it.This study offers insight into the availability and use of rehabilitative services in an LMIC with a substantial injury burden.