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“Health Economic approaches used to measure the economic value of rehabilitation in low and middle-income countries”
Thesis (MScPhysio)--Stellenbosch University, 2023.
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| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2023
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| _version_ | 1867614124910837760 |
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| access_status_str | Open Access |
| author | Oosthuizen, Rulanda |
| author2 | Hanekom, Susan |
| author_browse | Hanekom, Susan Oosthuizen, Rulanda |
| author_facet | Hanekom, Susan Oosthuizen, Rulanda |
| author_sort | Oosthuizen, Rulanda |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MScPhysio)--Stellenbosch University, 2023. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/129433 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:47:03.084Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2023 |
| publishDateRange | 2023 |
| publishDateSort | 2023 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/129433 “Health Economic approaches used to measure the economic value of rehabilitation in low and middle-income countries” Oosthuizen, Rulanda Hanekom, Susan Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Health and Rehabilitation Sciences. Physiotherapy. Rehabilitation -- Economic aspects -- Developing countries Rehabilitation -- Cost effectiveness -- Developing countries Cost effectiveness -- Health services -- Developing countries Outcome assessment (Medical care) -- Economic aspects -- Developing countries UCTD Thesis (MScPhysio)--Stellenbosch University, 2023. ENGLISH SUMMARY: Introduction: The World Health Organisation (WHO) estimates 2.4 billion people globally could benefit from rehabilitation, however inequities in access persist in low-resourced settings. Aging population, increasing burden of non-communicable disease, and urbanisation are some of the key drivers for rehabilitation demands in low- and middle-income countries (LMICs). Recent endorsement to increase rehabilitation access in LMICs necessitates redistribution of health care funds to scale rehabilitation. Health economics provides a framework to guide resource allocation, vital for LMICs facing challenges in care and research which include limited access, heavy workloads, system gaps, and subpar care. Health economic research can aid LMIC decision-makers in prioritizing and scaling rehabilitation despite these constraints. Objective: The objective is to map the health economic approaches used to appraise the economic value of rehabilitation in LMICs. Design: In this thesis, we conducted a scoping review in accordance with the Joanna Briggs Institute guidelines. The following databases were searched (8 June 2022); Scopus, Science Direct, EBSCOhost, PubMed, Africa-Wide, Sabinet and Scielo with the following main concepts: “Health economics” AND “Rehabilitation” AND “low and middle-income countries”. The search was limited to 2003 onwards following the publication of the WHO Guide to Cost-Effectiveness Analysis and WHO Guide to Identifying the Economic Consequences of Disease and Injury. Participants: Adult patients, who received rehabilitation as part of the usual care provided or in experimental studies where the effectiveness of context specific rehabilitation was investigated. Concept: Studies considered include the concepts and/or sub-concepts of health economics. Context: Countries considered as low-, lower middle- and upper middle-income countries as based on the historical classification of the World Bank list of economies. Data analysis: A data extraction sheet was populated that included basic study descriptors, a description of the rehabilitation studied, components of the reporting checklist for economic evaluations, and features related to health equity. Data extracted is synthesised descriptively. Results: The search yielded 3474 unique citations, of which 31 were included. Among these, 14 publications focused on rehabilitation interventions, while the remaining publications integrated rehabilitation as a component of cost as part of the lager study. The most prevalent health economic approach used to value rehabilitation in LMICs is found to be economic evaluation studies, with cost-effectiveness analysis being the most prevalent. Geographically the studies were mainly conducted in upper middle-income countries. Diseases of the circulatory system were most frequently investigated. The adapted socio-ecological model was used to report on the challenges experienced in conducting health economic research in the field of rehabilitation in LMICs, with the pronounced challenges reported in the academic domain. Conclusion: The scope of evidence suggests that, notwithstanding the worldwide emphasis on the significance of rehabilitation and the high demand for rehabilitation in LMICs, health economic studies pertaining to rehabilitation in LMICs are still sparse. Health economic studies reporting on the economic value of rehabilitation poorly report on the specific rehabilitation cost components (e.g., type of intervention, staffing and equipment). The challenges associated with research in LMICs were found mainly in the academic domain of the adapted socio-ecological model and requires more investigation. The integration of health economic studies pertaining to rehabilitation into health planning and implementation, could provide valuable information for advancing the goals of including rehabilitation as part of universal health coverage and improved well-being. AFRIKAANSE OPSOMMING: Inleiding: Die Wereldgesondheidsorganisasie het verneem dat 2.4 miljard mense leef met 'n gesondheidstoestand wat kan baat by rehabilitasie. Tog is daar groot ongelykhede in toegang tot rehabilitasiedienste wereldwyd, veral in komplekse en lae-hulpbron omgewings. Terwyl die redes vir diensleweringsgapings ingewikkeld is, is sommige van die faktore wat rehabilitasiebehoeftes beinvloed naamlik; 'n verouderende bevolking, ’n toename van nie-oordraagbare siektes en vinnige verstedeliking . Die toename in die behoefte aan rehabilitasie, tesame met die onlangse ondersteuning om rehabilitasie toegang in lae- en middel-inkomste lande (LMIL) te verhoog, behoort tot 'n herverdeling van gesondheidsorg fondse te lei om rehabilitasie sorg as geheel te verbeter. Nietemin vereis beleid- en besluitnemers bewyse en insig om 'n gepaste toekenning van fondse op verskeie gesondheidsorgvlakke te verseker. Die gebruik van gesondheidsekonomiese studies is 'n waardevolle bron, veral in LMIL waar hulpbronne skaars is en daarom moet rehabilitasie-intervensies en implementeringsplanne weens die beperkte fondse geprioritiseer word. Doelwit: Die doel is om die ekonomiese aanwysers wat gebruik word om die waarde van rehabilitasie in LMIL te verken. Ontwerp: In die tesis het ons 'n omvangsresensie uitgevoer in ooreenstemming met die riglyne van die Joanna Briggs-instituut. Die volgende databasisse is deursoek (8 Junie 2022): Scopus, Science Direct, EBSCOhost, PubMed, Africa-Wide, Sabinet en Sciello met die volgende kernbegrippe: "Gesondheidsekonomie" EN "Rehabilitasie" EN "lae en middel-inkomste lande". Die soektog is beperk tot 2003 en daarna, in ooreenstemming met die publikasie van die WGO-Gids vir Koste-effektiwiteitsanalise en die WGO-Gids vir die Identifisering van die Ekonomiese Gevolge van Siekte en Besering. Deelnemers: Volwasse pasiente wat rehabilitasie as deel van die gewone versorging ontvang het, of in eksperimentele studies waar die doeltreffendheid van konteks-spesifieke rehabilitasie ondersoek is. Konsep: Studies wat oorweeg was, het die begrippe en/of sub-begrippe van gesondheidsekonomie insluit. Konteks: Lande wat beskou word as lae-, laer middel- en bogemiddelde-inkomste lande, gebaseer op die historiese klassifikasie van die Wereldbank se lys van ekonomiee. Data-analise: ‘n Data-ontrekkingsblad is ingevul wat basiese studie beskrywings naamlik, 'n beskrywing van die ondersoek na rehabilitasie, komponente van die verslagdoeningslys vir ekonomiese evaluasies, en kenmerke wat verband hou met gesondheidsregverdigheid, ingesluit het. Die ontlokte data word beskrywend saamgevoeg. Resultate: Die soektog het 3474 unieke aanhalings opgelewer, waarvan 31 ingesluit is. Van hierdie, het 14 publikasies gefokus op rehabilitasie-intervensies, terwyl die oorblywende publikasies rehabilitasie as 'n komponent van koste geintegreer het. Die mees algemene ekonomiese aanwyser wat gebruik word om rehabilitasie in LMIL te waardeer, is ekonomiese evaluasiestudies, waarby koste-effektiwiteitsanalise die mees algemene vorm is. Geografies was die studies hoofsaaklik in bogemiddel-inkomste lande uitgevoer. Siektes van die sirkulasie stelsel is van die mees ondersoekte toestande. Die uitdagings te vinde op gesondheidsekonomiese studies te voltooi in LMIL is in die aangepaste sosio-ekologiese model gerapporteer, met die mees opvallende uitdagings in die akademiese en maatskaplike been van die model. Gevolgtrekking: Ten spyte van die wereldwye klem op die belangrikheid van rehabilitasie en die hoe aanvraag vir rehabilitasie in LMIL, is gesondheidsekonomiese studies met betrekking tot rehabilitasie in LMIL steeds ‘n embrio. Gesondheidsekonomiese studies wat verslag doen oor die ekonomiese waarde van rehabilitasie, insluitend rehabilitasie as 'n komponent van koste, het nie rehabilitasiekostekomponente deeglik beskryd nie (bv. met betrekking tot tipe ingryping, personeel en toerusting). Die uitdagings wat verband hou met navorsing in LMIL is hoofsaaklik in die akademiese domein van die aangepaste sosio-ekologiese model gevind en vereis verdere ondersoek. Die integrasie van gesondheidsekonomiese studies met betrekking tot rehabilitasie in gesondheidsbeplanning en implementering kan waardevolle inligting bied om die doelwitte om rehabilitasie as deel van universele gesondheidsdekking en verbeterde welstand te bevorder. Masters 2023-11-16T20:37:25Z 2024-02-20T11:27:05Z 2023-11-16T20:37:25Z 2024-02-20T11:27:05Z 2023-11-16 Thesis https://scholar.sun.ac.za/handle/10019.1/129433 en_ZA Stellenbosch University xiv, 97 pages : illustrations, includes annexures application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Rehabilitation -- Economic aspects -- Developing countries Rehabilitation -- Cost effectiveness -- Developing countries Cost effectiveness -- Health services -- Developing countries Outcome assessment (Medical care) -- Economic aspects -- Developing countries UCTD Oosthuizen, Rulanda “Health Economic approaches used to measure the economic value of rehabilitation in low and middle-income countries” |
| title | “Health Economic approaches used to measure the economic value of rehabilitation in low and middle-income countries” |
| title_full | “Health Economic approaches used to measure the economic value of rehabilitation in low and middle-income countries” |
| title_fullStr | “Health Economic approaches used to measure the economic value of rehabilitation in low and middle-income countries” |
| title_full_unstemmed | “Health Economic approaches used to measure the economic value of rehabilitation in low and middle-income countries” |
| title_short | “Health Economic approaches used to measure the economic value of rehabilitation in low and middle-income countries” |
| title_sort | health economic approaches used to measure the economic value of rehabilitation in low and middle income countries |
| topic | Rehabilitation -- Economic aspects -- Developing countries Rehabilitation -- Cost effectiveness -- Developing countries Cost effectiveness -- Health services -- Developing countries Outcome assessment (Medical care) -- Economic aspects -- Developing countries UCTD |
| url | https://scholar.sun.ac.za/handle/10019.1/129433 |
| work_keys_str_mv | AT oosthuizenrulanda healtheconomicapproachesusedtomeasuretheeconomicvalueofrehabilitationinlowandmiddleincomecountries |