Exploration of current challenges in rehabilitation from the perspective of healthcare professionals: Switzerland as a case in point |
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| Institution: | 1. Department of Health Sciences and Medicine, University of Lucerne, Frohburgstrasse 3, 6002 Lucerne, Switzerland;2. Swiss Paraplegic Research (SPF), Guido A. Zaech Strasse 4, 6207 Nottwil, Switzerland.;1. Department of Public Health, Faculty of Medicine and Surgery, University of Malta, Malta;2. Dipartimento di Sanita Pubblica della AUSL Romagna-Cesena, Italy;3. Centre for Health System Development, Institute of Public Health, Montenegro;4. Health Monitoring Unit, Ministry of Health, Cyprus;5. Head of Department of Anatomy, Faculty of Medicine and Surgery Room 413, Biomedical Sciences Building & Centre for Molecular Medicine and Biobanking University of Malta, Msida MSD2080, Malta;1. Health Economics and Policy Analysis Centre, National University of Ireland, Galway, Ireland;2. Centre for Public Health, Queen''s University Belfast, Belfast, United Kingdom;1. Professor of European Public Health, London School of Hygiene & Tropical Medicine, London, UK;2. Professor of Immunology, Imperial College, London, UK;3. Professor of Global Health and Sustainable Development, University College London, London, UK;4. Professor of Imaging Neuroscience and honorary consultant, Institute of Neurology and National Hospital for Neurology and Neurosurgery, London, UK;5. former Interim Director, Runnymede Trust, UK;6. Professor of Primary Care Diabetes & Vascular Medicine, University of Leicester,Leicester, UK;7. Professor of Health Psychology and Director of the Centre for Behaviour Change, University College London, London, UK;8. Clinical Senior Research Fellow, University of Cambridge, Cambridge, UK;9. Professor of Operational Research, Director of the Clinical Operational Research Unit & co-Director of the UCL CHIMERA hub, University College London, London, UK;10. Professor of Virology, Division of Infection and Immunity, University College London, London, UK;11. Professor of Social Psychology, University of St Andrews, St Andrews, UK;12. Honorary Senior Clinical Lecturer, University of Oxford, UK;13. President of Section of Epidemiology & Public Health, Royal Society of Medicine, London, UK;14. Senior Lecturer in the Department of Mathematical Sciences and co-director of the Centre for Mathematical Biology, University of Bath, Bath UK;15. Professor of Public Health at the University of Edinburgh, Edinburgh, UK;p. Professor of Anthropology, London School of Economics, London, UK;q. Professor of Social Psychology, University of Sussex, Brighton, UK;r. Professor of Medical Anthropology, London School of Hygiene & Tropical Medicine, London, UK;s. Professor of Psychosocial Studies, Thomas Coram Research Unit, UCL Institute of Education, London, UK;t. Professor of Social Interaction, Loughborough University, Loughborough, UK;u. Emeritus Professor of Health Psychology at University College London, UK;1. Department of Surgery, University of British Columbia, Vancouver, Canada;2. Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada;3. Department of Surgery, Faculty of Medicine, St Paul''s Hospital, University of British Columbia, Vancouver, Canada;4. Centre for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada;5. VA Center for Health Information and Communication, Indianapolis, Indiana, USA;6. Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA;7. Centre for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, 201-2206 East Mall, Vancouver V6T 1Z3, Canada |
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| Abstract: | Rehabilitation is a health strategy with the potential to mitigate the negative health consequences of population ageing and the rise of noncommunicable diseases. Literature indicates that even in high-income countries rehabilitation services can be improved. The purpose of this study is to engage rehabilitation professionals in Switzerland in identifying and prioritizing current challenges in the development and delivery of rehabilitation services.We conducted a qualitative study consisting of interviews with key informants and a stakeholder consultation. Thirteen interviews were conducted and analysed using inductive thematic analysis. Identified challenges were refined, extended, and prioritized through multi-voting in a workshop attended by a wide range of rehabilitation professional organizations. Final results were subject to further analysis and member checking.We identified nineteen challenges, of which eight were viewed as highly important. Results suggest the need to revise the financing system for rehabilitation services, highlighted a poor integration of rehabilitation in primary care, a lack of academic rehabilitation training, and insufficient funding for research. Finally, we identified a perceived lack of awareness for rehabilitation among policy-makers and the public.This study provides a unique perspective on challenges in rehabilitation practice and policy and offers an opportunity for professionals, policy-makers, and other stakeholders, to influence and guide the rehabilitation service agenda both in Switzerland and in terms of mutual learning also in other countries. |
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