Rehabilitation outcomes measurement instruments usage in KwaZulu-Natal and Gauteng healthcare

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dc.contributor.authorButhelezi, Mnqobi Basil
dc.date.accessioned2024-02-12T10:15:57Z
dc.date.available2024-02-12T10:15:57Z
dc.date.issued2022-11
dc.descriptionA research report submitted in partial fulfilment of the requirements for the degree of Masters of Management (in the field of Governance-Public and Development Sector Monitoring and Evaluation) to the Faculty of Commerce, Law and Management, University of the Witwatersrand, Johannesburg, 2022
dc.description.abstractThere is a lack of rehabilitation outcome data collection and use in South Africa. Important to note in this study discussion are Rehabilitation Outcome Measures which are tools (FIM, BI, MRS, FAI, NEADL) used to collect data and measure the extent of change during and post rehabilitation period. This research purpose aims to evaluate the awareness, and use of rehabilitation outcome data measuring instruments, the available capacity, opportunities of learning and constraints that exist across different settings in public and private rehabilitation healthcare in KZN and GP. A quantitative research strategy was utilised. A cross-sectional, survey design plan of data collection framework was used. Face-to-face primary data collection was conducted in the proposed research sites. Purposive sampling targeting 13 rehabilitation public-private healthcare facilities in KZN, and GP was used. Stratified sampling together with 100% sampling in a small population was conducted. Community of Rehabilitation Multidisciplinary Teams (RMTs) of seven (7) members in public and private hospitals, composed of medical officer(s), nurse(s), clinical psychologist(s), physiotherapist(s), occupational therapist(s), speech/audio therapist(s) and social worker(s) took part in the study. SPSS assisted in results analysis; frequencies and non-parametric Chi-square of independence statistics were utilised to sort any significant associations. Results indicated that 253 subjects participated in the study. Analysed results suggested that n=153 (60.5%) participants were not provided with rehabilitation outcome measuring tools by the facility they were working for. Results suggested a significant negative association in Public Rural Settings (FIM=49.7%, BI=43.8%, MRS=41.9%, p=0.001, FAI=17.6%, p=0.037) and Public Urban Settings (FIM=43.2%, BI=36.5%, MRS=40.5%, p=0.001 and FAI=35.3%, p=0.037) of public healthcare facilities as they were not using rehabilitation OMs. A significant association in use of rehabilitation OMs was found in Private Urban Rehabilitation Healthcare facilities (FIM=56.0%, BI=35.6%, MRS=64.5%, p=0.001 and FAI=47.1%, p=0.037). Public healthcare facilities in KZN and GP were not using rehabilitation outcome measures, while GP Private rehabilitation healthcare facilities were using them. In conclusion, it is recommended that National Rehabilitation Policy (NRP) is subjected to reviews to incorporate standardisation of rehabilitation OMs. A diagnostic evaluation exercise is necessary for Theory Of Change development focusing on rehabilitation healthcare services.
dc.description.librarianXN (2024)
dc.facultyFaculty of Commerce, Law and Management
dc.identifier.urihttps://hdl.handle.net/10539/37568
dc.language.isoen
dc.rights.holderUniversity of the Witswatersrand, Johannesburg
dc.schoolWits School of Governance
dc.subjectRehabilation outcome measures
dc.subjectUse of outcome measures
dc.subjectRehabilitation-multidisciplinary-team
dc.subjectData instruments
dc.subjectAwareness
dc.subjectMonitoring & evaluation
dc.subjectUCTD
dc.subject.otherSDG-11: Sustainable cities and communities
dc.titleRehabilitation outcomes measurement instruments usage in KwaZulu-Natal and Gauteng healthcare
dc.typeDissertation
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