Putting rehab in context Current national & international
Putting rehab in context Current national & international perspectives on rehabilitation A/Prof. William Levack WHOs Rehabilitation 2030: A call to action https://youtu.be/a8uaRziXruc
Sustainable Development Goal 3 Rehabilitation services are necessary for the achievement of SDG goal 3: Ensure healthy lives and promote well-being for all at all ages. (WHO, 2017, p.12) Highlighted need to scale up rehab to meet needs by 2030 The increasing need to scale up
rehabilitation Incr. people living with chronic health conditions & disability Population over 60 expected to double by 2050 18% incr. in noncommunicable disease in last 10 years Incr. awareness of a mismatch between the global need for rehabilitation and the availability of services WHO definition of Universal Health Coverage Universal Health Coverage means that all individuals
and communities receive the health services they need without suffering financial hardship. It includes the full spectrum of essential, quality health services, from health promotion to prevention, treatment, REHABILITATION, and palliative care. Universal health coverage: rehabilitation Costs to be covered
Alarcos Cieza Disability & Rehabilitation Coordinator for WHO Population to be covered be
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Costs to be covered Universal health coverage: rehabilitation Population to be covered be o t
s d e c ere i v v r Se co Reduce non-covered
Rehab $$$ Population to be covered r e h ot s de ice u
cl r v In se be o t s d e c ere i
v v r Se co Costs to be covered Reduce cost sharing & fees Universal health coverage:
rehabilitation Questions! Where do you think there is under-servicing for people with the late effects of polio in New Zealand? Questions! What three things rehabilitation professionals can do to raise awareness of rehabilitation at an organisational level?
Ensure that every health professional has basic knowledge of rehabilitation principles Disseminate information and give advocacy in clinical, academic, and funding institutions Do scientific work on rehab as a health strategy, on the need for rehab, and on rehab outcomes Questions! What three things rehabilitation professionals can do to raise awareness of rehabilitation at an civic level?
Include persons with disabilities and chronic health conditions in research activities Share information and establish dialogue with civil society institutions (social media, press, others) Develop joint activities and projects with civil society institutions and organisation of persons with disabilities and chronic health conditions New Zealand Rehabilitation Association
www.rehabilitation.org.nz One more issue for consideration Insert image here Incr. in heath spending and GPD in NZ (1950-2013) Keene et al. (2016) The myth of unsustainable healthcare
spending The myth of unsustainable healthcare spending Comparing % incr. in spending is misleading because total GPD is much larger than total health spending. GDP in NZ is $240 billion; Health spending is <$15 billion (Keene et al., 2016) fear that the rising share of GDP spend on health will harm
the economy is probably a result of bad mathematics (Richardson, 2014) Insert image here Trends in the proportion of core government spending/GDP in NZ Keene et al., (2016) QUESTIONS!
Should we be arguing for a bigger (rehab) slice of the (healthcare spending) pie OR For a bigger pie? Rehabilitation is an investment in human capital that contributes to health, economic and social development (WHO, 2017, p.1)
For more info: www.who.int/disabilities/care/rehab-2030/en/ References Keene, L, Bagshaw, P, Nicholls, MG, Rosenberg, B, Frampton, CM, Powell, I. (2016). Funding New Zealands public healthcare system: Time for an honest appraisal and public debate. New Zealand Medical Journal, 129(1435), 10-20. Richardson, J. (2014). Australias unsustainable health spending is a myth. The Conversation. Retrieved from
https://theconversation.com/australias-unsustainable-health-spendin g-is-a-myth-26393 World Health Organization. (2017). Rehabilitation 2030: A call to action. Geneva: World Health Organization.
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