Suggesting global insights to local challenges: expanding financing of rehabilitation services in low and middle-income countries

PurposeFollowing the rapid transition to non-communicable diseases, increases in injury, and subsequent disability, the world-especially low and middle-income countries (LMICs)-remains ill-equipped for increased demand for rehabilitative services and assistive technology. This scoping review explore...

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Main Authors: Abdulgafoor M. Bachani (Author), Jacob A. Bentley (Author), Hunied Kautsar (Author), Rachel Neill (Author), Antonio J. Trujillo (Author)
Format: Book
Published: Frontiers Media S.A., 2024-04-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Abdulgafoor M. Bachani  |e author 
700 1 0 |a Jacob A. Bentley  |e author 
700 1 0 |a Hunied Kautsar  |e author 
700 1 0 |a Rachel Neill  |e author 
700 1 0 |a Antonio J. Trujillo  |e author 
245 0 0 |a Suggesting global insights to local challenges: expanding financing of rehabilitation services in low and middle-income countries 
260 |b Frontiers Media S.A.,   |c 2024-04-01T00:00:00Z. 
500 |a 2673-6861 
500 |a 10.3389/fresc.2024.1305033 
520 |a PurposeFollowing the rapid transition to non-communicable diseases, increases in injury, and subsequent disability, the world-especially low and middle-income countries (LMICs)-remains ill-equipped for increased demand for rehabilitative services and assistive technology. This scoping review explores rehabilitation financing models used throughout the world and identifies "state of the art" rehabilitation financing strategies to identify opportunities and challenges to expand financing of rehabilitation.Material and methodsWe searched peer-reviewed and grey literature for articles containing information on rehabilitation financing in both LMICs and high-income countries.ResultsForty-two articles were included, highlighting various rehabilitation financing mechanism which involves user fees and other innovative payment as bundled or pooled schemes. Few studies explore policy options to increase investment in the supply of services.Conclusionthis paper highlights opportunities to expand rehabilitation services, namely through promotion of private investment, improvement in provider reimbursement mechanism as well as expanding educational grants to bolster labor supply incentive, and the investment in public and private insurance schemes. Mechanisms of reimbursement are frequently based on global budget and salary which are helpful to control cost escalation but represent important barriers to expand supply and quality of services. 
546 |a EN 
690 |a rehabilitation 
690 |a health financing 
690 |a review 
690 |a health economics 
690 |a medical cost 
690 |a Other systems of medicine 
690 |a RZ201-999 
690 |a Medical technology 
690 |a R855-855.5 
655 7 |a article  |2 local 
786 0 |n Frontiers in Rehabilitation Sciences, Vol 5 (2024) 
787 0 |n https://www.frontiersin.org/articles/10.3389/fresc.2024.1305033/full 
787 0 |n https://doaj.org/toc/2673-6861 
856 4 1 |u https://doaj.org/article/50e66c167b294d2db5a3fb8556bde574  |z Connect to this object online.