Exploring experiences of specialised rehabilitation services to co-design equitable model of care improvements: a qualitative study with patients, family, staff, and community providers.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος:	Exploring experiences of specialised rehabilitation services to co-design equitable model of care improvements: a qualitative study with patients, family, staff, and community providers.
Συγγραφείς:	Harper C; Health New Zealand \| Te Whatu Ora, Counties Manukau, New Zealand., Tongi L; Health New Zealand \| Te Whatu Ora, New Zealand., Maloney R; Health New Zealand \| Te Whatu Ora, Counties Manukau, New Zealand., Green G; Health New Zealand \| Te Whatu Ora, Counties Manukau, New Zealand.
Πηγή:	Disability and rehabilitation [Disabil Rehabil] 2026 Sep; Vol. 48 (18), pp. 5770-5786. Date of Electronic Publication: 2026 Feb 08.
Τύπος έκδοσης:	Journal Article
Γλώσσα:	English
Στοιχεία περιοδικού:	Publisher: Taylor & Francis Country of Publication: England NLM ID: 9207179 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1464-5165 (Electronic) Linking ISSN: 09638288 NLM ISO Abbreviation: Disabil Rehabil Subsets: MEDLINE
Imprint Name(s):	Publication: 2015- : Abingdon, Oxford : Taylor & Francis Original Publication: London ; Washington, DC : Taylor & Francis, c1992-
Ιατρικοί όροι (MeSH):	Persons with Disabilities/rehabilitation , Amputees/rehabilitation , Quality Improvement*, Spinal Cord Injuries/rehabilitation ; Humans ; Qualitative Research ; New Zealand ; Stroke Rehabilitation ; Female ; Interviews as Topic ; Male ; Middle Aged ; Family ; Adult
Περίληψη:	Purpose: To enhance quality and equity in the model of care for specialised rehabilitation in a large regional service in Aotearoa New Zealand, this study aimed to explore the experiences and improvement ideas of patients, whaanau (wider family), staff and community providers. Materials and Methods: This qualitative study represents the experience capture phase of a service co-design project. Semi-structured interviews drawing on culturally informed methods were conducted with spinal, stroke and amputee patients (n = 14), whaanau (n = 7), staff (n = 14), and community organisation representatives (n = 10). Data were analysed using reflexive thematic analysis. Results: Four overarching themes were generated: respecting the whole person and whaanau; fostering a collaborative rehabilitation culture; milestones and speedbumps on the road to recovery; and an enriching environment. Conclusion: Strengthening a holistic, person and whaanau-centred approach to specialised rehabilitation services may better support equitable outcomes. Priorities for service co-design are enhancing cultural safety and responsiveness, supporting whaanau, and enabling smooth transitions.
Contributed Indexing:	Keywords: Specialised rehabilitation; co-design; cultural safety; equity; person-centred; quality improvement; spinal cord injury; stroke Local Abstract: [plain-language-summary] Specialised rehabilitation services have an important role in supporting recovery from stroke, spinal cord and other conditions and injuries.There are inequities in access, experiences, and outcomes for Maaori and Pacific peoples in specialised rehabilitation in Aotearoa New Zealand.The experiences and ideas of those who use, deliver and work with these services provided critical insights into opportunities for providing equitable care.Rehabilitation professionals should focus on improving culturally responsive practice and understanding of the unique needs and goals of people and whaanau.Rehabilitation professionals should prioritise a collaborative culture, developing interprofessional and interorganisational processes for smoother transitions and service navigation.
Entry Date(s):	Date Created: 20260208 Date Completed: 20260824 Latest Revision: 20260909
Update Code:	20260909
DOI:	10.1080/09638288.2026.2623818
PMID:	41655201
Βάση Δεδομένων:	MEDLINE

Περιγραφή
ISSN:	1464-5165
DOI:	10.1080/09638288.2026.2623818