Journal of Rehabilitation Medicine: Special Issue 50-4bokBW | Page 27

Principles of assessment of rehabilitation services in health systems
d. Medicine, vaccine and technology: informa-
tion regarding assistive devices for people
with disabilities (policy, standard) is rele-
vant.
e. Health system financing: general information
regarding financing issues (state funding,
insurance, out of pocket (paid for with your
own money).
f. Leadership and governance: including in-
formation about the structure of the health
system
C. Information about Disability and rehabilita-
tion.
a. Definitions and terminology used to describe
“disability” (e.g. WHO definition, number of
persons applying for disability compensa-
tion). It is important to gather information
regarding the definition and description of
disability and its related terminology.
b. Disability category: information regarding
how the country’s health system classifies the
type and severity of disability is important.
c. Need for rehabilitation (including assistive
devices) and number (percentage) of persons
in need receiving rehabilitation services.
d. Rehabilitation services organization and
issues regarding provision of assistive tech-
nology. Information about rehabilitation-
related professionals falls under the domain
of rehabilitation workforce.
i. Number of rehabilitation services (at
primary, secondary, and tertiary level,
and along the continuum of care);
ii. structure of existing rehabilitation
services (technical equipment, team
structure, etc.);
iii. provision of assistive devices including
prostheses (availability, costs, indivi-
dual adaptation and training, technical
maintenance);
iv. role of peers and families in caring of
persons with disabilities (including
children and people with old age);
v. links of health-related rehabilitation
with vocational rehabilitation, education
and other important life areas.
e. Rehabilitation workforce
i. Name, definition, education (including
institution), training, accreditation;
ii. number and distribution of rehabilita-
tion professionals (per profession, local
distribution and places of work).
f. Research and data collection: research
institutes and projects on disability and
329
rehabilitation: disability surveys (including
method of data collection and results), reha-
bilitation outcomes, development of national
guidelines, etc.
D. Information about national policies, laws,
and responsibilities in the area of disability and
rehabilitation
a. Laws and regulations on disabilities and
rehabilitation
METH
i. Signature and ratification of the United
Nations Convention on the Rights of
Persons with Disabilities (UN-CRPD).
ii. Comprehensive law on disability, fun-
ctioning and health law (or fragmented
paragraphs in other laws).
iii. Relevant regulations (e.g. right to re-
habilitation, disability assessment and
compensation).
b. Government policies and responsibilities
i. Policies and responsibilities of Ministry
of Health and Ministry of Social Affairs.
ii. Policies and responsibilities of other
ministries (e.g. infrastructure, educa-
tion, labour, justice).
iii. Policies and responsibilities within
ministries (e.g. department for disabi-
lity and rehabilitation or fragmented
responsibilities).
iv. Policies and responsibilities com-
munication and coordination among
ministries.
c. Policies and responsibilities of insurances
system, non-governmental organizations
(NGOs), private sectors and others (other
stakeholders).
E. Information about relevant non-governmental
stakeholders.
a. Number, types and role of organizations of
persons with disabilities.
b. National and international humanitarian
organizations and their role in health and
social system.
c. Professional organizations and their posi-
tion.
Development of Rehabilitation Service Assessment
Tool (RSAT)
In order to facilitate the collection of information
needed prior to country visits for the develop-
ment of NDHRPs (see (1)) the above-mentioned
dimensions were transformed into a draft ques-
tionnaire (preliminary RSAT). It was designed
with the WHO Ear and Hearing Care Situation
J Rehabil Med 50, 2018