Medical rehabilitation in low and middle income countries for adult acquired disability: challenges posed by rapidity of health system change and position on the individualistic/collectivist axis.
Chronic illness prevalence has rapidly increased in low or middle income countries (LMIC) and with it, the need for medical rehabilitation for adults with acquired conditions that stem from aging and long-term conditions. While Western medical rehabilitation programs have had at least two generations to develop, in LMIC, post-acute health care delivery change has been much more rapid. As a result, there has been little opportunity for models of medical rehabilitation to deliberately emerge in LMIC that reflect societal values. While adaptation of an independence-foremost model of medical rehabilitation may succeed in non-Western societies, there is a risk that adaptation of such a model will be ineffective where many value collectivism more than individualism. The rapid change in medical rehabilitation service delivery in LMIC gives Christian providers and organizations an opportunity to pause and reflect whether the dominant Western medical rehabilitation paradigm serves LMIC cultures and reflects Biblical principles.
Anderson GF, Chu E. Expanding priorities — confronting chronic disease in countries with low income. N Engl J Med. 2007;356(3):209-11. http://dx.doi.org/10.1056/nejmp068182
Miranda JJ, Kinra S, Casas JP, Davey Smith G, Ebrahim S. Non-communicable diseases in low- and middle-income countries: context, determinants and health policy. Trop Med Int Health. 2008; 13(10):1225-34. http://dx.doi.org/10.1111/tmi.2013.18.issue-10
Field MJ, Jette AM, editors. The future of disability in America/Committee on Disability in America, Board on Health Sciences Policy. Washington DC: IOM National Academies Press, 2007, p. 17.
World Health Organization. [Internet] Towards a common language for functioning, disability and health. Geneva: 2002. [cited 2015 April 20] Available from: http://www.who.int/classifications/icf/training/icfbeginnersguide.pdf
Meyer H-D. Framing disability; comparing individualist and collectivist societies. Comp Sociol. 2010;9:165-81.
Hofstede. World Map of Individualism. [Internet] [cited 2015 April 20] Available from: http://www.kwintessential.co.uk/map/hofstede-individualism.html
Smart J and Smart D. Acceptance of disabilities and the Mexican American cultures. Rehab Couns Bull. 1991;34:357-67.
Drum CE. Models and approaches to disability. In Drum CE, Krahn GL and Bersani H, editors. Disability and public health. Washington, DC.: APHA; 2009. p. 29.
FIM® instrument. [Internet] [cited 2015 April 20]. Available from: http://www.rehabmeasures.org/Lists/RehabMeasures/DispForm.aspx?ID=889
Madonna.org. [Internet] [cited 2015 Sept 26] Outcomes. Available from: http://www.madonna.org/patient/rehab/continuum/acute/outcomes.html
UPH Medical Science Group. [Internet] [cited 2015 Sept 26] Available from: http://msg.uph.edu/siloam-hospitals/siloam-general-hospital.html
Kok MC, Dieleman M, Taegtmeyer M, Broerse JE, Kane SS, Ormel H, et al. Which intervention design factors influence performance of community health workers in low- and middle-income countries? A systematic review. Health Policy Plan. 2014;1-21.
Lortz J. Why did the reformation happen? In: Spitz LW, editor. The Reformation: material or spiritual? Lexington MA: Heath; 1961. p. 61.
Bajis J. Common ground: introduction to Eastern Christianity for the American Christian. Minneapolis, MN: Light and Life Publishing Company; 1991. [Chapter 11]
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