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Table 2 Principles and strategies

From: Building capacity in primary care rehabilitation clinical practice guidelines: a South African initiative

Principle Strategies
1. Construct, formalise and resource integrated national networks of rehabilitation stakeholders to ensure contextually relevant action on rehabilitation • Formalise networks that equitably represent all rehabilitation stakeholders (policy-makers, funders, researchers, managers, clinicians, patients and families)
• Seek committed, ongoing engagement of, and collaborations between, rehabilitation stakeholders
• Identify change champions at all levels of government, and healthcare settings, who will promote person-centred rehabilitation that optimises quality of life and contribution to family, community, province and country
• Identify and agree on standard methods of communication and reporting between stakeholders to ensure that important rehabilitation messages are heard by those who can action change
2. Determine and provide the resources required to produce and implement evidence-based, contextually relevant rehabilitation CPGs • Recognise the costs required to write and implement clinical practice guidelines (CPGs) at government and organisational level
• Develop a national plan of action that promotes efficient CPG writing and supports implementation and evaluation
• Promote the notion that all rehabilitation CPGs should have implementation plans which should be auditable
• Resource a central agency to produce high-quality rehabilitation CPGs for priority chronic communicable and non-communicable diseases
• Develop standard reporting templates on CPG implementation
• Develop standard methods of capturing rehabilitation outcomes
3. Provide ongoing training to rehabilitation stakeholders on CPG implementation and evaluation strategies • Raise awareness of the concept of rehabilitation at all levels of government, as well as for medical and nursing disciplines, at organisational, department and clinic levels to ensure improved and shared understanding of the purpose and potential impact of rehabilitation
• Provide training on how to implement rehabilitation CPGs at all levels of government, as well as at organisational, department and clinic levels to ensure that implementation plans of rehabilitation CPGs can be followed across the nation
• Engage educational institutions to promote the methods of construction, and use of, rehabilitation CPGs to students
4. Invest in workforce redesign to ensure equity of access to evidence-based rehabilitation care • Develop an agreed workplace hierarchy of competencies, roles and responsibilities for South African rehabilitation workers
• Establish standard training requirements and competencies for all rehabilitation workers
• Develop career pathways for rehabilitation workers
• Identify and address rehabilitation workforce gaps
• Identify ways in which patients and families can become part of the rehabilitation workforce