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• W3174879969 abstract "Abstract Background Knowledge of health system indicators are essential to the living situation of persons with disabilities. Assessing and collating the performance of health systems is important in order to identify areas of improvement. The main aim of this study is to assess the relationship between health system indicators and self-reported quality of life (QoL) among persons with spinal cord injury who accessed either public or private health care services in South Africa. Methods A cross-sectional survey was implemented to analyse and compare health system indicators and self-reported QoL for 200 persons over the age of 18 with either a traumatic or non-traumatic spinal cord injury. The survey further compared the impact of public or private health care access on these indices. Health system indicators include: access to disability pension, vocational rehabilitation, health and nursing care, public space, medications, assistive devices and transportation. Self-reported quality of life indicators include: satisfaction with health; ability to perform activities of daily living; yourself; personal relationships; and living conditions. A total score of Quality of life was calculated using these 5 domains. Results The highest scores for health indicators were access to a disability pension (76%) and access to required health care (72%). Indicators that negatively affected respondents’ lives were access to public spaces (70%), transport (56%), medications (56%) and nursing care (53%) which were reported to have made participants’ lives significantly harder. Participants who accessed private health care reported a higher QoL score in comparison with those in the public health system who reported more problems. There was a negative correlation between QoL and access to a disability pension and a positive correlation between QoL and access to public spaces, medication, transport and nursing care. Conclusion Performance of health system indicators influence living situation, and different healthcare insurances play a significant role in health system performance and self-reported QoL among persons with SCI in South Africa. Additionally, persons with SCI who have the ability to overcome the challenges encountered due to poor performing health systems report better quality of life." @default.
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• W3174879969 date "2021-06-29" @default.
• W3174879969 modified "2023-09-27" @default.
• W3174879969 title "Health Systems Indicators and Quality of Life in Persons with Spinal Cord Injury in South Africa" @default.
• W3174879969 doi "https://doi.org/10.21203/rs.3.rs-636028/v1" @default.
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