Abstract:

Objective To conduct a content analysis of the policy framework, core contents and priority areas of rehabilitation of physical activity and exercise in health service (RPAEHS) using World Health Organization (WHO) theory of six building blocks of health service, and to explore the policy framework, action strategies and implementation methods of RPAEHS at macro, meso and micro levels.

Methods Based on WHO Rehabilitation in Health Systems and Rehabilitation in Health Systems: A Guide to Action, together with their accompanying use tools and other policy documents, a content analysis approach was applied to explore the policy framework as well as action strategies, core contents and priority development areas of RPAEHS.

Results RPAEHS is an integral part of modern rehabilitation, based on the International Classification of Functioning, Disability and Health (ICF) theory of functioning, disability, and health, and the concept of person-centeredness, with measures to meet the needs of RPAEHS, integrated into the health service continuum, and contributing to the sustainable development goal of universal health coverage. The development of RPAEHS involves six major areas: leadership and governance, financing, human resources, service delivery, rehabilitation sports equipment/technology/facilities, and RPAEHS monitoring and evaluation, and information systems. In the area of RPAEHS regulations, policies and governance, the state formulate laws and regulations, policy documents, and action guidelines for the development of RPAEHS to enhance government leadership and governance; broaden the funding channels for RPAEHS and optimize the funding allocation programs; improve the RPAEHS personnel training system, match RPAEHS professionals to the three levels of health and health services, and ensure that people with functioning who have RPAEHS needs can access the different levels of the health system; improve the utilization and accessibility of assistive technologies and products; and establish a monitoring and evaluation mechanism for services and health information system with big data to provide a scientific research base and data support for evidence-based related research.

Conclusion RPAEHS is a series of health-related measures that use physical activity and exercise as the fundamental means to address the physical function and structure, activity and participation, and environmental and personal factors of people with functioning. RPAEHS interventions involve prevention, treatment, rehabilitation and health promotion, with the ultimate goal of promoting maximum functioning, quality of life, and well-being for people with functioning. The development of RPAEHS needs to approach from six health service components: leadership and governance, financing, human resources, service delivery, equipment/technology/facilities, and health monitoring evaluation and information systems. The policy framework, priority areas, and their core components for rehabilitation sport are constructed at three levels: macro-level policy and governance framework, meso-level action strategies and implementation, and micro-level implementation practices and monitoring and evaluation. The priority areas of RPAEHS and their core contents are mainly involved in the fields: strengthening the leadership and governance, planning and coordination capacity of RPAEHS; constructing an appropriate RPAEHS funding mechanism; developing RPAEHS human resources; improving the coverage, accessibility, effectiveness and service quality of RPAEHS; developing RPAEHS assistive technologies and products; establishing RPAEHS monitoring and evaluation and information systems, and conducting related research.

Key words: health service system, rehabilitation sports, rehabilitation policy