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As groups with an interest in the health system, rehabilitation service users\u2019 and caregivers\u2019 involvement in various aspects of health system strengthening is important for healthcare planning and evaluation. This study aimed to explore rehabilitation service users\u2019 perceptions of the rehabilitation services and their effect on their functioning in the Johannesburg Metropolitan District. A qualitative study was conducted using purposive sampling of participants attending rehabilitation at nine provincially funded clinics. Semi-structured interviews were conducted, and data were analysed using reflexive thematic analysis. The findings revealed the theme of happy with rehabilitation services and five associated categories, namely (1) service provider actions, (2) service organisation, (3) service user actions, (4) service access, and (5) service outcomes. The participants expressed overall satisfaction with their experiences of rehabilitation services, highlighting the importance of effective communication, patient-centred care, strong therapeutic relationships, and active patient engagement to achieve positive outcomes. This study provides the evidence for maintaining and extending rehabilitation at the PHC level in support of the health policy changes proposed for South Africa.<\/jats:p>","DOI":"10.1177\/23743735241261222","type":"journal-article","created":{"date-parts":[[2024,8,31]],"date-time":"2024-08-31T03:02:01Z","timestamp":1725073321000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["User Satisfaction with Primary Health Care Rehabilitation Services in a South African Metropolitan District"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6126-5104","authenticated-orcid":false,"given":"Lebogang","family":"Maseko","sequence":"first","affiliation":[{"name":"Occupational Therapy Department, School of Therapeutic Sciences, Faculty of Health Sciences, University of the Witwatersrand, Gauteng, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hellen","family":"Myezwa","sequence":"additional","affiliation":[{"name":"Physiotherapy Department, School of Therapeutic Sciences, Faculty of Health Sciences, University of the Witwatersrand, Gauteng, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fasloen","family":"Adams","sequence":"additional","affiliation":[{"name":"Department of Health and Rehabilitation Sciences, Division of Occupational Therapy, Faculty of Medicine and Health Sciences, Stellenbosch University, Western Cape, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,8,31]]},"reference":[{"key":"bibr1-23743735241261222","doi-asserted-by":"publisher","DOI":"10.23736\/S1973-9087.17.04746-3"},{"issue":"1","key":"bibr2-23743735241261222","first-page":"89","volume":"2014","author":"Sherry K","year":"2015","journal-title":"South African Heal Rev 2014\/2015 [Internet]"},{"key":"bibr3-23743735241261222","volume-title":"Rehabilitation in Health Systems: Guide for Action [Internet]","author":"World Health Organization","year":"2019"},{"key":"bibr4-23743735241261222","volume-title":"Landmark resolution on strengthening rehabilitation in health systems [Internet]","author":"World Health Organization","year":"2023"},{"key":"bibr5-23743735241261222","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.22.288337"},{"issue":"1","key":"bibr6-23743735241261222","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12888-015-0706-4","volume":"16","author":"Samudre S","year":"2016","journal-title":"BMC Psychiatry [Internet]"},{"key":"bibr7-23743735241261222","first-page":"5","volume":"2023","author":"World Health Organization","year":"2019","journal-title":"World Heal Organ"},{"key":"bibr8-23743735241261222","volume-title":"Operational Framework for Primary Health Care: Transforming Vision into Action [Internet]","volume":"2009","author":"World Health Organization, United Nations Children\u2019s Fund","year":"2020"},{"key":"bibr9-23743735241261222","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.237"},{"key":"bibr10-23743735241261222","doi-asserted-by":"publisher","DOI":"10.1016\/j.ienj.2015.01.001"},{"key":"bibr11-23743735241261222","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2015.08.407"},{"key":"bibr12-23743735241261222","doi-asserted-by":"publisher","DOI":"10.1080\/09687590701337678"},{"key":"bibr13-23743735241261222","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-020-8368-7"},{"key":"bibr14-23743735241261222","author":"Mlenzana NB","journal-title":"African J Disabil"},{"key":"bibr15-23743735241261222","doi-asserted-by":"publisher","DOI":"10.1080\/20786190.2016.1254929"},{"issue":"1","key":"bibr16-23743735241261222","doi-asserted-by":"crossref","DOI":"10.4102\/ajod.v4i1.164","volume":"4","author":"Kumurenzi A","year":"2015","journal-title":"African J Disabil"},{"key":"bibr17-23743735241261222","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-018-1187-1"},{"issue":"1","key":"bibr18-23743735241261222","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4102\/ajod.v4i1.128","volume":"4","author":"Wegner L","year":"2015","journal-title":"African J Disabil"},{"issue":"2","key":"bibr19-23743735241261222","first-page":"257","volume":"32","author":"Ameh S","journal-title":"Health Policy Plan [Internet]"},{"issue":"1","key":"bibr20-23743735241261222","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1371\/journal.pone.0280254","volume":"18","author":"Sj\u00f6mar J","year":"2023","journal-title":"PLoS One"},{"key":"bibr21-23743735241261222","doi-asserted-by":"publisher","DOI":"10.3109\/02813432.2015.1132888"},{"key":"bibr22-23743735241261222","author":"Tsai PC","journal-title":"Patient Prefer Adherence"},{"key":"bibr23-23743735241261222","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2015.08.407"},{"key":"bibr24-23743735241261222","unstructured":"Bickenbach J, Cieza A, Kleinitz P, Marks E, Mills J-A. 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