{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T16:01:30Z","timestamp":1785427290802,"version":"3.56.0"},"reference-count":55,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0Globally, there has been an increase in neurological disorders such as stroke and spinal cord impairments, which often result in permanent disability and require long-term care. However, there is limited evidence on factors influencing the continued care journey for people with neurological disabilities.\nAim:\u00a0This study aimed to explore the barriers and facilitators experienced by people with neurological disabilities throughout their care journey.\nSetting:\u00a0This study was conducted in a specialised rehabilitation hospital.\nMethods:\u00a0An explorative qualitative design was used. Semi-structured interviews were conducted with 26 patients with neurological disabilities and 15 health professionals. MAXQDA (2024) software was utilised for thematic data analysis.\nResults:\u00a0Key environmental barriers influencing the care journey included limited or delayed access to care, inaccessible infrastructure and transport, a lack of health resources, financial and employment challenges, and poor support and attitudes. Personal factors were identified as the impact of limitations or restrictions on physical function, the patient\u2019s own beliefs, and self-motivation.\nConclusion:\u00a0People with neurological disabilities experience numerous barriers that suggest gaps in the health system. Throughout the care journey, there is a need to improve health system responsiveness, service accessibility, treatment quality, and health system governance.\nContribution:\u00a0Specialised health services and system improvements are recommended for people with neurological disabilities, particularly in rehabilitation care and community integration.<\/jats:p>","DOI":"10.4102\/jphia.v17i1.1768","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T06:57:44Z","timestamp":1785394664000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Barriers and facilitators experienced by people with neurological disabilities: A South African health systems perspective"],"prefix":"10.4102","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-0086-112X","authenticated-orcid":false,"given":"Prisha","family":"Alakram-Khelawon","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03rp50x72","id-type":"ROR","asserted-by":"publisher"}],"name":"University of the Witwatersrand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0606-9669","authenticated-orcid":false,"suffix":"Pilusa","family":"Sonti","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03rp50x72","id-type":"ROR","asserted-by":"publisher"}],"name":"University of the Witwatersrand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8017-6708","authenticated-orcid":false,"given":"Natalie","family":"Benjamin-Damons","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03rp50x72","id-type":"ROR","asserted-by":"publisher"}],"name":"University of the Witwatersrand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2026,7,31]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Steinmetz J, Seeher K, Schiess N, et al., Global, regional, and national burden of disorders affecting the nervous system, 1990\u20132021: A systematic analysis for the Global Burden of Disease Study 2021. 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