《中国康复理论与实践》

《中国康复理论与实践》 ›› 2026, Vol. 32 ›› Issue (1): 83-89.doi: 10.3969/j.issn.1006-9771.2026.01.009

• 社区康复 • 上一篇    下一篇

社区康复站投入、产出、结果及影响的实证研究

陈夏尧1, 董英2, 冬雪2, 密忠祥1(), 程军2, 张爱民2, 卢迪迪1, 王军1, 刘巨德3, 安芊默4, 郭辉5, 刘效臣6, 余泽锋7   

  1. 1.中国康复研究中心，北京市 100068
    2.中国康复科学所，北京市 100068
    3.内蒙古自治区残疾人联合会，内蒙古呼和浩特市 010050
    4.吉林省残疾人联合会，吉林长春市 130041
    5.山东省残疾人联合会，山东济南市 250012
    6.广东省残疾人联合会，广东广州市 510300
    7.广东省残疾人康复中心，广东广州市 510400
  • 收稿日期:2025-06-25 修回日期:2025-10-16 出版日期:2026-01-25 发布日期:2026-01-28
  • 通讯作者: 密忠祥(1969-)，男，汉族，山东聊城市人，硕士，研究员，主要研究方向：康复机构管理。E-mail： mzhxl@sina.com
  • 作者简介:陈夏尧(1969-)，女，瑶族，广西蒙山县人，硕士，副研究员，主要研究方向：残疾儿童康复、特殊教育、社区康复
    董英(1989-)，女，汉族，山东曹县人，博士，讲师，主要研究方向：康复医学与治疗技术、生物医学工程。
    陈夏尧和董英为共同第一作者。
  • 基金资助:
    国家社会科学基金项目(19BRK007)

Empirical study of input, output, outcome and impact of community-based rehabilitation stations

CHEN Xiayao1, DONG Ying2, DONG Xue2, MI Zhongxiang1(), CHENG Jun2, ZHANG Aimin2, LU Didi1, WANG Jun1, LIU Jude3, AN Qianmo4, GUO Hui5, LIU Xiaochen6, YU Zefeng7   

  1. 1. China Rehabilitation Research Center, Beijing 100068, China
    2. China Rehabilitation Science Institute, Beijing 100068, China
    3. Inner Mongolia Autonomous Region Disabled Persons' Federation, Hohhot, Inner Mongolia 010050, China
    4. Jilin Provincial Disabled Persons' Federation, Changchun, Jilin 130041, China
    5. Shandong Provincial Disabled Persons' Federation, Ji'nan, Shandong 250012, China
    6. Guangdong Provincial Disabled Persons' Federation, Guangzhou, Guangdong 510300, China
    7. Guangdong Provincial Rehabilitation Center for the Disabled, Guangzhou, Guangdong 510400, China
  • Received:2025-06-25 Revised:2025-10-16 Published:2026-01-25 Online:2026-01-28
  • Contact: MI Zhongxiang, E-mail: mzhxl@sina.com
  • Supported by:
    National Social Science Foundation Project(19BRK007)

RichHTML

PDF (PC)

摘要：

目的 调查我国内蒙古自治区全部登记在案社区康复站的投入、产出、结果和影响的现状，分析社区康复站的投入如何预测其产出、结果和影响。

方法 2025年3月1日至4月30日，对内蒙古自治区全部登记在案社区康复站在投入、产出、结果和影响4个维度展开问卷调查，共发放问卷1 365份。其中，投入维度包括法规政策、人力资源、设备设施和康复信息管理4个条目；产出维度包括技术路径和效益效果2个条目；结果维度包括覆盖率、康复干预和功能结局3个条目；影响维度包括健康和可持续2个条目。每个条目中包含若干个问题，均采用正向描述的形式提问，每道题目赋分1~5分，分数越低，说明社区康复站的情况越符合问题描述内容。以投入维度各条目的总分作为自变量，以社区康复站的产出、结果和影响各维度的总分为因变量进行回归分析。

结果 共收回有效问卷1 262份，社区康复站的投入、产出、结果和影响各维度评分1.827~1.904，变异系数45.892%~49.239%；回归分析显示，在投入维度中康复信息管理、人力资源和法规政策3个条目对产出维度具有显著的预测作用(R² = 0.910, P < 0.001)；康复信息管理、人力资源、设备设施和法律法规4个条目对结果(R² = 0.850, P < 0.001)和影响(R² = 0.833, P < 0.001)维度都有显著的预测作用。

结论 内蒙古自治区不同社区康复站投入、产出、结果和影响4个维度均较符合问题描述内容，但存在不均衡的情况；社区康复站的投入可预测其产出、结果和影响。

关键词: 社区康复, 康复结果链模型, 问卷调查

Abstract:

Objective To investigate the present situation of input, output, outcome and impact of all registered community-based rehabilitation stations in Inner Mongolia in China, and analyze how the input predict the output, outcome and impact.

Methods From March 1st to April 30th, 2025, a questionnaire survey was conducted on all registered community-based rehabilitation stations in Inner Mongolia, covering four dimensions: input, output, outcome and impact. A total of 1 365 questionnaires were distributed. The input included four items: laws and policies, human resources, equipment and facilities, and rehabilitation information management. The output included two items: technical paths and benefits/effectiveness. The outcome included three items: coverage rates, rehabilitation interventions and functional results. The impact included two items: health and sustainability. Each item contained several questions, all of which were described in a positive way. Each question was scored from one to five. A lower score indicated that the situation of the community-based rehabilitation station was more in line with the content described in the question. Regression analysis was performed using the total score of each item of input dimension as independent variables, and the total scores of the output, outcome and impact dimensions as dependent variables.

Results A total of 1 262 valid questionnaires were collected. The mean values of input, output, outcome and impact of community-based rehabilitation stations were 1.827 to 1.904, with coefficient of variation of 45.892% to 49.239%. The regression analysis showed that, rehabilitation information management, human resources, and laws and policies significantly predicted the output dimension (R² = 0.910, P < 0.001). Meanwhile, all four items in the input dimension predicted both the outcome (R² = 0.850, P < 0.001) and impact dimensions (R² = 0.833, P < 0.001).

Conclusion Input, output, outcome and impact of the community-based rehabilitation stations in Inner Mongolia were generally in line with the content of the questions, although some imbalances were observed. Additionally, the input of community-based rehabilitation stations could significantly predict their output, outcome and impact.

Key words: community-based rehabilitation, rehabilitation outcome chain model, questionnaire survey

中图分类号: