《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2020, Vol. 26 ›› Issue (5): 497-501.doi: 10.3969/j.issn.1006-9771.2020.05.001

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Unmet Needs and Services of Rehabilitation for Adults with Disabilities

LIU Feng-bo1,2,WU Ming3,QIU Zhuo-ying4,5,6(),LI Xin1,6(),LI Lun6,7,CHEN Di4,5,6,CHEN Jia-ni4,5,6,8,SHEN Zhao-hui4,5,6,8,WANG Guo-xiang6,9,SUN Hong-wei6,10,YANG Jian3,6,DU Ruo-fei1,LU Xin-ling1   

  1. 1. China Key Laboratory of Classification, Evaluation and Rehabilitation (Sport) of Intellectual and Development Disability/School of Physical Education (Main Campus), Zhengzhou University, Zhengzhou, Henan 450001, China
    2. School of Psychology, Beijing Sport University, Beijing 100084, China
    3. College of Physical Education and Health/Key Laboratory of Adolescent Health Assessment and Exercise Intervention of Ministry of Education, East China Normal University, Shanghai 200241, China
    4. Research Institute of Rehabilitation Information, China Rehabilitation Research Center, Beijing 100068, China
    5. Research Institute of Rehabilitation Information, China Rehabilitation Sciences Institute, Beijing 100068, China
    6. WHO-FIC Collaborating Center in China, Beijing 100068, China
    7. Shenzhen Disabled Persons' Federation, Shenzhen, Guangdong 518008, China
    8. School of Psychology, Capital Normal University, Beijing 100037, China
    9. School of Physical Education and Sport Sciences/Institute of Sport Rehabilitation, Soochow University, Suzhou, Jiangsu 215021, China
    10. China Academy of ICF/Weifang Medical University, Weifang, Shandong 261053, China
  • Received:2020-04-27 Revised:2020-05-04 Published:2020-05-25 Online:2020-05-29
  • Contact: QIU Zhuo-ying,LI Xin E-mail:qiutiger@hotmail.com;xinlibox@zzu.edu.cn
  • Supported by:
    National Special Fund Projects of Basic Research of Public Benefits for Institutes at Central Governmental Level (Leading Project of Major Scientific Research)(2017CZ-7);National Special Fund Projects of Basic Research of Public Benefits for Institutes at Central Governmental Level (Leading Project of Major Scientific Research)(2018CZ-4)

Abstract:

Objective To explore the status of disability, characteristics of unmet needs and services of rehabilitation and their related factors for adults with disabilities (AWDs).Methods A total of 2 315 498 AWDs were sampled from the provincial level administration data (2019). Multiple response analysis was used to analysis the disability status of AWDs, characteristics of unmet needs and received services of rehabilitation, and related factors were explored with Logistic regression.Results The distribution of disabilities for AWDs from high to low were physical disabilities (62.2%), visual disabilities (9.9%), intellectual disabilities (8.4%), mental disorders (7.3%), hearing disabilities (6.9%), multiple disabilities (2.8%) and speech disabilities (2.5%). The reporting rate of unmet needs of rehabilitation for AWDs from high to low were assistive devices (49.0%), medicine (33.3%), nursing care (27.7%), functional training (20.2%) and surgery (1.9%). The reporting rate of received service for AWDs from high to low were assistive devices (44.1%), nursing care (26.6%), medicine (25.9%), functional training (22.2%) and surgery (1.3%). The logistic regression model shown that types and severities of disabilities had significant effects on unmet needs and received services of rehabilitation for AWDs (P < 0.001). Conclusion The reporting of unmet needs for AWDs had been influenced by their functioning and disability. There were gaps between unmet needs and received services. It proposed to develop precise and individualized reporting of unmet needs and service programs for AWDs.

Key words: adults with disabilities, unmet needs of rehabilitation, services of rehabilitation

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