我国辅助器具租赁服务相关政策研究

doi:10.3969/j.issn.1006-9771.2021.09.006

Abstract

Abstract:

Objective To sort out the current situation of rehabilitation assistive devices rental service in China, and suggest the policy for its development.Methods Based on the four-dimensional social security policy analysis framework, with the combination of subject retrieval and field research, the market players, supporting systems, rental products, financial security and professionals in some pilot areas of community rental of assistive devices in China were summarized.Results There were still some problems in the rental service of assistive devices in China, mainly as insufficience of main players of the rental market, supporting policies and systems, payment security system, professionals, and social recognition, etc.Conclusion It is important to reasonably set up rental products, standardize service enterprises, cultivate market players, increase investment, promote talent training, and strengthen publicity, to promote the development of the rental of assistive devices.

Key words: rehabilitation, assistive devices, rental service

XIONG Bao-lin,LAI Qing,GUAN Si-cong. Rental Service of Assistive Devices in China: Policy Research[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(9): 1032-1037.

Figures/Tables 1

试点地区	市场主体	配套制度	租赁产品	资金保障	专业人才
北京	产品供应商27家、服务供应商19家,运营店面90个	《石景山区康复辅助器具社区租赁服务管理办法(试行)》《供应商管理办法》《产品目录》《产品价格指导目录》《产品回收目录》	产品169种,涵盖助行类、助听类、助浴类、寝具等13大类	福彩公益金、民政局筹措专项资金	缺乏康复辅助器具需求评估、辅具介绍推广、伤残人员护理专业人员。
上海	产品供应商42家,租赁服务商22家。共有16个区、150个街镇设立康复辅具社区租赁点	《康复辅助器具租赁服务规范》《康复辅助器具租赁服务清洗和消毒规范》	5个一级类别、13个二级类别、19个三级类别共52种产品	福彩公益金、残疾人保障金和民政局部门预算,尚未纳入医疗保险支付或长期护理保险支付范围	提供辅具租赁服务的人员与新职业序列在辅具租赁知识结构、场景实训等方面要求存在一定差距
成都	各区自主开展,完全依靠企业提供场地和人员,企业收益有限,投入较大,积极性、后劲不足	《成都市新都区康复辅具租赁服务实施办法》《成都市新都区康复辅具租赁细则》《成都市新都区康复辅具租赁价目表》《成都市新都区康复辅具租赁服务流程》等	康复助行辅具、居家生活辅具、听力障碍辅具、视力障碍辅具、适老化设备辅具、个人医疗辅助、定制类辅具等7大类100余种辅具产品	养老服务体系资金、福彩公益金和慈善资金等资金进行保障,暂无长期照护保险和商业保险。	缺乏需求评估和适配专业人才
广州	全市36家供应主体,包括居家养老服务平台、医疗卫生机构、养老机构、残疾人服务机构等	《广州市康复辅助器具社区租赁服务试点评估标准》《广州市康复辅助器具社区租赁服务指引(试行)》	涵盖个人护理和防护辅助产品、个人医疗辅助产品等8大类147种	福彩公益金,积极探索长护险支持等方式减少地方财政的持续性补助资金投入	在长护险设备使用评估中,缺少具备相关职业资格的专业人员
兰州新区	1个康复辅具社区租赁暨科普体验中心、14个城市社区租赁服务站、31个农村社区租赁服务点	《兰州新区康复辅助器具社区租赁服务试点补贴办法》	100余种产品	福彩公益金,缺乏试点专项经费支持	缺乏专业配置人员和评估人员

References 32

[1]	中华人民共和国民政部. 康复辅助器具分类和术语[S]. GB/T 16432-2016
	Ministry of Civil Affairs. Rehabilitation Assistive Devices Classification and Terminology[S]. GB/T 16432-2016.
[2]	潘红梅康复器具租赁服务市场发展瓶颈分析[J]. 经济研究导刊, 2019(1):44, 187.
	PANG H M. Development bottleneck analysis of renting service market for rehabilitative apparatus[J]. Econom Res Guide, 2019(1):44, 187.
[3]	陈璐. 如何完善康复辅具的租赁市场[J]. 中国集体经济, 2020(2):75-76.
	CHEN L. Chin Collect Econom, 2020(2):75-76.
[4]	Charmatz M. Recognize state vocational rehabilitation as a resource for auxiliary aids and services[J]. Campus Legal Advisor, 2018, 18(5):1-5.
[5]	TAPU R, MOCANU B, ZAHARIA T. Wearable assistive devices for visually impaired: a state of the art survey[J]. Pattern Recogn Lett, 2020, 20(13):37-52.
[6]	朱坤, 栗成强. 残疾人辅助器具筹资的国际经验与启示[J]. 中国康复理论与实践, 2011, 17(11):1090-1092.
	ZHU K, LI C Q. Chin J Rehabil Theory Pract, 2011, 17(11):1090-1092.
[7]	Charmatz M. State vocational rehabilitation: a resource for auxiliary aids and services[J]. Disabil Compl High Educ, 2017, 23(4):1-3.
[8]	LOÏC G, KHASNABIS C, WALKER L, et al. Medical and assistive health technology: meeting the needs of aging populations: table 1[J]. Gerontologist, 2016, 56(2):293-302.
[9]	田中理. 日本与辅助器具相关的法律制度及供给系统[J]. 中国康复理论与实践, 2007, 13(4):317-318.
	TANAKA O. Relevant legislation and supply system on assistive devices for persons with disability in Japan[J]. Chin J Rehabil Theory Pract, 2007, 13(4):317-318.
[10]	民政部调研组. 台湾康复辅具服务、支付制度和启示[J]. 社会福利, 2015(9):50-52.
[11]	方新. 台湾地区辅助器具服务[J]. 中国康复理论与实践, 2016, 22(9):1094-1096.
	FANG X. Rehabilitation assistive devices service in Taiwan[J]. Chin J Rehabil Theory Pract, 2016, 22(9):1094-1096.
[12]	刘颢. 辅具市场的"共享时代"[J]. 中国残疾人, 2019(2):28-29.
	LIU H. Disabil Chin, 2019(2):28-29.
[13]	石萍, 喻洪流. 国内外康复辅助器具支付体系状况和比较[J]. 产业科技创新, 2020, 2(17):39-43.
	SHI P, YU H L. Industrial Technol Innov, 2020, 2(17):39-43.
[14]	季林红. 中国康复辅具产业的现代化[J]. 残疾人研究, 2021(2):93-94.
	JI L H. Disabil Res, 2021(2):93-94.
[15]	张红涛. 辅具适配评估的"互联网+"模式[J]. 中国残疾人, 2019(5):42-43.
	ZHANG H T. Disabil Chin, 2019(5):42-43.
[16]	本报评论员. 在"用得起"上下功夫[N]. 中国社会报, 2019-07-09(1).
	Commentator. China Social Daily, 2019-07-09(1).
[17]	GILBERT N, TERRELL P. 社会福利政策导论[M]. 黄晨熹,周烨,刘红,译. 上海: 华东理工大学出版社, 2003.
	GILBERT N, TERRELL P. Dimensions of Social Welfare Policy [M]. HUANG C X, ZHOU Y, LIU H, trans. Shanghai: East China University of Science and Technology Press, 2003.
[18]	范雨轩, 韩淑艳, ANTONIOJEVIC D, 等. 工业4.0时代我国康复辅具产业园发展模式探究[J]. 广州体育学院学报, 2019, 39(3):62-67.
	FANG Y X, HAN S Y, ANTONIOJEVIC D, et al. Research on the development model of China's rehabilitation aids industrial park in the age of industry 4.0[J]. J Guangzhou Sport Univ, 2019, 39(3):62-67.
[19]	罗鄂湘, 张亚伟. 基于扩展TPB的协同消费意愿影响因素分析——以上海康复辅具租赁为例[J]. 农场经济管理, 2021(3):35-38.
	LUO E X, ZHANG Y W. Farm Econom Manag, 2021(3):35-38.
[20]	朱图陵. 辅助器具及服务模式的发展动态[J]. 中国康复理论与实践, 2011, 17(6):586-588.
	ZHU T L. Developing process of assistive devices and their service model[J]. Chin J Rehabil Theory Pract, 2011, 17(6):586-588.
[21]	沈晓军, 张晓玉. 我国康复辅具发展概况[J]. 中国医疗设备, 2009, 24(12):1-4.
	SHEN X J, ZHANG X Y. Summary on rehabilitation technical aids development in China [J]. J Press Chin Med Device, 2009, 24(12):1-4.
[22]	Automation in Medicine: Rehabilitation and Technical Aids [J]. Biomed Eng, 2018, 63(s1).
[23]	姚红, 罗力, 蒋曼, 等. 长期护理保险中社区居家服务的思考[J]. 中国卫生资源, 2019, 22(1):47-51.
	YAO H, LUO L, JIANG M, et al. Advice on the community home-based care service in long-term care insurance[J]. Chin Health Resource, 2019, 22(1):47-51.
[24]	钟磊. 发展我国辅助器具租借服务初探[J]. 中国康复理论与实践, 2012, 18(7):688-690.
	ZHONG L. Rental service of assistive devices in China[J]. Chin J Rehabil Theory Pract, 2012, 18(7):688-690.
[25]	徐祖义. 我国假肢矫形器行业人才需求与培养的探讨[J]. 管理观察, 2009(9):93-94.
	XU Z Y. Manag Observ, 2009(9):93-94.
[26]	方新, 李高峰, 熊宝林, 等. 康复辅助器具服务模式与人才队伍建设[J]. 中国康复医学杂志, 2018, 33(2):211-214.
	FANG X, LI G F, XIONG B L, et al. Chin J Rehabil Med, 2018, 33(2):211-214.
[27]	孙路路. 康复辅助器具产业现状与发展——第三届中国康复辅助器具产业发展战略研讨会侧记[J]. 中国民政, 2017(10):37-39.
	SUN L L. Chin Civil Affairs, 2017(10):37-39.
[28]	董理权, 李晞, 徐进, 等. "互联网+"智能化辅助器具评估与适配服务体系构建研究[J]. 中国康复理论与实践, 2019, 25(6):724-728.
	DONG L Q, LI X, XU J, et al. Construction of assistive products service system using internet plus and artificial intelligence[J]. Chin J Rehabil Theory Pract, 2019, 25(6):724-728.
[29]	吴江红. 康复辅具赋能养老服务[J]. 质量与认证, 2019(11):54-55.
	WU J H. Chin Quality Certific, 2019(11):54-55.
[30]	李明杰. 加强康复辅具标准化国际交流与合作[J]. 管理观察, 2014(30):19-21.
	LI M J. Manag Observ, 2014(30):19-21.
[31]	罗椅民, 师昉, 邹华. 建立国家康复辅具服务体系的构想[J]. 中国康复医学杂志, 2014, 29(2):162-163.
	LUO Y M, SHI F, ZOU H. Chin J Rehabil Theory Pract, 2014, 29(2):162-163.
[32]	李明杰. 我国康复辅具标准化发展的重点任务与措施刍议[J]. 中国市场, 2021(1):58-60.
	LI M J. Chin Mark, 2021(1):58-60.

Rental Service of Assistive Devices in China: Policy Research

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 1

References 32

Related Articles 15

Metrics

Comments

Recommended 0

[1]	LUO Lihua, WANG Yusheng, LI Jianfeng, DONG Jige. Effect of early postoperative comprehensive rehabilitation on children and youth with supracondylar fracture of humerus complicated with ulnar nerve injury [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 105-110.
[2]	WANG Zihao, LI Xinhua, JIANG Huiping, GUO Sainan, LIANG Qiuman, SHI Tingqi. Short-term knee function after total knee arthroplasty and related factors [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 111-118.
[3]	CHEN Junwen, CHEN Qian, CHEN Cheng, LI Shuyue, LIU Lingling, WU Cunshu, GONG Xiang, LU Jun, XU Guangxu. Effect of modified Baduanjin exercise on cardiopulmonary function, motor function and activities of daily living for stroke patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 74-80.
[4]	SHI Jiawei, LI Lingyu, YANG Haojie, WANG Qinlu, ZOU Haiou. Effect of preoperative prerehabilitation training on total knee arthroplasty: a systematic review of systematic reviews [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1057-1064.
[5]	CAI Huanian, FEI Sixian, ZHANG Yichen, SUN Qing, GUO Shuai, SONG Tao. Motion assistance analysis for robot-assisted tele-rehabilitation based on bilateral admittance control [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1104-1109.
[6]	LIU Yang, ZHANG Peng, HUANG Ying, CHEN Han, XU Chen, LI Min. Path analysis of mediating effect of perceived stress affecting impact of event in rehabilitation patients with traumatic injury [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 954-960.
[7]	YI Qifeng, HUANG Zhuoer, YANG Guoli, XIE Lihua, XIE Shengfeng, WU Xiaoxia, YAN Jin. Development, and reliability and validity testing of a knowledge needs questionnaire of respiratory rehabilitation training for in-service healthcare workers [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 985-992.
[8]	LI Ziyi, SONG Weiqun, DU Jubao, CAO Guanglei, ZHANG Yanming, LI Ran. Effect of motor imagery on knee function after unicompartmental knee arthroplasty [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 745-749.
[9]	REN Yi, WANG Rui, ZHANG Yaohua. Effect of proprioceptive neuromuscular facilitation combined with neuromuscular electrical stimulation on chronic ankle instability [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 750-755.
[10]	LI Fang, HUO Su, DU Jubao, LIU Xiuzhen, LI Xiaoshuang, SONG Weiqun. Effect of transcranial direct current stimulation combined with task-oriented rehabilitation training on forelimb motor dysfunction in rats with spinal cord injury [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 777-781.
[11]	WANG Jingxuan, LÜ Diyang, FANG Boyan. Non-drug rehabilitation for gait abnormality of Parkinson's disease: a review based on ClinicalTrials.gov [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 816-821.
[12]	MA Tiantian, YU Zifu, QIN Fang, LENG Xiaoxuan, LIU Xihua. Application of constraint-induced movement therapy in the field of rehabilitation: a visualized analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 822-832.
[13]	TANG Qiang, ZHENG Shuang, WANG Lei, WANG Yan, LI Baolong, LIU Guijun, ZHU Luwen. Development of traditional Chinese medicine rehabilitation curriculum based on World Health Organization rehabilitation competency framework [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 862-868.
[14]	WU Qianhao, HOU Rongjie, FU Liyuan. Pelvic floor rehabilitation domestic and abroad in the last decade: a visualized analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(6): 673-685.
[15]	ZHAO Yaxian, TANG Zhiqing, SUN Xinting, WANG Rongrong, LIU Tianhao, ZHANG Hao. Effects of different intensity of wearable lower limb rehabilitation robot-assisted training on lower limb function after stroke [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(5): 497-503.