Unmet Needs and Services of Rehabilitation for People with Physical Disabilities Using Logistic Regression Analysis

  • Hong-mei TIAN ,
  • Zhuo-ying QIU ,
  • Xin LI ,
  • Hong-zhuo MA ,
  • Wei-wei SHENG ,
  • Ruo-fei DU ,
  • Di CHEN ,
  • Ming WU ,
  • Ai-min ZHANG ,
  • Xin-ling LU ,
  • An-qiao LI
Expand
  • 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. Research Institute of Rehabilitation Information, China Rehabilitation Research Center, Beijing 100068, China
    3. Research Institute of Rehabilitation Information, China Rehabilitation Sciences Institute, Beijing 100068, China
    4. WHO-FIC Collaborating Center in China, Beijing 100068, China
    5. China Academy of ICF/Weifang Medical University, Weifang, Shandong 261053, China
    6. 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

Received date: 2020-04-27

  Online published: 2020-05-29

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 characteristics of unmet needs and services of rehabilitation for people with physical disabilities (PWPs).Methods A total of 1 512 438 PWPs administration data of unmet needs and services of rehabilitation at provincial level were sampled and analyzed the characteristics of needs and services of rehabilitation, and the related factors of needs and services.Results The reported unmet needs of PWPs from high to low were assistive devices assistive devices (55.9%), nursing care (27.0%), medicine (26.3%), functional training (23.9%) and surgery (2.3%). Received service of rehabilitation. The services of rehabilitation for PWPs arranged as assistive devices (48.2%), nursing caring (26.4%), functional training (24.3%), medicine (19.5%) and surgery (1.4%). The logistic regression model showed that age and severity of disabilities had significant effect on the reported unmet needs of rehabilitation and received services for PWPs (P < 0.001). Conclusion PWPs reported unmet needs mainly in the fields of assistive devices, nursing care, medicine and rehabilitation training. They received primary services included assistive devices, nursing care and rehabilitation training and therapies. The services development will emphasize the accessibility and coverage. According to ICF model, it proposed to take measures to implement individualized and precise rehabilitation services to improve the quality of services.

Cite this article

Hong-mei TIAN , Zhuo-ying QIU , Xin LI , Hong-zhuo MA , Wei-wei SHENG , Ruo-fei DU , Di CHEN , Ming WU , Ai-min ZHANG , Xin-ling LU , An-qiao LI . Unmet Needs and Services of Rehabilitation for People with Physical Disabilities Using Logistic Regression Analysis[J]. Chinese Journal of Rehabilitation Theory and Practice, 2020 , 26(5) : 508 -512 . DOI: 10.3969/j.issn.1006-9771.2020.05.003

References

[1] World Health Organization, World Bank. World Report on Disability [R]. Geneva: World Health Organization, 2011.
[2] 中华人民共和国国家质量监督检验检疫总局, 中国国家标准化管理委员会. 残疾人残疾分类和分级[S]. GB/T26341-2010.
[3] 第二次全国残疾人抽样调查办公室. 第二次全国残疾人抽样调查数据分析报告[M]. 北京: 华夏出版社, 2008.
[4] 李欣, 刘冯铂, 邱卓英, 等. 河南省农村肢体残疾人康复需求与服务发展研究[J]. 中国康复理论与实践, 2017, 23(8):879-882.
[5] 徐斌, 刘虹, 傅锡南, 等. 无锡市滨湖区肢体残疾人康复服务需求的调查研究[J]. 中国康复医学杂志, 2017, 32(9):1040-1042, 1051.
[6] 邱卓英, 李伦, 陈迪, 等. 基于世界卫生组织国际健康分类家族康复指南研究:理论架构和方法体系[J]. 中国康复理论与实践, 2020, 26(2):125-135.
[7] 李宁, 陈功, 崔斌, 等. 我国残疾人康复需求及康复服务利用情况分析[J]. 残疾人研究, 2011(4):31-34.
[8] 邱卓英, 陈迪. 发展卫生保健和康复服务,增进残疾人健康:学习《世卫组织2014-2021年全球残疾问题行动计划:增进所有残疾人的健康》[J]. 中国康复理论与实践, 2014, 20(7):611-615.
[9] 邱卓英, 郭键勋, 杨剑, 等. 康复2030:促进实现《联合国2030年可持续发展议程》相关目标[J]. 中国康复理论与实践, 2017, 23(4):373-378.
[10] 邱卓英, 郭键勋, 李伦. 健康服务体系中的康复[J]. 中国康复理论与实践, 2020, 26(1):1-14.
[11] 李欣, 陈迪, 邱卓英, 等. 康复2030:扩大康复规模以满足日益增长的康复需求[J]. 中国康复理论与实践, 2017, 23(4):380-384.
[12] 李安巧, 邱卓英, 吴弦光, 等. 康复2030:国际康复发展状况与行动呼吁[J]. 中国康复理论与实践, 2017, 23(4):379.
[13] 井淇, 孙宏伟, 邱卓英. 国际康复人力资源构成和配置及其对发展现代康复高等教育的启示[J]. 中国康复理论与实践, 2018, 24(9):1011-1017.
[14] 中国残疾人联合会. 张海迪:康复是残疾人小康最迫切需求[EB/OL]. ( 2016- 03- 09). http://www.cdpf.org.cn/yw/201603/t20160309_543404.shtml.
[15] 密忠祥, 张金明, 程军, 等. 残疾人社区康复发展中关键问题的探讨[J]. 残疾人研究, 2017(4):30-34.
[16] 刘宝松, 裴曌, 郭咏军, 等. 上海市成年肢体残疾人整体康复需求实现程度及相关因素分析[J]. 中国康复理论与实践, 2017, 23(8):883-886.
[17] 黄珂, 王国祥, 邱卓英, 等. 基于ICF老年人体育活动与功能康复研究[J]. 中国康复理论与实践, 2019, 25(11):1248-1254.
[18] 邱卓英, 郭键勋, 李伦, 等. 世界卫生组织康复指南《健康服务体系中的康复》:背景、理论架构与方法、主要内容和实施[J]. 中国康复理论与实践, 2020, 26(1):16-20.
[19] Shang L L, Huang Y Q, Liu Z R, et al. A cross-sectional survey of disability attributed to mental disorders and service use in China[J]. Chin Med J, 2017, 130(12):1441-1445.
[20] Iemmi V, Blanchet K, Gibson L J, et al. Community-based rehabilitation for people with physical and mental disabilities in low- and middle-income countries: a systematic review and meta-analysis[J]. J Dev Effect, 2016, 8(3):368-387.
[21] 范佳进, 钟磊, 朱图陵, 等. 需求评估对辅助器具补助政策的启示[J]. 中国康复理论与实践, 2007, 13(4):368-370.
[22] 罗遐, 卜普. 农村残疾人接受康复治疗行为的影响因素研究[J]. 安徽大学学报(哲学社会科学版), 2013, 37(4):128-134.
Outlines

/

〈 〉