我国残疾人康复服务领域关键问题确认  

Identification of key issues in the field of rehabilitation services for people with disabilities in China

作　　者：邵涵 黄晓彤 许心蕊 王琼 杨晓[1] 吴炳义[1] Shao Han;Huang Xiaotong;Xu Xinrui;Wang Qiong;Yang Xiao;Wu Bingyi(Nursing School,Weifang Medical University,Weifang 261053,China)

机构地区：[1]潍坊医学院护理学院,山东潍坊

出　　处：《护理学杂志》2023年第10期94-98,共5页Journal of Nursing Science

基　　金：国家社会科学基金一般项目(18BRK013);中国残联研究课题(21&ZC014)。

摘　　要：目的分析当前我国残疾人康复服务领域存在的问题,通过界定关键问题,为政策方案提供解决思路。方法以“卫生系统宏观模型”为框架,检索、评阅涉及我国残疾人康复服务领域的核心期刊论文,形成问题系统;计算各问题的严重性、重要性及优先解决性指数,采用四象限法、变异系数法综合确认关键问题。结果纳入237篇核心期刊论文,形成25类问题清单;我国残疾人康复服务领域的问题主要集中于结构和过程子模;效果(R=0.178)、机制问题(R=0.068)、人力数量(R=0.064)、技术和知识(R=0.058)是我国残疾人康复服务领域现存的关键问题。结论我国残疾人康复服务供需不平衡的根源是康复理念及理论研究不足,提示改变残疾人康复意识、完善管理机制以及提高康复人才价值是下一步研究的重点,也是促进康复服务可及性的必要手段。Objective To analyze the current problems in the field of rehabilitation services for persons with disabilities in China,and to provide ideas for policy solutions by defining critical issues.Methods Using the"Macro model of health system"as a framework,we searched and reviewed journal papers related to the field of rehabilitation services for persons with disabilities in China,and formed a problem system;we calculated the severity,importance and priority index of each problem,and Use a combination of the four quadrant method and the coefficient of variation method to identify critical issues.Results The final inclusion of 237 core journal papers resulted in a list of 25 categories of problems;the problems in the field of rehabilitation services for people with disabilities in China were mainly focused on the structure and process submodules;effectiveness(R=0.178),mechanism problems(R=0.068),manpower quantity(R=0.064),technology and knowledge(R=0.058)were the critical existing issues in the field of rehabilitation services for people with disabilities in China.Conclusion The root cause of the imbalance between supply and demand of rehabilitation services for the disabled in China is the lack of rehabilitation concepts and theoretical research,which suggests that changing the awareness of rehabilitation among people with disabilities,improving the management mechanism and increasing the value of rehabilitation talents are the next research.It is also a necessary means to promote the accessibility of rehabilitation services.

关 键 词：残疾人 康复服务 关键问题 卫生系统宏观模型 机制问题 文献分析 

分 类 号：R47[医药卫生—护理学] R492[医药卫生—临床医学]