中国康复理论与实践2017，Vol.23Issue(8)：869-874,6.DOI:10.3969/j.issn.1006-9771.2017.08.001
中国残疾人康复需求与发展研究
Research on Unmet Needs and Service Development of Rehabilitation for People with Disabilities in China
摘要
Abstract
Objective To explore the unmet needs and service of rehabilitation for Chinese people with disabilities. Methods The unmet needs and services of rehabilitation data from the Second National Sample Survey of Disability and 2006-2016 Statistical Bulletin on the De-velopment of People with disabilities in China issued by China Disabled Persons Federation had been analyzed. Results The unmet needs of rehabilitation for people with disabilities in China were mainly included health care and support, assistive devices, rehabilitation therapy and services, poverty alleviation, accessible facilities, accessible information, and other rehabilitation needs. The highest rate of unmet needs of rehabilitation was in the fields of health care (34.84%) and poverty alleviation (33.25%). There were significant differences in unmet needs of rehabilitation among people with different types of disabilities (χ2=40322.1, P<0.01). For all the types of disabilities, 41.46%had not re-ceived any service and support, 30.45%received health care and support, and 0.55%received accessible information. The main approaches recommended by professionals for people with disabilities were institutional rehabilitation, and community and family based services. The main services recommended by professionals to people with psychiatric (68.18%) or visual disabilities (60.28%) were health care, to people with hearing disability (51.67%) were assistive device, and to people with intellectual (57.36%) and speech disability (47.06%) were rehabil-itation therapy and training. There were significant differences both in rehabilitation approaches and contents among people with different types of disabilities preferred by professionals (χ2=12489.9,χ2=52528.93, P<0.01). Conclusion The unmet needs of rehabilitation for people with different types of disabilities were mainly included health care and assistance, assistive devices, rehabilitation training and services, and poverty alleviation. There were significant differences among people with different types of disabilities. For service delivery, the highest rate was in health care and assistance. The gap between the service and unmet needs of poverty alleviation for people with disabilities in China was the highest. There were significant differences in rehabilitation approaches and contents recommended by professionals among people with different types of disabilities. It was recommended to construct the national and local system of policy support system and rehabilita-tion service governance, to provide precision rehabilitation services based on the unmet needs of rehabilitation, to develop the comprehen-sive rehabilitation service delivery to achieve the goal of rehabilitation for all, and to conduct scientific research on rehabilitation by using International Classification of Functioning, Disability and Health to provide evidence and support for the development of rehabilitation.关键词
残疾人/康复需求/发展/第二次全国残疾人抽样调查Key words
people with disabilities/rehabilitation needs/development/the Second National Sample Survey of Disability分类
医药卫生引用本文复制引用
邱卓英,李欣,李沁燚,郭键勋,吴弦光,陈迪,李伦,刘冯铂..中国残疾人康复需求与发展研究[J].中国康复理论与实践,2017,23(8):869-874,6.基金项目
1.第二次全国残疾人抽样调查课题(2006-2007) （2006-2007）
2.国务院残疾人工作委员会课题(2014-2015) （2014-2015）
3.中央级公益性科研院所基本科研业务费专项资金项目(重大科学研究引导基金项目)(No.2017CZ-7). （重大科学研究引导基金项目）
