Analysis of the current situation of rehabilitation service competency contracted family doctor services by disabled in chongqing
Objective:Understand the current situation of rehabilitation services provided by the disabled family doctor team in Chongqing,and provide feasible suggestions for improving the rehabilitation service capabilities of the disabled family doctor team.Methods:Based on World Health Organization Rehabilitation in Health Systems:Tem-plate for Rehabilitation Information Collection(TRIC):a tool accompanying the Systematic Assessment of Rehabili-tation Situation(STARS),according to the relevant requirements of the Chongqing Disabled Persons'Federation,a questionnaire survey was conducted on 187 family doctor team members from 11 districts and counties in Chongqing,and the data were descriptively analyzed.Results:Among the members of the family doctor team participating in the survey,a relatively high proportion was nurses(93.05％),general practitioners(84.49％),public health doctors(82.35％),and rural doctors(74.87％),with fewer having rehabilitation doctors(29.95％)and rehabilitation therapists(16.58％).There were more people aged 18～30(34.48％)and 31～40(37.97％)years old.The pro-portion of undergraduate was as high as 60.96％.From the analysis of 172 effective questionnaires,the rehabilita-tion services were mostly supportive services.Among them,visual disability accounted for 52.33％,mental disabili-ty for 53.49％,intellectual disability for 60.47％,hearing disability for 33.72％,and physical disability for 50％.The proportion of services not provided was also high.Among them,visual disability accounted for 35.47％,mental disability for 30.23％,intellectual disability for 26.16％,hearing disability for 38.37％,and physical disability for 26.16％;The most entries were related to"insufficient professional technical ability or profession-al knowledge"in the reason explanation for not execu-ting.Among them,visual disability was accounted for 29(52 in total),mental disability for 25(39 in total),intel-lectual disability for 26(43 in total),hearing disability for 28(62 in total),and physical disability for 24(40 in to-tal).Conclusion:At present,the team of disabled family doctors mostly lacks rehabilitation doctors and therapists,lacks rehabilitation knowledge and professional skills,and the rehabilitation services provided are mainly supportive services.Based on the WHO primary health care policy and China's 14th Five Year Plan for the Protection and De-velopment of Persons with Disabilities,in the absence of rehabilitation professionals,family doctor teams can be trained in rehabilitation service competency.
the disabledcontracted family doctor servicesrehabilitation service competency
万方数据
维普
