我国康复服务需求评估与供需缺口原因分析

Assessment of demand for rehabilitation services and analysis of causes of the gap between supply and demand in China

目的从“残、病、伤、老”四类群体角度,分类梳理、评估社会总体康复服务需求,分析康复服务供需缺口的原因。方法收集康复领域文献,包括世界卫生组织和我国有关部门颁布的政策文件、相关调查以及相关研究,进行文献分析。结果我国“残、病、伤、老”群体康复服务需求规模庞大,康复服务供给尚未有效满足现存需求。导致我国康复服务供需缺口的主要原因包括:健康态势和人口趋势加大社会康复服务的需求;康复服务资源储备不足,康复服务体系建设相对滞后;残疾报告制度不完善,康复服务需求与供给之间的衔接不畅。结论基于残疾报告制度建设,尽快完善我国康复服务体系,提升康复服务水平。

Objective To evaluate the overall demand for rehabilitation services from the perspective of the groups with disabilities,diseases,injuries and older adults,and explore the causes of the supply and demand gap of rehabilitation services.Methods The literatures in the field of rehabilitation were collected,summarized and analyzed,including policy documents issued by World Health Organization and relevant departments in China,surveys,and researches.Results The demand for rehabilitation services caused by disabilities,chronic diseases,injuries and population ageing were vast in China,but many were still unmet.The main reasons leading to the gap included those population trend and health situation,the insufficient reserve of rehabilitation resources coming from incomplete development of rehabilitation service system early,and inadequate construction of disability reporting system,which could not efficiently meet rehabilitation demand with supply.Conclusion The strategies to optimize the rehabilitation services system and promote the quality of the services based on the disability reporting system are warranted.