作　　者： (刘宝松）; (裴曌）; (郭咏军）; (贺璧平）; (虞慧炯）; (徐萍）; (吕军）;

机构地区： 复旦大学中国残疾问题研究中心、复旦大学公共卫生学院、国民健康社会风险预警协同创新中心,上海市200032

出　　处： 《中国康复理论与实践》 2017年第8期883-886,共4页

摘　　要： 目的分析上海市成年肢体残疾人整体康复需求实现程度及其未实现的原因,为康复服务的精准化提供决策依据。方法2016年11月至12月,利用自拟问卷,对390名成年持证肢体残疾人的康复需求、实现情况及影响实现的原因进行典型调查。结果 18~40岁肢体残疾人的职业康复(62.34%)与教育康复(52.00%)实现率低;二级残疾者的职业康复(38.71%)与教育康复(35.29%)实现率低;影响服务需求未转化的主要原因是"不知道"(67.34%);"其他"原因中的"暂不需要"占全部原因累计频数的16.41%。结论以服务需求实现率相对较低的项目为重点,做好社区康复与健康治理的融合,优化服务体系。 Objective To explore the rehabilitation needs and its influential factors of adults with physical disability in Shanghai,and to provide evidence for decision-making of the precise rehabilitation service.Methods From November to December,2016,the rehabilitation demands,utilization rate and its influential factors of 390 registered people with physical disability were investigated with a questionnaire.Results The service of occupational rehabilitation met 62.34% and educational rehabilitation met 52.00% of the needs of adults with physical disability at the age of 18 to 40 years.The service of occupational rehabilitation met 38.71% and educational rehabilitation met 35.29% of the needs of adults with physical disability of grade two.The main obstacle to the service utilization was ＂Do not know＂（67.34%）.As a part of ＂other＂ reason,the cumulative frequency of ＂temporarily not needed＂ accounted for 16.41% in all reasons.Conclusion The rehabilitation service should focus unmet needs to complete the community rehabilitation and health governance,and optimize the service system.

关 键 词： 残疾人 康复需求 服务利用 影响因素 上海市