《中国康复理论与实践》

《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (12): 1048-1050.

• 康复机构建设 • 上一篇    下一篇

北京市五所三级医院提供和利用康复服务的影响因素研究

卫波; 戴红; 肖忠新; 王瑾; 叶艳萍   

  1. 1.首都医科大学公共卫生与家庭医学院康复医学教研室 北京市 100069;2.北京隆福医院 北京市 100010;3.北京航天总医院 北京市 100039
  • 收稿日期:2005-12-06 出版日期:2005-12-25 发布日期:2005-12-25

Factors of influencing supply and utilization of rehabilitation service in five grade A hospitals in Beijing

WEI Bo, DAI Hong, XIAO Zhong-xin, et al   

  1. The Department of Rehabilitation Medicine, Schoolof Public Health and Family Medicine, Capital Uziversity of Medical Sciences, Beijing 100069, China
  • Received:2005-12-06 Published:2005-12-25 Online:2005-12-25

PDF (PC)

被引次数

14

摘要： 目的明确北京市卫生事业机构提供和利用康复服务的影响因素。方法选取5所分布于不同区域、不同级别的三级医院进行调查,了解康复科和相关科室康复诊疗的现状和影响因素,以及康复医学科在医院的发展情况和制约其发展的影响因素。结果5所医院康复科均未达到卫生部“综合医院康复科管理规范”的要求;影响三级医院提供康复服务的因素主要有康复科与其他科室合作形式尚未理顺、北京市卫生系统和医院领导以及临床科室人员不了解康复早期介入的重要性、患者及其家属不了解康复对于防治残疾的特殊疗效、康复诊疗费用的报销受限制等。结论上述因素限制了我市医院康复医疗的发展,应制定相关政策予以解决。

关键词: 医院康复服务, 影响因素, 定性研究

Abstract: ObjectiveTo make sure the factors of influencing supply and utilization rehabilitation service of hospitals in Beijing.MethodsFive grade A hospitals in different districts in Beijing were surveyed to realize the condition and factors of influencing supply and utilization of rehabilitation service in polyclinics in Beijing and make sure the developing situation of departments of rehabilitation medicine, and its restriction factors in their hospitals.ResultsThe departments of rehabilitation medicine in the five hospitals had not reached to requirement of administer criterion to comprehensive hospitals, issued by Ministry of Health. The factors of influencing supply and utilization of rehabilitation service in polyclinics in Beijing included: discordant cooperation between rehabilitation section and other sections in hospitals; leaders of hospitals and clinical personnel not understanding the importance of rehabilitation early intervention much; patients and their family not understanding the special curative effect to prevent and treat disability of rehabilitation; the application for reimbursement limitation to the fee for patients to accept rehabilitation treatment and/or stay in rehabilitation section in hospitalization insurance and plan as a whole, and so on.ConclusionThe factors above limit the further development of rehabilitation service of polyclinics in Beijing. Effective measures should be taken and correlative policies should be established in order to promote the rehabilitation service in Beijing.

Key words: rehabilitation service in polyclinics, influencing factor, qualitative research