Lucy Montoro Rehabilitation Network mobile unit: an alternative public healthcare policy
Lucy Montoro Rehabilitation Network mobile unit: an alternative public healthcare policy
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DOI：
10.3109/17483107.2015.1027294
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发表时间：
2015-01-01
影响因子：
2.2
通讯作者：
Ramos, Vinicius Delgado
中科院分区：
文献类型：
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作者：
Battistella, Linamara Rizzo;Juca, Sueli Satie H.;Ramos, Vinicius Delgado
目的：分析一家流动康复诊所(MU)在圣保罗州九个地区提供的康复服务，展示根据年龄组和残疾情况为肢体残疾人提供的矫形器、假肢和其他活动辅助设备的分布情况，以及巴西官方数据来源估计的肢体残疾人数。方法：通过2010年巴西IBGE人口普查的估算，得出每个地区的残疾人人数。辅助技术供应商和技术人员的数量由巴西技术整形外科协会(ABOTEC)提供。患者由地区卫生部门转介到MU。经过多学科团队的检查，根据患者的需要开出并提供辅助设备。患者的数据也根据他们的年龄、诊断、性别、婚姻状况和教育水平的问卷进行了评估。结果：2009年至2011年，该院通过公共卫生系统为1801名患者提供康复服务，总里程达1.5万公里。此外，在此期间交付了3328台设备。在每个被分析的地区，不同的年龄、诊断、性别、婚姻状况和受教育情况都有所不同。结论：通过MU提供的服务提供了关于患者概况的数据-包括向每个患者提供的1.85个设备的平均指数和需求预测-这些数据可用于公共政策规划。MU使康复服务更容易获得，培训了专业人员，提高了对正确提供和使用辅助设备的认识，并确定和组织了每个地区的人们的需求。
Purpose: The aim is to analyze rehabilitation services provided by a mobile rehabilitation clinic (MU) in nine regions of the State of Sao Paulo, demonstrating the distribution of orthoses, prostheses and other mobility aids for persons with physical disabilities according to age groups and impairments, as well as the number of persons with physical disabilities as estimated by Brazilian official data sources. Method: The number of persons with disabilities in each region was obtained through estimations from the 2010 Brazilian IBGE Census. The number of assistive technologies suppliers and technicians were provided by the Brazilian Technical Orthopedics Association (ABOTEC). Patients were referred to the MU by Regional Health Departments. After examination of a multidisciplinary team, assistive devices are prescribed and delivered according to patients' needs. Data on patients were also assessed according to questionnaires on their age, diagnosis, gender, marital status and education level. Results: From 2009 to 2011, the MU went through 15 000 km providing rehabilitation services through the Public Health System to 1801 patients. Additionally, 3328 devices were delivered in this period. Different age, diagnosis, gender, marital status and schooling profiles are highlighted in each of the analyzed regions. Conclusion: Data on patients' profiles were made available through services provided by the MU -including the average index of 1.85 devices delivered to each patient and demand projections-which can be used in the planning of public policies. The MU made rehabilitation services more accessible, trained professionals, raised awareness on the correct delivery and use of assistive devices, and identified and organized people's demand in each region.