门诊康复服务的可及性与结构：对加拿大安大略省设有指定康复床位医院的一项调查
Availability and structure of ambulatory rehabilitation services: a survey of hospitals with designated rehabilitation beds in ontario, Canada.
作者信息
Landry Michel D, Passalent Laura A, Cott Cheryl A
机构信息
Michel D. Landry, PT, PhD: Assistant Professor, Department of Physical Therapy, University of Toronto, Toronto, Ontario; Adjunct Assistant Professor, Department of Health Policy and Administration, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. At the time of this study, Dr. Landry was a post-doctoral fellow with the Arthritis Community Research and Evaluation Unit (ACREU) and the Toronto Rehabilitation Institute (TRI).
出版信息
Physiother Can. 2008 Summer;60(3):246-54. doi: 10.3138/physio.60.3.246. Epub 2008 Oct 10.
PURPOSE
To determine the degree to which ambulatory physical therapy (PT), occupational therapy (OT), and speech language pathology (SLP) services are available in hospitals with designated rehabilitation beds (DRBs) in Ontario, and to explore the structure of delivery and funding among services that exist.
METHODS
Questions regarding ambulatory services were included in the System Integration and Change (SIC) survey sent to all hospitals participating in the Hospital Report 2005: Rehabilitation initiative.
RESULTS
The response rate was 75.9% (41 of 54 hospitals). All hospitals surveyed provide some degree of ambulatory rehabilitation services, but the nature of these services varies according to rehabilitation client groups (RCGs). The majority of hospitals continue to deliver services through their employees rather than by contracting out or by creating for-profit subsidiary clinics, but an increasing proportion is accessing private sources to finance ambulatory services.
CONCLUSIONS
Most hospitals with DRBs provide some degree of ambulatory rehabilitation services. Privatization of delivery is not widespread in these facilities.
目的
确定安大略省设有指定康复床位（DRB）的医院提供门诊物理治疗（PT）、职业治疗（OT）和言语语言病理学（SLP）服务的程度，并探讨现有服务之间的提供结构和资金情况。
方法
关于门诊服务的问题包含在发送给参与《2005年医院报告：康复倡议》的所有医院的系统整合与变革（SIC）调查中。
结果
回复率为75.9%（54家医院中的41家）。所有接受调查的医院都提供一定程度的门诊康复服务，但这些服务的性质因康复客户群体（RCG）而异。大多数医院继续通过其员工提供服务，而不是通过外包或设立营利性附属诊所，但越来越多的医院正在寻求私人资金来资助门诊服务。
结论
大多数设有DRB的医院提供一定程度的门诊康复服务。这些机构中服务提供的私有化并不普遍。
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