Shirazikhah Marzieh, Mirabzadeh Arash, Sajadi Homeira, Joghataei Mohammad Taghi, Biglarian Akbar, Mousavi Tahmineh, Shahboulaghi Farahnaz Mohammadi
MD, MPH, Ph.D., Candidate of Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
MD of Psychiatry, Professor, Social Determinants of Health Research Center, Psychiatry Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Electron Physician. 2017 Nov 25;9(11):5778-5786. doi: 10.19082/5778. eCollection 2017 Nov.
The prevalence of disability in Iran has increased due to ageing of the population and the presence of chronic diseases. However, little is known about the availability of rehabilitation services in Iran.
To study the availability of physical rehabilitation services in Iran.
This was a mixed method study. In the first phase, a qualitative design was conducted for designing an instrument with focus groups based on Service Availability and Readiness Assessment (SARA) instrument (developed by World Health Organization). Content analysis was used for data analysis. Then, in the second phase, a cross-sectional study was performed to collect the data with census method in Iran. This study was formed from June to October 2015, and samples consisted of all governmental, public non-governmental and private facilities established for rehabilitation centers affiliated with the Ministry of Health and Medical Education, Ministry of Labor, Cooperative and Social Welfare and the Iranian Red Crescent Society. Data analyses were performed using SPSS software (version 16). Descriptive statistical analysis (percentage and frequency) were calculated for quantitative data.
In the first phase, the content analysis of qualitative data identified a Master Facilities List (MFL) of rehabilitation services and service providers in Iran. Results of the second phase showed that the rate of inpatient, outpatient, community-based and long-term care centers per 1,000,000 populations in Iran were 1.68, 89.24, 66.21 and 3.6, respectively. Also, that the rate of rehabilitation professionals including physical medicine and rehabilitation specialists, physiotherapists, occupational therapists, speech therapists, and audiologists were 3.90, 64.65, 22.09, 22.83 and 24.18 per 1,000,000 populations, respectively.
There is a need to increase the availability of rehabilitation services and to promote rehabilitation referrals by using an interdisciplinary team approach.
由于人口老龄化和慢性病的存在，伊朗的残疾患病率有所上升。然而，对于伊朗康复服务的可及性了解甚少。
研究伊朗物理康复服务的可及性。
这是一项混合方法研究。在第一阶段，采用定性设计，基于服务可及性与准备情况评估（SARA）工具（由世界卫生组织开发），通过焦点小组设计一种工具。数据分析采用内容分析法。然后，在第二阶段，进行横断面研究，以普查方法在伊朗收集数据。本研究于2015年6月至10月进行，样本包括所有为隶属于卫生和医学教育部、劳动、合作与社会福利部以及伊朗红新月会的康复中心设立的政府、公共非政府和私人机构。使用SPSS软件（版本16）进行数据分析。对定量数据进行描述性统计分析（百分比和频率）。
在第一阶段，定性数据的内容分析确定了伊朗康复服务和服务提供者的主设施清单（MFL）。第二阶段的结果显示，伊朗每百万人口中住院、门诊、社区和长期护理中心的比例分别为1.68、89.24、66.21和3.6。此外，每百万人口中康复专业人员，包括物理医学与康复专家、物理治疗师、职业治疗师、言语治疗师和听力学家的比例分别为3.90、64.65、22.09、22.83和24.18。
需要通过跨学科团队方法提高康复服务的可及性并促进康复转诊。
