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智利基层医疗中心的社区康复(CBR)。

Community-Based Rehabilitation (CBR) in primary care centers in Chile.

机构信息

Universidad de Chile. Facultad de Medicina. Departamento de Kinesiología. Santiago, Chile.

Universidad de Chile. Programa Magíster Salud Pública. Santiago, Chile.

出版信息

Rev Saude Publica. 2020 Apr 6;54:38. doi: 10.11606/s1518-8787.2020054001999. eCollection 2020.

Abstract

OBJECTIVE

To describe the implementation status of the Community-Based Rehabilitation in Chile.

METHODS

Quantitative, transversal and descriptive study. The scope was constituted by the 66 community-based rehabilitation centers in the Chilean Metropolitan Region that implemented Community-Based Rehabilitation until December 2016. The sampling was based on a census method, so all the community centers were contacted. A self-administered questionnaire designed based on the Community-Based Rehabilitation matrix defined by the World Health Organization was applied. The questionnaire was answered on-line by the coordinators of the strategy in their respective centers. The data analysis was performed using descriptive statistics.

RESULTS

A heterogeneous level of implementation of Community-Based Rehabilitation was identified, specifically in terms of the components of the matrix described by the World Health Organization. The most implemented component was Health; the Social, Livelihood and Empowerment components were moderately implemented; and the Education component was the least implemented.

CONCLUSION

The implementation of Community-Based Rehabilitation is mainly based on the Health component. The level implementation of the other components of the matrix needs to be increased, as well as interdisciplinary and intersectoral strategies to achieve greater social inclusion of people with disabilities.

摘要

目的

描述智利社区康复的实施现状。

方法

定量、横断和描述性研究。研究范围包括智利首都大区截至 2016 年 12 月实施社区康复的 66 个社区康复中心。抽样采用普查方法,因此联系了所有的社区中心。根据世界卫生组织定义的社区康复矩阵设计了一份自我管理问卷。战略协调员在各自中心在线回答问卷。使用描述性统计进行数据分析。

结果

确定了社区康复实施水平的异质性,特别是在世界卫生组织描述的矩阵组成部分方面。实施最多的部分是健康;社会、生计和赋权部分得到了适度实施;而教育部分则是实施最少的。

结论

社区康复的实施主要基于健康部分。需要增加矩阵其他组成部分的实施水平,以及采取跨学科和跨部门的战略,以实现残疾人更大程度的社会包容。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c342/7112743/33482aee1f0f/1518-8787-rsp-54-38-gf01.jpg

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