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评估中国残疾儿童康复救助体系。

Assessment of Chinese rehabilitation assistance system for disabled children.

机构信息

School of Public Administration, Central South University, Changsha, China.

School of Public Administration, Sichuan University, Chengdu, China.

出版信息

Front Public Health. 2023 Sep 14;11:1098908. doi: 10.3389/fpubh.2023.1098908. eCollection 2023.

Abstract

Using the social support theory for reference, a subject-object influencing mechanism model of China's rehabilitation assistance system for disabled children is built based on the survey data on 1,698 disabled children in 243 designated rehabilitation institutions in Hu'nan Province as well as the topic of the assessment and optimization of the rehabilitation assistance system for disabled children. The analysis using the structural equation modeling reveals that the inclusive welfare effect of the rehabilitation assistance system for disabled children has emerged, and disabled children receiving free rehabilitation in the designated institutions have achieved good rehabilitation results as a whole, however, disabled children of different age groups have generational differences in the rehabilitation effects, and the preferential aspect of the system needs to be strengthened. Government support, institutional support, and social support have positive non-equilibrium effects in enhancing the rehabilitation effects of disabled children. Institutional support plays a partial mediating role between government support, family support, and disabled children's rehabilitation effects, showing that the current social support system for the rehabilitation assistance of disabled children is experiencing structural, social and kernel changes, to evolve from the traditional closed and disconnected one-way resource support to open, coordinated, and interactive multi-support, and gradually become a comprehensive and efficient interactive support system with families as the foundation, institutions as the main body, and the government as the core.

摘要

借鉴社会支持理论,基于湖南省 243 家定点康复机构的 1698 名残疾儿童调查数据以及残疾儿童康复救助制度评估与优化主题,构建了中国残疾儿童康复救助制度的主体-客体影响机制模型。结构方程模型分析显示,残疾儿童康复救助制度的包容性福利效应已经显现,接受定点机构免费康复的残疾儿童整体上取得了良好的康复效果,但不同年龄组的残疾儿童在康复效果上存在代际差异,制度的优惠面有待加强。政府支持、机构支持和社会支持对增强残疾儿童康复效果具有积极的非均衡效应。机构支持在政府支持、家庭支持和残疾儿童康复效果之间发挥部分中介作用,表明当前残疾儿童康复救助的社会支持体系正在经历结构、社会和核心的变化,从传统的封闭和不连贯的单向资源支持向开放、协调和互动的多支持转变,逐渐成为以家庭为基础、机构为主体、政府为核心的全面高效互动支持体系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf50/10536962/b8be9fcce730/fpubh-11-1098908-g0001.jpg

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