Xie Yijun, Wu Jing, Li Yao, Liu Hui, Peng Yanyan, Zhou Ping, Sun Yizhou, Kang Luyan, Jiang Chenghua, Wu Hengjing
Clinical Center for Intelligent Rehabilitation Research, Shanghai Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai, China.
Department of Fundamental Nursing, School of Nursing, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Interact J Med Res. 2024 Aug 7;13:e50047. doi: 10.2196/50047.
The rehabilitation of children with disabilities has received considerable attention from the United Nations. However, the state of rehabilitation services for children with disabilities worldwide remains far from optimistic, even in economically affluent middle- and high-income countries.
This scoping review aimed to identify the rehabilitation needs of children with disabilities and their barriers to rehabilitation services in middle- and high-income countries.
A systematic search was conducted using MEDLINE and Web of Science for papers published from January 2013 to December 2023. Studies were included if they were peer-reviewed, full-text articles related to children with disabilities, reporting on their access to rehabilitation services, and conducted in countries classified by the World Bank 2023 as middle- and high-income economies. Exclusion criteria included duplicates, unavailable full texts, and studies without distinct outcomes. A total of 27 studies were selected following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, focusing on children, their families, or service providers.
The suitability, availability, and affordability of rehabilitation services were identified as the major needs and barriers for children with disabilities in middle- and high-income countries. This included communication barriers, a need for more personnel and facilities, and the stagnation and inadequacy of economic subsidies.
Middle- and high-income countries have relatively well-established rehabilitation infrastructure and support systems. They are nevertheless insufficient for meeting the needs of children with disabilities. More attention should be paid to these issues to improve the well-being of children with disabilities. The data provided by this review can help raise awareness of rehabilitation needs and barriers at the policy level.
残疾儿童的康复问题受到了联合国的广泛关注。然而，即使在经济富裕的中高收入国家，全球残疾儿童康复服务的现状仍不容乐观。
本范围综述旨在确定中高收入国家残疾儿童的康复需求及其获得康复服务的障碍。
利用MEDLINE和科学网对2013年1月至2023年12月发表的论文进行系统检索。纳入的研究需为同行评审的全文文章，与残疾儿童相关，报告其获得康复服务的情况，并在世界银行2023年分类为中高收入经济体的国家进行。排除标准包括重复项、无法获取的全文以及无明确结果的研究。按照PRISMA（系统评价和Meta分析的首选报告项目）指南共筛选出27项研究，重点关注儿童、其家庭或服务提供者。
康复服务的适用性、可及性和可负担性被确定为中高收入国家残疾儿童的主要需求和障碍。这包括沟通障碍、对更多人员和设施的需求，以及经济补贴的停滞和不足。
中高收入国家拥有相对完善的康复基础设施和支持系统。然而，这些仍不足以满足残疾儿童的需求。应更多关注这些问题，以改善残疾儿童的福祉。本综述提供的数据有助于在政策层面提高对康复需求和障碍的认识。
