土耳其成人残疾评估与物理治疗师的实际经验：一项横断面分析研究。

Adult disability assessment in Türkiye with real-life experiences of physiatrists: A cross-sectional analytic study.

作者信息

Özdemir Hande, Demirbağ Kabayel Derya, Kasapoğlu Aksoy Meliha, Öztürk Erhan Arif, Tuna Filiz, Murat Sadiye, Gündoğdu İbrahim, Okan Sevil, Mesci Nilgün, Aykurt Karlıbel İlknur, Acar Sivas Filiz, Çağlar Yağcı Hanife, Sahillioğlu Ali

机构信息

Department of Physical Medicine and Rehabilitation, Trakya University Faculty of Medicine, Edirne, Türkiye.

Department of Physical Medicine and Rehabilitation, University of Health Sciences, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Türkiye.

出版信息

Turk J Phys Med Rehabil. 2025 May 21;71(2):146-156. doi: 10.5606/tftrd.2025.14903. eCollection 2025 Jun.

DOI:10.5606/tftrd.2025.14903

PMID:40740184

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12305682/

Abstract

OBJECTIVES

The aim of this study was to determine the workload and problems of physiatrists in disability assessment in Türkiye. A 39-question electronic survey was administered between May 2023 and October 2023 to 217 physiatrists from all geographical regions of Türkiye. The survey was comprehensive in scope, encompassing a range of inquiries pertaining to demographic characteristics, time allocation for assessment, additional payment status, comprehensive training received, knowledge and skill levels, consistency of the national guideline used for disability assessment, attitudes toward decision-making, communication with other specialists, and medico-legal issues.

RESULTS

A total of 217 physiatrists (86 males, 131 females; mean age: 41.5±8.0 years; range, 28 to 68 years), 155 (71.4%) specialists and 62 (28.6%) academics, with a mean residency experience of 11.99±8.31 years, participated in the study. The survey results showed that disability assessment was a heavy burden and a difficult task that may involve disadvantages for physiatrists, and a significant majority reported not having received comprehensive training in disability assessment during or after residency. Additionally, only 65% felt that their knowledge and skills in disability assessment were adequate. In addition, only 13.8% of physiatrists felt that the national guideline accurately reflected an individual's level of disability, with the results highlighting inadequacies and inconsistencies in the guideline. Another striking finding was that there was disagreement among clinicians regarding the rate of impairment and the determination of full dependency.

CONCLUSION

Physiatrists, who play an important role in disability assessment, face several challenges in this process in Türkiye. The results of this study are expected to guide the implementation of effective and accurate disability assessment methods and provide sustainable solutions.

摘要

目的

本研究旨在确定土耳其物理治疗师在残疾评估中的工作量和问题。2023年5月至2023年10月期间，对来自土耳其所有地理区域的217名物理治疗师进行了一项包含39个问题的电子调查。该调查范围全面，涵盖了一系列与人口统计学特征、评估时间分配、额外报酬状况、接受的综合培训、知识和技能水平、用于残疾评估的国家指南的一致性、对决策的态度、与其他专科医生的沟通以及法医学问题相关的询问。

结果

共有217名物理治疗师（86名男性，131名女性；平均年龄：41.5±8.0岁；范围为28至68岁）参与了研究，其中155名（71.4%）为专科医生，62名（28.6%）为学者，平均住院医师经历为11.99±8.31年。调查结果显示，残疾评估是一项沉重的负担和艰巨的任务，可能给物理治疗师带来不利影响，绝大多数受访者表示在住院期间或之后未接受过残疾评估方面的综合培训。此外，只有65%的人认为自己在残疾评估方面的知识和技能足够。此外，只有13.8%的物理治疗师认为国家指南准确反映了个人的残疾程度，结果凸显了该指南存在不足之处和不一致之处。另一个显著发现是，临床医生在损伤率和完全依赖程度的判定上存在分歧。