Jitapunkul S, Bunnag S, Ebrahim S
Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
J Med Assoc Thai. 1998 Aug;81(8):572-8.
This paper aimed to clarify the effectiveness and the cost of the community-based rehabilitation service in Klong Toey slum after a three year study period. One hundred and seventy eight patients used community-based rehabilitation during the three year period. One hundred and fifty-seven patients (86.5%) reported that their problems/conditions were cured or improved. Only nine patients (5.1%) reported that they stopped using community-based rehabilitation because their problems/conditions did not improve. A statistically significant improvement in pain level and walking velocity assessment, in 105 and 78 patients respectively, was demonstrated. Total cost and cost per patient-day of the community-based rehabilitation were Bt 559,920 and Bt 111.1 respectively. Cost per-patient-day of this community-based rehabilitation service was compared with an estimated cost per patient-day of using rehabilitation services at Chulalongkorn University Hospital and was found to be cheaper. This study supported the role of community-based rehabilitation in Thailand. The need for a health service study in rural areas was also noted.
经过三年的研究期，本文旨在阐明孔堤贫民窟社区康复服务的有效性和成本。在这三年期间，178名患者接受了社区康复服务。157名患者（86.5%）报告称他们的问题/状况得到治愈或改善。只有9名患者（5.1%）报告称他们停止使用社区康复服务是因为问题/状况没有改善。分别有105名和78名患者的疼痛水平和步行速度评估有统计学上的显著改善。社区康复的总成本和每位患者每天的成本分别为559,920泰铢和111.1泰铢。将这种社区康复服务每位患者每天的成本与朱拉隆功大学医院使用康复服务的估计每位患者每天成本进行比较，发现前者更便宜。本研究支持了泰国社区康复的作用。同时也指出了在农村地区进行卫生服务研究的必要性。
