"当每个人都负责时,没有人承担责任":在以色列探索儿科物理治疗服务
Nilly Waiserberg1,2, Tuvia Horev3, Paula Feder-Bubis4
1Department of Health Policy and Management, Faculty of Health Sciences, Ben-Gurion University of the Negev, David Ben Gurion Blvd 1, P.O.B. 653, Beer-Sheva, Israel. nillyw@post.tau.ac.il.
Israel journal of health policy research
|February 28, 2024
概括
以色列的运动残疾儿童的物理治疗服务面临着不确定性. 政策制定者质疑是否满足需求,许多提供者可能无法保证儿童发展的质量护理.
科学领域:
- 儿科康复儿童康复中心
- 卫生政策分析 卫生政策分析
- 残疾人服务研究 研究 研究
背景情况:
- 以色列国家健康保险法 (1994年) 和特殊教育法 (1988年) 规定了运动残疾儿童的物理治疗服务.
- 这些服务的责任分别由卫生部和教育部负责.
- 运动残疾儿童在两个不同的法律框架下有资格接受物理治疗 (PT).
研究的目的:
- 划定以色列运动残疾儿童物理治疗服务的格局.
- 调查决策者对这些服务的提供和有效性的看法.
- 识别知识缺口和围绕服务交付的不确定性领域.
主要方法:
- 采用了定性研究设计.
- 与10位主要政策制定者进行了深入的半结构化访谈.
- 参与者包括卫生部,教育部和卫生维护组织的代表.
主要成果:
- 对于运动残疾儿童而言,存在广泛的物理治疗服务和提供者.
- 尽管有监管框架,但在服务提供方面仍存在重大不确定性和知识缺口.
- 主题分析的重点是服务地点,资格,治疗干预措施和提供者识别.
结论:
- 政策制定者对运动残疾儿童是否能获得适合其需求的足够物理治疗服务表示怀疑.
- 服务提供商数量众多并不能自动转化为服务质量的提高.
- 由于服务提供问题,强调了对儿童发展潜力的潜在负面影响.
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