尼泊尔的物理治疗及其服务:从设施调查和官方注册表中报告的实施和状态
Nishchal Ratna Shakya1,2, Nistha Shrestha3, Gillian Webb4
1Faculty of Medicine and Health Sciences, Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology (NTNU), 7491, Trondheim, Norway. nishchal.r.shakya@ntnu.no.
BMC health services research
|March 6, 2024
概括
尼泊尔的物理治疗服务取得了进展,但在公平获取方面面临挑战,特别是在农村地区. 需要进一步关注规划和监测,以改善服务提供和所有人的可访问性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 康复医学 康复医学 康复医学
- 公共卫生政策 公共卫生政策
背景情况:
- 物理疗法在尼泊尔正在扩大,但在提供公平获取方面面临重大挑战,特别是在服务不足的地区.
- 更新的信息对于有效的资源配置和物理治疗服务的战略规划至关重要.
- 解决物理治疗服务可用性的差异对于国家健康发展至关重要.
研究的目的:
- 评估目前在尼泊尔各地实施的物理治疗服务.
- 检查现有的物理治疗计划,政策和专业的整体地位.
- 识别物理治疗服务提供障碍和促进者的障碍.
主要方法:
- 在尼泊尔的第三省进行了一项横截面调查,评估了物理治疗服务,人员配置和可访问性.
- 从29个设施 (25个城市,4个农村) 收集数据,使用封闭式问卷.
- 来自政府机构的官方记录被审查,以收集有关状态,计划和政策的信息.
主要成果:
- 大多数设施都雇用了拥有学士学位的物理治疗师,提供肌肉骨,神经和儿科服务.
- 患者记录主要是纸质的,每日收费很常见;平均访问费用约为311NPR.
- 79%的门诊病房报告说,残疾人的可访问性是部分的.
结论:
- 尼泊尔在物理治疗教育和实践方面取得了显著进展,有大量的毕业生和教育机构.
- 根据设施类型,规模和位置,物理治疗服务提供存在差异,需要改进规划和监控系统.
- 在服务不足的地区加强物理治疗的提供需要有针对性的关注和战略干预.
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