Unmet Needs and Services Development of Rehabilitation for People with Extremely Severe Hearing Disability Using Structural Equation Analysis
10.3969/j.issn.1006-9771.2020.05.007
- VernacularTitle:极重度听力残疾人康复需求与康复服务发展状况结构方程模型
- Author:
Di CHEN
1
;
Zhuo-ying QIU
1
;
Guo-xiang WANG
2
;
Xin LI
3
;
Zi-wei CHENG
3
;
An-qiao LI
3
;
Zhao-hui SHEN
1
;
Jia-ni CHEN
1
;
Bao TIAN
;
Ai-min ZHANG
1
;
Xiao-fei XIAO
Author Information
1. Research Institute of Rehabilitation Information, China Rehabilitation Research Center , Beijing 100068 China
2. WHO-FIC Collaborating Center in China, Beijing 100068, China
3. School of Rehabilitation Medicine, Binzhou Medical University, Yantai, Shandong 264003, China
- Publication Type:Research Article
- Keywords:
extremely severe hearing disability;
rehabilitation needs;
rehabilitation services;
survey of disability
- From:
Chinese Journal of Rehabilitation Theory and Practice
2020;26(5):528-533
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the characteristics and the influential factors of unmet needs and services development of rehabilitation for people with extremely severe hearing disability (PSHDs). Methods:A total of 90 052 PSHDs were included. Multiple response was used to analyze the characteristics of unmet needs and services of rehabilitation. The structural equation model of the received service and unmet needs of PSHDs was developed. Results:The reporting rate of unmet needs of rehabilitation for PSHDs, from high to low, were assistive devices (61.5%), nursing care (24.1%), medicine (23.4%), functional training (17.6%) and surgery (2.5%). The reporting rate of received service for PSHDs, from high to low, were assistive devices (58.3%), nursing care (24.4%), medicine (22.4%), functional training (22.0%) and surgery (2.2%). Structural Equation Model showed that the more services received, the more needs for cochlear implantation surgery and speech therapy (P < 0.001); the better family income situation, the more needs for cochlear implantation surgery (P < 0.001); and age factor had significant effects on the unmet needs of cochlear implantation surgery and speech therapy (P < 0.001). Conclusion:PSHDs reported unmet needs and received services mainly included assistive devices, nursing care, medicine and functional rehabilitation training. Those PSHDs who had received services would report more demand of unmet needs, supposed that improving the accessibility and coverage of services should be emphasized in the development of rehabilitation services. According to ICF model, on the basis of the characteristics of the unmet needs of PSHDs, it proposed to take measures to implement precise rehabilitation services to improve the quality of services.
