| Objective:To provide evidence for the sustainable development strategy of community rehabilitation through investigating the current situation of community rehabilitation in Zhejiang Province.Methods:Sixty-four community health service centers and rural township health service centers in 11 regions of the province were selected to conduct the questionnaire, which concerned the status of human resources, main rehabilitation programs, scale of rehabilitation station, rehabilitation device, etc.Results:Sixty-four valid questionnaires were collected from 64 communities. According to the survey results, it was found that postgraduate, undergraduate, junior college and secondary school students accounted for 5.3%, 23%, 41.1%and 30.6%respectively. Rehabilitation physicians, rehabilitation therapists, general practitioners and rehabilitation nurses accounted for 25.9%, 38.5%, 10.5%and 27.1%respectively during the total rehabilitation staff. The senior, intermediate and primary professional titles accounted for 5.3%, 34.3%and 38.7%respectively. 36.2% of the rehabilitation staff were full-time, and 43.2% had participated in rehabilitation related continuing education courses. The training of upper and lower extremities and massage were the main treatment methods in the aspect of rehabilitation therapy (training). The constituent ratios of fall prevention training, cardiopulmonary function training and improving sarcopenia training in life style and exercises guidance of old people aged above 65 were lower, which were 20.3%, 18.7% and 23.4%respectively. The quantity of electroacupuncture apparatus, far infrared therapeutic apparatus, wheelchair, cervical and lumber traction bed was more than other rehabilitation hardware in community health institutions, which accounted for 81.2%, 76.5%, 73.4%and 60.9% respectively. The number of ankle orthosis wooden board, PT stool and posture correction mirror was the lowest, which accounted for 29.6%, 29.6%, 31.2%and 32.8% respectively.Conclusion:Although the development of community rehabilitation is healthy in our province, and its service system is improved gradually, there are still many challenges to be resolved. We recommend the transforming of the service concept of community rehabilitation practitioners and the rehabilitation consciousness of community residents should be taken as the direction of efforts in the process of building the community rehabilitation service capacity of our province. The corresponding service capacity for the elderly and the patients with slow diseases should be mainly improved during the community rehabilitation service system. In addition, the policy should be further inclined to community rehabilitation to strive to guarantee and improve the quality and quantity of community rehabilitation in terms of technology, resource allocation, talent management and long-term planning, and provide a sustainable development path for the community rehabilitation in our province. |
