"人人有责,无人负责":探讨以色列的儿科物理治疗服务。

IF 3.5 4区 医学 Q1 HEALTH POLICY & SERVICES
Nilly Waiserberg, Tuvia Horev, Paula Feder-Bubis
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引用次数: 0

摘要

背景:根据以色列的《国家医疗保险法》(1994 年),卫生部负责提供包括物理治疗服务在内的国家医疗服务;此外,《特殊教育法》(1988 年)规定,运动残疾儿童的物理治疗服务以及其他相关医疗服务由教育部在教育环境中提供。因此,根据两部不同的法律,运动残疾儿童有权获得由两个不同部委提供的物理治疗服务:为了描述运动残疾儿童的物理治疗服务并研究政策制定者如何看待这些服务,我们进行了一项定性研究,包括对卫生部和教育部的 10 名政策制定者以及以色列四家健康维护组织中三家的全国物理治疗服务主任进行深入的半结构式访谈:研究结果表明,物理治疗服务和提供者种类繁多。尽管对运动障碍儿童的这些服务进行了规范,但仍发现在各种问题上存在不确定性并缺乏相关知识。因此,专题分析围绕四个描述性问题展开:儿童在哪里接受物理治疗?谁有资格接受物理治疗?运动残疾儿童接受哪些干预?谁为运动残疾儿童提供治疗?政策制定者对这些服务的提供存在疑虑,质疑运动残疾儿童是否根据自己的需要接受物理治疗服务。此外,供应商的增多并不一定能提高为运动残疾儿童提供的服务质量,最终可能会损害他们的发展潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"When everyone is responsible, no one takes responsibility": exploring pediatric physiotherapy services in Israel.

Background: According to Israel's National Health Insurance Law (1994), the Ministry of Health is responsible for the provision of health services in the country including physiotherapy services; moreover, the Special Education Law (1988), stipulates that physiotherapy services for children with motor disabilities, as well as other allied health services, are provided by the Ministry of Education in educational settings. Thus, children with motor disabilities are entitled PT services under two different laws by two different ministries.

Method: To describe the physiotherapy services for children with motor disabilities and examine how policymakers view these services, we conducted a qualitative study including in-depth semi-structured interviews with 10 policymakers from the Ministry of Health and the Ministry of Education, and the national directors of physiotherapy services from three of the four health maintenance organizations in Israel.

Results: Study results indicate that there is an array of physiotherapy services and providers. Despite the regulation of these services for children with motor disabilities, uncertainty and lack of knowledge were found about various issues. Therefore, the thematic analysis was structured around four descriptive questions: Where do the children receive physiotherapy? Who is eligible for physiotherapy treatment and who receives treatment? What interventions do children with motor disabilities receive? Who provides therapy for children with motor disabilities?

Conclusions: Policymakers are dubious regarding the provision of these services, questioning whether children with motor disabilities receive physiotherapy services according to their needs. In addition, the abundance of suppliers does not necessarily improve the quality of services provided to children with motor disabilities, which may ultimately harm their developmental potential.

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来源期刊
CiteScore
6.20
自引率
4.40%
发文量
38
审稿时长
28 weeks
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