Positioning and function of secondary general hospital in community rehabilitation of disabled persons — a case study of a secondary general hospital in Changsha city

Abstract

Objective: the positioning of secondary hospitals in the community rehabilitation work system and the status of community medical rehabilitation services for the disabled in Changsha were clarified through investigation and study of the 2019 income of a secondary general hospital in Changsha. Suggestions from various parties were integrated to provide feasible ideas for expanding the role of secondary hospitals in community rehabilitation. Methods: the 2019 income of a secondary general hospital in Changsha was statistically analyzed, a community rehabilitation questionnaire was designed, and a field survey was carried out focusing on 19 issues including rehabilitation service items, rehabilitation facilities and equipment, and the satisfaction of rehabilitation practitioners. Results: in the total hospitalization expenses of a secondary general hospital in Changsha city in 2019, rehabilitation physiotherapy expenses accounted for 7%, and drug treatment expenses accounted for 25%. In addition, in the survey of community rehabilitation service satisfaction for the disabled, the difference between the very dissatisfied and very satisfied groups was statistically significant (P<0.05). Conclusion: taking a secondary general hospital in Changsha city as an example, the treatment methods in secondary general hospitals are still dominated by traditional drug therapy, and the disabled are not satisfied with community rehabilitation services. Therefore, rehabilitation treatment projects to meet the rehabilitation needs of the disabled should be promoted in hospitals.

Keywords

secondary public hospital / community rehabilitation / positioning / people with disabilities