Medical Rehabilitation Utilization In Four Grade A Hospitals In Jinan

Background: Modern rehabilitation has been regarded as the third medical science following clinical medical science and public health science. Nowadays, more and more people have realized the importance of rehabilitation for the disabled or quality of life. Based on the increasing need on rehabilitation training, we must take action to improve the rehabilitation service.Objective: To get to know the basic condition of rehabilitation services and to explore the related factors for supply and utilization of rehabilitation in four grade A hospitals in Jinan, and to put forward policy suggestions to satisfy the need for rehabilitation services of disabled persons in Jinan.Methods: Through literature research, related materials and consultation from some experts, questionnaires were made, and also investigators were trained and carried out the investigations in four grade A hospitals in Jinan. Spss11.5 software was used to analyze the data and evidence-based medicine was used to analyze the effect of acupuncture and early rehabilitation on stroke.Results: (1) Stroke, arthritis and spinal cord injuries were the most important three diseases had rehabilitation utilization in the four grade A hospitals in Jinan. (2) Water therapy and auditory rehabilitation were seldom used, while physical therapy and traditional Chinese rehabilitation techniques were often used. Fenbide is the most widely used drug for rehabilitation in this present study. (3) Most patients or doctors believed that rehabilitation was effective. Evidence-based medicine results showed that acupuncture in combination with early rehabilitation was superior to early rehabilitation only in treating stroke. (4) Patients using rehabilitation in the four grade A hospitals in Jinan had high insurance exposure ratios. (5) Age, gender, education level, whether or not being the main income source of the family, mean income of the family and means of payment for the medical fees are influencing factors for rehabilitation utilization in grade A hospitals in Jinan.Conclusion: Rehabilitation has great developmental potentialities in grade A hospitals in Jinan. Based on the present study, stroke and arthritis should be paid more attention on prevention and treatment, and also community rehabilitation should be widely developed so as to meet the increasing need of rehabilitation.