頁籤選單縮合
題 名 | 臺北市醫療機構兒童早期療育服務之調查=A Survey on Early Intervention for Children in Medical Institutions in Taipei City |
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作 者 | 廖華芳; 李宜靜; 吳文豪; 林麗英; 高麗芷; | 書刊名 | 中華民國物理治療學會雜誌 |
卷 期 | 24:3 1999.05[民88.05] |
頁 次 | 頁1-13 |
分類號 | 419.56 |
關鍵詞 | 兒童; 早期療育; 衛生服務供需; Child; Early intervention; Health services; |
語 文 | 中文(Chinese) |
中文摘要 | 為推動臺北市發展遲緩兒童早期療育( 簡稱早療)之工作,台北市政府衛生局聯 合中華民國物理治療學會、中華民國職能治療學會、中華民國聽力語言學會進行此調查,目 的為瞭解臺北市提供早療之醫療機構之分佈人力、服務量、服務內容與意願。方法:本研究 為調查研究,由作者共同設計調查表內容,並於 1998 年 4 月至 5 月間派員實地訪查臺北 市提供物理治療、 職能治療或語言治療服務之 65 家醫療機構。 結果: 訪查中有 20 家 ( 31% )提供早療服務,經宣導後 14 家( 22% )表示將在一年內提供早療。由行政區面 積與機構數比例來看,仍有分佈不均之現象。目前提供之早療服務量,計每月提供兒童物理 治療( PT ) 2494 人次, 兒童職能治療( OT ) 2815 人次, 兒童語言治療( ST ) 2656 人次,兒童心理治療( Psy ) 190 人次, 加護病房早期介入 324 人次, 裝具輔具 164 人次,發展評估 631 人次, 聽力檢查 948 人次、到家輔導 2 人次,親職教有 15 人 次。 因此較符合個別化家庭服務方案原則之到家輔導與親職教育並不普遍。此外,20 家提 供早療服務之醫療機構中僅 9 家( 45% )有早療團隊病例討論會。提供早療之 20 家醫療 機構早療專業人力計:小兒神經科次專科醫師 15 人,小兒精神科次專科醫師 14 人,兒童 物理治療師 33.3 人,兒童職能治療師 32.5 人,兒童語言治療師 13.9 人,而潛在早療專 業人力計復健科專科醫師 58 人, 物理治療師 126 人, 職能治療師 101 人,語言治療師 33 人,心理治療師 20 人,聽力師 24 人,社工人員 144 人,營養師 112 人。 作者推估 臺北市 3 歲以下發展遲緩兒童每月需 PT 1996 人次, OT 1596 人次,ST 1464 人次,Psy 241 人次。3 歲 -6 歲兒童對醫療機構之早療需求則因特殊教育法之推動較難推估,由家長 調查結果顯示目前早療服務仍供不敷需。結論:分析目前狀況,若增加早療機構數,或可增 進早療機構分布之平均,然對供給量助益不多。建議應藉早療專業人員之培訓與獎勵措施來 增加服務供給量;另應著重提升品質,如完整之團隊評估、良好之專業團隊介入模式、提供 到家輔導與親職教有。此外為考慮早療服務之可近性與多元化,醫療與教育、社福體系之協 調合作宜早日規劃,以建構成本效益良好之早療制度。 |
英文摘要 | Purposes: (1) to investigate the geographic distribution of early intervention programs provided by medical institutions; (2) to estimate the vo-lume content and personnel of early intervention; (3) to design a financial support plan in order to promote early intervention services based on the result of this survery. Method: The questionnaire were sent to 65 medical institutions which provide physical therapy, occupational therapy and followed by site visits. Data concerning personnel, space, equipment and early intervention programs were collected. Results: Twenty institutions provide early intervention services for children with developmental delays and 14 more institutions plan to follow in one year. The number of treatments per month in these 20 institutions were: physical therapy (PT) 2494, occupational therapy (OT) 2815, speech therapy (ST) 2656, psychology (Psy) 190, intensive care unit 324, orthotics 164, developmental evaluations 631, hearing tests 948, home visits 2 and parental classes 15. Only 9 institutions (20%) held professional team case conference for children with developmental delay. The demand for early intervention for children under two years of age in medical institutions of Taipei, is estimated to be 1996 sessions per month for PT, 1596 for OT, 1464 for ST, and 241 for Psy. The numbers of related professionals in the 20 institutions are physiatrists 58, pediatric neurologists 15. pediatric psychiatrists 14, physical therapists 126 (pediatric physical therapists 33.3), occupational therapists 101 (pediatric occupational therapists 32.5), speech therapists 33 (pediatric speech therapists 13.9), psychologists 20, audiologists 24, social workers 144. and nutritionists 112. It is recommended that the government provide more educational courses to train enough competent developmental therapists to fulfill the need for services. In the future, the early intervention program should emphasize a team approach, be home-based and include parental education to assure a better quality of service. The government should organize an inter-agency coordination system among medical, educational and social welfare institutes to improve cooperation among different agencies and accessibility of early imtervension services. |
本系統中英文摘要資訊取自各篇刊載內容。