PDF(Pubmed)
Abstract：
BACKGROUND: The rehabilitation of children with disabilities has received considerable attention from the United Nations. However, the state of rehabilitation services for children with disabilities worldwide remains far from optimistic, even in economically affluent middle- and high-income countries.
OBJECTIVE: This scoping review aimed to identify the rehabilitation needs of children with disabilities and their barriers to rehabilitation services in middle- and high-income countries.
METHODS: A systematic search was conducted using MEDLINE and Web of Science for papers published from January 2013 to December 2023. Studies were included if they were peer-reviewed, full-text articles related to children with disabilities, reporting on their access to rehabilitation services, and conducted in countries classified by the World Bank 2023 as middle- and high-income economies. Exclusion criteria included duplicates, unavailable full texts, and studies without distinct outcomes. A total of 27 studies were selected following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, focusing on children, their families, or service providers.
RESULTS: The suitability, availability, and affordability of rehabilitation services were identified as the major needs and barriers for children with disabilities in middle- and high-income countries. This included communication barriers, a need for more personnel and facilities, and the stagnation and inadequacy of economic subsidies.
CONCLUSIONS: Middle- and high-income countries have relatively well-established rehabilitation infrastructure and support systems. They are nevertheless insufficient for meeting the needs of children with disabilities. More attention should be paid to these issues to improve the well-being of children with disabilities. The data provided by this review can help raise awareness of rehabilitation needs and barriers at the policy level.
OBJECTIVE: This scoping review aimed to identify the rehabilitation needs of children with disabilities and their barriers to rehabilitation services in middle- and high-income countries.
METHODS: A systematic search was conducted using MEDLINE and Web of Science for papers published from January 2013 to December 2023. Studies were included if they were peer-reviewed, full-text articles related to children with disabilities, reporting on their access to rehabilitation services, and conducted in countries classified by the World Bank 2023 as middle- and high-income economies. Exclusion criteria included duplicates, unavailable full texts, and studies without distinct outcomes. A total of 27 studies were selected following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, focusing on children, their families, or service providers.
RESULTS: The suitability, availability, and affordability of rehabilitation services were identified as the major needs and barriers for children with disabilities in middle- and high-income countries. This included communication barriers, a need for more personnel and facilities, and the stagnation and inadequacy of economic subsidies.
CONCLUSIONS: Middle- and high-income countries have relatively well-established rehabilitation infrastructure and support systems. They are nevertheless insufficient for meeting the needs of children with disabilities. More attention should be paid to these issues to improve the well-being of children with disabilities. The data provided by this review can help raise awareness of rehabilitation needs and barriers at the policy level.
摘要：
背景：残疾儿童的康复受到了联合国的极大关注。然而,全世界残疾儿童康复服务的状况仍然不容乐观，即使在经济富裕的中高收入国家。
目的：本范围审查旨在确定中高收入国家残疾儿童的康复需求及其在康复服务方面的障碍。
方法：使用MEDLINE和WebofScience对2013年1月至2023年12月发表的论文进行了系统搜索。如果是同行评审的研究，与残疾儿童有关的全文文章，报告他们获得康复服务的情况，并在世界银行2023年归类为中等收入和高收入经济体的国家进行。排除标准包括重复项，全文不可用，和没有不同结果的研究。根据PRISMA（系统评价和荟萃分析的首选报告项目）指南，共选择了27项研究。专注于儿童，他们的家人,或服务提供商。
结果：适用性，可用性,康复服务的可负担性被确定为中高收入国家残疾儿童的主要需求和障碍。这包括沟通障碍，需要更多的人员和设施，以及经济补贴的停滞和不足。
结论：中等收入和高收入国家拥有相对完善的康复基础设施和支持系统。然而，它们不足以满足残疾儿童的需求。应该更加关注这些问题，以改善残疾儿童的福祉。本次审查提供的数据可以帮助提高政策层面对康复需求和障碍的认识。
目的：本范围审查旨在确定中高收入国家残疾儿童的康复需求及其在康复服务方面的障碍。
方法：使用MEDLINE和WebofScience对2013年1月至2023年12月发表的论文进行了系统搜索。如果是同行评审的研究，与残疾儿童有关的全文文章，报告他们获得康复服务的情况，并在世界银行2023年归类为中等收入和高收入经济体的国家进行。排除标准包括重复项，全文不可用，和没有不同结果的研究。根据PRISMA（系统评价和荟萃分析的首选报告项目）指南，共选择了27项研究。专注于儿童，他们的家人,或服务提供商。
结果：适用性，可用性,康复服务的可负担性被确定为中高收入国家残疾儿童的主要需求和障碍。这包括沟通障碍，需要更多的人员和设施，以及经济补贴的停滞和不足。
结论：中等收入和高收入国家拥有相对完善的康复基础设施和支持系统。然而，它们不足以满足残疾儿童的需求。应该更加关注这些问题，以改善残疾儿童的福祉。本次审查提供的数据可以帮助提高政策层面对康复需求和障碍的认识。
