Rehabilitation service utilization and determinants among people with an intellectual disability: Preliminary findings in Taiwan

Jin Ding Lin, Chia Feng Yen, Ching Hui Loh, Chi Wei Li, Jia Ling Wu

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Improving rehabilitation services for people with intellectual disabilities (ID) remains an ongoing challenge in the public health system. The purpose of this article was to investigate the types of rehabilitation services used by people with ID and determine what factors predict resource utilization in Taiwan. Samples of 957 people with ID were recruited from the Taiwan National Disability Register in a cross-sectional study in 2001. The findings indicated that 24.5% of individuals with ID had received rehabilitation services in the past 7 months. The main types of services used were speech and communication therapy (50%), psychotherapy (32.1%), occupational therapy (30.3%) and physiotherapy (25.2%). Stepwise logistic regression was carried out for the utilization of rehabilitation services (yes/no). The model revealed that the following factors: (i) Major Illness Card holder, (ii) time spent in medical care, (iii) having a family physician, (iv) having illnesses, (v) age of ID individual, and (vi) gender of the main carer, were all significantly associated with the utilization of rehabilitation services. We should reorient the healthcare system to respond adequately to the health needs of rehabilitation service users and its determinants, and further research should focus on the effectiveness and efficiency of rehabilitation for people with ID in Taiwan.

Original languageEnglish
Pages (from-to)1499-1506
Number of pages8
JournalDisability and Rehabilitation
Volume28
Issue number23
DOIs
Publication statusPublished - Dec 1 2006
Externally publishedYes

Fingerprint

Disabled Persons
Taiwan
Intellectual Disability
Rehabilitation
Speech Therapy
Health Services Needs and Demand
Occupational Therapy
Family Physicians
Psychotherapy
Caregivers
Public Health
Cross-Sectional Studies
Logistic Models
Communication
Delivery of Health Care
Research

Keywords

  • Health care utilization
  • Intellectual disability
  • Rehabilitation
  • Taiwan

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Rehabilitation service utilization and determinants among people with an intellectual disability : Preliminary findings in Taiwan. / Lin, Jin Ding; Yen, Chia Feng; Loh, Ching Hui; Li, Chi Wei; Wu, Jia Ling.

In: Disability and Rehabilitation, Vol. 28, No. 23, 01.12.2006, p. 1499-1506.

Research output: Contribution to journalArticle

Lin, Jin Ding ; Yen, Chia Feng ; Loh, Ching Hui ; Li, Chi Wei ; Wu, Jia Ling. / Rehabilitation service utilization and determinants among people with an intellectual disability : Preliminary findings in Taiwan. In: Disability and Rehabilitation. 2006 ; Vol. 28, No. 23. pp. 1499-1506.
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