台灣發展遲緩兒童早期療育通報來源因子探討:自2009至2019年

Discussion on Source Factors of Early Childhood Therapy for Children with Developmental Delay in Taiwan: From 2009 to 2019

鄧麗瓊(Teng Li-Chiung)

指導教授 ： 蔡明憲

國立屏東科技大學/人文暨社會科學院/幼兒保育系所/碩士(2022年)

https://doi.org/10.6346/NPUST202200235

摘要

論文摘要內容：
目的：本研究為瞭解近年來國內各地區發展遲緩兒童的通報率以及通報來源的差異性是否有城鄉差距或是資源分布不均的情形。
方法：參考衛生福利部公布之2009-2019年「發展遲緩兒童早期療育服務個案通報概況」與內政部戶政司公布之當年度現住人口數（依性別、年齡分[0~6歲]）為分母進行量化統計，以第一手資料之內容分析法，比較各縣市與各通報來源之通報率變化，並進一步討論可能影響通報來源之因子。
結果：研究顯示全國不論區域或縣市的通報率從2009年至2019呈上升趨勢，可以得知早期介入的觀念已逐漸普及於社會大眾之視野、成效顯著。根據2016世界衛生組織的統計，發展遲緩兒的盛行率約為6%~8%，但是全國總通報率才2%，顯示過低。
結論：實證統計數據顯示南部區域之早期通報率居全國之冠，離島及東部地區皆落於全國通報率平均值之下，可推測通報率較低的原因為資源匱乏，且無專業人員的進駐導致初步篩檢及評估的成效不彰。因此在促進早期療育的服務時，也應同步提升相關的醫療教育資源。

關鍵詞：發展遲緩、早期療育服務、通報率

關鍵字

發展遲緩 ； 早期療育服務 ； 通報率

並列摘要

Abstract：
According to the 2016 World Health Organization statistics, the prevalence rate of children with developmental delay is about 6% to 8%. In order to understand in recent years in various regions of the country's slow development of children's notification rate and the difference in the source of notification whether there is a gap between urban and rural areas or uneven distribution of resources. Our study refers to the Ministry of Health and Welfare published The 2009-2019 Report on Cases of Delayed Early Childhood Care Services is the denominator with the number of current residents（by sex, age [0-6 years]）for the year announced by the Department of Home Affairs of the Ministry of the Interior, By first-hand analysis of the content of the information, compare the changes in the notification rate between the counties and cities and the sources of the notifications, and further discuss the factors that may affect the sources of the notifications.
The research shows that the rate of notification in regardless of region or county and city in Taiwan is on the rise from 2009 to 2019, and it can be found that the concept of early intervention has gradually become popular in the public's view with remarkable results. Statistical analysis results show that the southern region has the highest early notification rate in the country, the outlying islands and the eastern region are below the national average notification rate. It could be speculated that the reason for the low notification rate is the lack of resources, and the presence of few professionals led to poor initial screening and evaluation results. Therefore, in promoting the service of early treatment, the relevant medical education resources should also be upgraded simultaneously.

Keywords：Developmental delay, Early intervention service, Reporting rate

並列關鍵字

Developmental delay ； Early intervention service ； Reporting rate

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