Title PROBLEM FINANCIRANJA ORTOPEDSKIH POMAGALA U SAVEZU OSOBA S INVALIDITETOM U PRIMORSKO-GORANSKOJ ŽUPANIJI Title (english) PROBLEM OF FINANCING ORTHOPEDIC SUPPORT DEVICES WITH PERSON WITH DISABILITY IN PRIMORJE AND GORSKI KOTAR COUNTRY Author Alan Vranić Mentor Jasna Lulić- Drenjak (mentor)Committee member Ariana Fužinac-Smojver (predsjednik povjerenstva)Committee member Verner Marijančić (član povjerenstva) Committee member Jasna Lulić- Drenjak (član povjerenstva)Granter University of Rijeka Defense date and country 2019-07-19, Croatia Scientific / art field, SOCIAL SCIENCES Abstract Ortopedska pomagala, ortoze ili proteze, su naprave koje služe da bi ostvarili kretanje kod onih kojima je to onemogućeno zbog različitih faktora. Korisnicima takva pomagala služe zbog: posljedica raznih kompliciranih lomova zdjeličnog obruča, fraktura donjih ekstremiteta, posljedica neuroloških bolesti, te mnogih drugih stanja koja onemogućuju uredno kretanje. Ortopedska pomagala mogu se podijeliti na: protetička i ortotička pomagala. Protetička pomagala definiraju se kao pomagala kojima se nadomješta dio ili cijeli ekstremitet koji nedostaje, (amputacija, operativna ili traumatološka) umjetnim kako bi se očuvala kvaliteta života osobe. Za tom se vrstom pomagala seže ukoliko je do odstranjenja ekstremiteta došlo zbog opravdanog razloga operacijskim putem, kao što je nekroza uslijed nekih bolesti ili stanja, odnosno ukoliko je u prometnoj nezgodi ili nezgodi bilo kakve vrste došlo do odstranjenja segmenta bez mogućnosti prišivanja odstranjenog segmenta. Ortotička pomagala su pomagala koja se koriste u situacijama kada kretanje nije omogućeno zbog povrede lokomotornog sustava ili nekog drugog faktora. Problematika kod osoba s invaliditetom koje se bave sportom je činjenica kako specijalna ortopedska pomagala namijenjena za određeni sport koštaju velike svote novca. Neka pomagala mogu biti sufinancirana od treće strane, poput saveza ili HZZO-a, ali su i dalje veliki trošak za pojedince. Kod posebnih pomagala, određena kvaliteta dolazi sa sukladnom cijenom što zdravstveno osiguranje ne jamči da će pokriti, time dovodeći u pitanje koliko će kvalitetno to pomagalo biti za korisnika. Glavni cilj istraživanja je uvidjeti problematiku financiranja specijalnih ortopedskih pomagala koja koriste ili bi trebali koristiti sportaši s invaliditetom. Specifični cilj je prikupiti podatke o financiranju istih te tipu pomagala i njihovu cijenu, pokrivaju li oni sami trošak ili su sufinancirani. Istraživanje je provedeno u Sportskom savezu osoba s invaliditetom u Primorsko – goranskoj županiji. Od ukupnog broja od 235 registriranih sportaša u županiji anketni upitnik, iz arhive, su ispunila 16 sportaša. Od kojih je 11 (69%) muškog, a 5 (31%) ženskog spola, kao što je prikazano u grafu pod brojem 1 od ukupnog broja ispitanika čiji su podatci uzeti može se vidjeti da većina, tj. 9 (56%) sportaša spada u grupu osoba između 21. i 31. godine života dok 7 (44%) sportaša spada u grupu starijih od 31. godine. S obzirom na vrstu invaliditeta najviše dominira cerebralna paraliza (63%, 10 ispitanika), zatim povrede leđne moždine (19%, 3 ispitanika), osobe s amputacijama čine samo 6% ( 1 ispitanik) od ukupnog broja kao i ostale povrede. Ovim istraživanjem prikazalo se da početna hipoteza nije točna, jer postoje individue koje svoje pomagalo nadoplaćuju iz vlastitih sredstava. Hipoteza je glasila: Svi sportaši ne nadoplaćuju svoja pomagala, a rezultat je bio da pola ispitanika ipak plaća svoje pomagalo dok pola ne financira iz vlastitih sredstava. Osnivanje Fonda za financiranje sportskih pomagala na državnom nivou uvelike bi financijski rasteretilo sportaše, njihove obitelji, klubove, gradske, županijske i nacionalne saveze te HPO.
Abstract (english) Orthopedic aids, orthoses or prostheses are devices that serve to make movement to those who are disabled due to different factors. Users of such aids serve as a result of the complicated fractures of the pelvic band, the lower extremity fractures, the consequences of neurological diseases, and many other conditions that prevent the upright movement. Orthopedic aids can be divided into: prosthetic and orthopedic aids. Protective aids are defined as aids that replace a missing or missing part (amputation, operative or traumatic) in order to preserve the quality of life of a person. This type of aids is helpful if the removal of the extremity occurs for a justified reason through the operation, such as necrosis due to some illness or condition, ie if any kind of cargo accident or accident has occurred to remove the segment without the possibility of seizing the removed segment. Orthotypic aids are aids used in situations where movement is not possible due to injury to the locomotor system or some other factor. The issue of sports disabled persons is the fact that special orthopedic aids intended for a particular sport cost a large amount of money. Some aids may be co-financed by a third party, such as an alliance or a CESA, but they are still a big expense for individuals. With special aids, certain quality comes at a reasonable price that health insurance does not guarantee that it will cover, thus questioning how good it will be for the user. The main objective of the research is to find out the funding of special orthopedic aids that are used or should be used by athletes with disabilities. The specific goal is to collect funding data and the type of supporting devices and their cost, whether they themselves or are co-financed. The research was conducted in the Sport Association of Persons with Disabilities in Primorsko - goranska County. Of the total number of 235 registered athletes in the county, the data was filled by 16 athletes (used from archive). The data was get from 16 examinees participated in the study, out of which 11 (69%) male and 5 (31%) female gender, as shown in graph 1 of the total number of survey participants, can be seen that 9 (56%) athletes belong to the group of people between the ages of 21 and 31, while 7 (44%) athletes belong to a group older than 31. Due to the type of disability, most dominant is cerebral palsy (63%, 10 subjects), spinal cord injuries (19%, 3 subjects) while amputation is only 6% (1 examinee) of the total number of examinees as well as other injuries. This research showed that the initial hypothesis was not correct because there are individuals who fund their aid from their own resources. The hypothesis is outlined: All athletes do not replenish their aids, and the result is that half of the respondents still pay their aid while half is funded from their own resources. The establishment of the Fund for Financing Sports Aids on state level would greatly help support the athletes, their families, clubs, city, county and national assiociations and the HPO.with finantial support.
Keywords
proteze
ortoze
osobe s invaliditetom
Keywords (english)
prosthetics
orthoses
people with disabilities
Language croatian URN:NBN urn:nbn:hr:184:555966 Study programme Title: Physiotherapy Type of resource Text File origin Born digital Access conditions Access restricted to students and staff of home institution Terms of use Repository Repository of the University of Rijeka, Faculty of Health Studies Created on 2020-02-04 10:05:00
