COMMUNITY-BASED REHABILITATION HUMAN RESOURCE MANAGEMENT IN CHINA: A NARRATIVE REVIEW AND INTERNATIONAL COMPARISON
DOI:
https://doi.org/10.11113/ijibs.v20.185Keywords:
Community-based rehabilitation, Human Resource Management, Multidisciplinary team, Performance assessment, International comparisonAbstract
With the rapid aging of China's population, the rising prevalence of chronic diseases, and the implementation of the Healthy China 2030 strategy, community-based rehabilitation (CBR) has become increasingly significant for improving population health and social participation. Human resource management (HRM) is the cornerstone for ensuring the sustainability and quality of CBR systems. This review synthesizes domestic and international literature and policy evidence to summarize the developmental stages and structural challenges of China's CBR workforce, compares management models in the United Kingdom, Japan, Australia, and selected developing countries, and proposes policy pathways for governance modernization. Findings reveal that China's CBR workforce exhibits characteristics of developing scale, evolving structural composition, capacity-building needs at the grassroots level, and incentive mechanisms requiring further refinement. International experiences highlight that competency-based hierarchical training, outcome-oriented performance and compensation systems, and multi-sectoral collaborative networks are critical levers for promoting high-quality and sustainable CBR development.
References
Canadian Institute for Health Information (CIHI). (2022). Continuing Care Workforce Report 2022. Ottawa: CIHI.
Chartered Society of Physiotherapy. (2025). Outcome and experience measures. Retrieved from https://www.csp.org.uk/
Chen W., Ji M., Li H.et al.. Human Resource Status for Rehabilitation Coordinator and Street Administrator of Disability Community Rehabilitation in Shanghai[J].
Chinese Journal of Rehabilitation Theory and Practice, 2012, 18(12): 1184-1186.
Chen X.,Li S.,Hu D.,et al. Competence of community-based rehabilitative service among rural doctors in China[J]. Chinese General Practice,2025,28(19):2384-2389,2397.
Douglas, N., Mitra, N., Docherty, M. J., Bahl, A., George, M., & Holder, M. A. (2022). Observations of community-based multidisciplinary team meetings in health and social care for older people with long-term conditions in England. BMC Health Services Research, 22(1), 773.
Giang, G. T., Nakayama, T., & Shin, J. H. (2022). Rehabilitation services and related health databases, Japan. Bulletin of the World Health Organization, 100(11), 700–706.
Gilmore, B., MacLachlan, M., McVeigh, J., McClean, C., Carr, S., Duttine, A., Mannan, H., McAuliffe, E., Mji, G., & Eide, A. H. (2017). A study of human resource competencies required to implement community rehabilitation in less resourced settings. Human Resources for Health, 15(70). https://doi.org/10.1186/s12960-017-0240-1
Hasan, H., Abdul Aziz, A. F., & Aljunid, S. M. (2021). Parents’ and caregivers’ satisfaction with community-based rehabilitation (CBR) services for children with disability in east coast states in Peninsular Malaysia. Health & Social Care in the Community, 29(1), 183–194.
Health and Care Professions Council (HCPC). (2025). About the HCPC. Retrieved from https://www.hcpc-uk.org/
Health Education England. (2021). Multidisciplinary Team (MDT) Toolkit. Retrieved from https://www.hee.nhs.uk/
Ishak, S. N. H., Abdul Rahman, N. A., Ahmad Kamal, N. A. F., & Mohd Yusof, N. F. (2025). Assessing health service accessibility for community-based rehabilitation (CBR) trainees in Malaysia: Implications for inclusive healthcare. Healthcare, 13(2), 156.
Körner, M. (2010). Interprofessional teamwork in medical rehabilitation: A comparison of multidisciplinary and interdisciplinary team approaches. Clinical Rehabilitation, 24(8), 745–755. https://doi.org/10.1177/0269215510367538
Lin Yi. & Jia J. Consideration on Strategies for Harmonious Growth of Community Rehabilitation and Primary Health Care[J]. Chinese General Practice, 2025, 28(08): 905-910. DOI: 10.12114/j.issn.1007-9572.2024.0141.
Liu, Z., Li, D., & Zhang, H. (2023). A survey on village doctors’ competence in community rehabilitation in China. Chinese Journal of Rehabilitation Medicine, 38(10), 1225–1232.
Liu, Z., & Chen, W. (2023). Regional disparities in rehabilitation workforce distribution in China. Health Policy and Planning, 38(6), 712–720.
Lysack, C., & Krefting, L. (1993). Community-based rehabilitation cadres: Their motivation for volunteerism. International Journal of Rehabilitation Research, 16(2), 133–141.
Miyoshi, Y., Teraoka, J. K., Date, E. S., Kim, M. J., Nguyen, R. T., & Miyoshi, S. (2005). Changes in
stroke rehabilitation outcomes after the implementation of Japan's long-term care insurance system: A hospital-based study. American Journal of Physical Medicine & Rehabilitation, 84(8), 613–619. https://doi.org/10.1097/01.phm.0000171007.76831.01
Momsen, A. M., Rasmussen, J. O., Nielsen, C. V., Iversen, M. D., & Lund, H. (2012). Multidisciplinary team care in rehabilitation: An overview of reviews. Journal of Rehabilitation Medicine, 44(11), 901–912. https://doi.org/10.2340/16501977-1040
Nancarrow, S. A., Booth, A., Ariss, S., Smith, T., Enderby, P., & Roots, A. (2020). Ten principles of good interdisciplinary teamwork. Human Resources for Health, 11(19). https://doi.org/10.1186/1478-4491-11-19
Nancarrow, S. A., Enderby, P. M., Moran, A. M., Dixon, S., Parker, S. G., & Bradburn, M. J. (2012). Secondary analysis and literature review of community rehabilitation and intermediate care: An information resource. Southampton: NIHR.
National Health Commission of China (NHC). (2021). Opinions on Accelerating the Development of Rehabilitation Medical Services. Beijing: NHC.
NHS England. (2023). Guidance for growing and developing the pulmonary rehabilitation multidisciplinary team. Retrieved from https://www.england.nhs.uk/
Nomura, Y., Takahashi, O., Kuroda, T., & Maruyama, M. (2021). Transitional and long-term care system in Japan and current challenges for stroke patient rehabilitation. Frontiers in Neurology, 12, 711470.
Nugraha, B., Setyono, G. R., Defi, I. R., & Gutenbrunner, C. (2021). Describing community-based rehabilitation services in Indonesia using the International Classification of Service Organization in Rehabilitation 2.0. Journal of Rehabilitation Medicine, 53(2), jrm00162.
Productivity Commission. (2021). National Disability Insurance Scheme (NDIS) Costs and Performance Report. Canberra: Australian Government.
Sasaki, Y. (2020). Community-based integrated care system in Japan: HR strategies for rehabilitation. Japan Journal of Health Policy, 45(3), 201–210.
Song, P., & Tang, W. (2019). The community-based integrated care system in Japan: Health care and nursing care challenges posed by super-aged society. Bioscience Trends, 13(3), 279–281. https://doi.org/10.5582/bst.2019.01173
SU Peng, etal. Current Situation and Relief Strategies of Rehabilitation Services for the Disabled in Hunan Province, Sport Science and Technology, 2023,44(3):69-74
Sun S, Lin X, Ouyang X, Cai W, Gao Q, Guo P, Li Z, Ji L, Dong Z, Jing Q, Zhang J. Education and development of rehabilitation therapy in China under the background of aging. Front Public Health. 2022 Dec 7;10:1000048. doi: 10.3389/fpubh.2022.1000048. PMID: 36568765; PMCID: PMC9768026.
Tamiya, N., Noguchi, H., Nishi, A., Reich, M. R., Ikegami, N., Hashimoto, H., Shibuya, K., Kawachi, I., & Campbell, J. C. (2011). Population ageing and wellbeing: Lessons from Japan’s long-term care insurance policy. The Lancet, 378(9797), 1183–1192. https://doi.org/10.1016/S0140-6736(11)61176-8
Trani, J. F., Vasquez-Escallon, J., & Bakhshi, P. (2021). The impact of a community-based rehabilitation program in Afghanistan: A longitudinal analysis using propensity score matching and difference-in-difference analysis. Conflict and Health, 15(1), 63.
Trani, J. F., Vasquez-Escallon, J., Bakhshi, P., Ahluwalia, M. K., Marfeo, E., Kaplan, D., & Kaplan, I. (2022). Access to services for persons with disabilities in Afghanistan: Is community-based rehabilitation making a difference? International Journal of Environmental Research and Public Health, 19(10), 6341.
World Health Organization (WHO). (2017). Rehabilitation in Health Systems. Geneva: WHO. https://apps.who.int/iris/handle/10665/254506
World Health Organization (WHO). (2021). Rehabilitation 2030: A Call for Action. Geneva: WHO.
World Health Organization China. (2019). Ageing and Health – China. Retrieved from https://www.who.int/china/health-topics/ageing
Xu, S. (2018). Community rehabilitation practices abroad and implications for China. Chinese Journal of Rehabilitation Theory and Practice, 24(7), 825–830.
Yamamoto, M. (2001). Long-term care insurance and integrated care for the aged in Japan. International Journal of Integrated Care, 1(3), e28. https://doi.org/10.5334/ijic.22
Yang, S. (2025). Status of community rehabilitation in Shandong primary medical institutions. Chinese Journal of Rehabilitation Theory and Practice, 25(4), 311–319.
Zhang, M., Li, X., & Wang, Y. (2024). Policy fragmentation in China’s community rehabilitation system: Challenges and solutions. Health Systems & Reform, 10(2), 156–165.
Zheng J., Shen L., Duan L., et al. Investigation of rehabilitation human resources in Shanghai, China[J]. Chin J Rehabil Theory Pract, 2020, 26(12): 1471-1476.















