Schopp Laura H, Hales Joseph W, Brown Gordon D, Quetsch Joseph L
Department of Health Psychology, School of Health Professions, University of Missouri-Columbia, Columbia, MO 65212, USA.
NeuroRehabilitation. 2003;18(2):159-70.
Decreased length of inpatient rehabilitation stay, greater long-term injury survival rates, broader access to information technologies, and the growing role of the Internet create potential for new models of rehabilitation that are more community- and person-centered rather than historically hospital- and provider-centered services. In recent years, information-based rehabilitation technologies have grown rapidly, expanding the possibilities for numerous interventions to promote independent living. These programs have centered primarily on providing rehabilitation health services over a distance ("telerehabilitation"). Telerehabilitation can be conceived as part of a broader approach that includes elements of direct rehabilitation services, service coordination, community resources, and information relay between numerous individuals, service providers, and community members ("rehabilitation informatics"). Because of the complexity of these information types and sectors, this broader conceptual approach of rehabilitation informatics borrows heavily from fields such as adaptive computing, robotics, computer networking, and high-level systems programming. As such, innovation in rehabilitation informatics will require new models of training that span these domains. This paper proposes a rationale for the new field of rehabilitation informatics, and offers a multidisciplinary training model for the next generation of rehabilitation informaticians.
住院康复时间缩短、长期伤病存活率提高、信息技术获取渠道拓宽以及互联网作用日益增强，为新型康复模式创造了潜力，这些模式更以社区和个人为中心，而非传统上以医院和医疗服务提供者为中心。近年来，基于信息的康复技术迅速发展，为众多促进独立生活的干预措施拓展了可能性。这些项目主要集中在远程提供康复健康服务（“远程康复”）。远程康复可被视为一种更广泛方法的一部分，该方法包括直接康复服务、服务协调、社区资源以及众多个人、服务提供者和社区成员之间的信息传递（“康复信息学”）。由于这些信息类型和领域的复杂性，康复信息学这种更广泛的概念方法大量借鉴了自适应计算、机器人技术、计算机网络和高级系统编程等领域的知识。因此，康复信息学的创新将需要跨越这些领域的新型培训模式。本文提出了康复信息学这一新领域的理论依据，并为下一代康复信息学家提供了一种多学科培训模式。
