Gans Bruce M
Kessler Rehabilitation Corp, West Orange, NJ, USA.
Arch Phys Med Rehabil. 2003 Jul;84(7):946-9. doi: 10.1016/s0003-9993(03)00136-9.
The founders of the field of physical medicine and rehabilitation (PM&R) took advantage of a confluence of political, technical, and economic opportunities to launch our specialty. In the process, they expressed their values of belief in the importance of function, the team approach to health care, the utility of physical agents and modalities in the management of neuromuscular conditions, the impact of education for our patients and their families, the rights of persons with a disability (PWD), and the responsibility of our field to advocate for public policy issues concerned with the needs of PWD. Advances in the technology of health care delivery and biomedicine will shape our future. Specific trends and factors are addressed. Equally important will be the political dimension, including the aging of our global population, and the economic consequences of health insurance pressures. The field of PM&R should focus on activities that take advantage of emerging trends but are rooted in our traditional values. In particular, the field should look forward to the massive growth of populations in need of our services because of aging and longevity, the emerging global health community, and our increasing technical capacity to impact improvements in health and function. The field is charged to preserve awareness of our core values, to support the common good of research, to keep the use of new and emerging technology in check to serve the needs of our patients, to continue our advocacy for social justice for PWD, and to embrace the emerging global community.
物理医学与康复（PM&R）领域的创始人利用政治、技术和经济机遇的交汇点开创了我们这一专业。在此过程中，他们表达了自己的价值观，即相信功能的重要性、医疗保健的团队协作方式、物理因子和治疗方法在神经肌肉疾病管理中的效用、对患者及其家属进行教育的影响、残疾人的权利以及我们这个领域在倡导关注残疾人需求的公共政策问题方面的责任。医疗保健服务和生物医学技术的进步将塑造我们的未来。文中探讨了具体的趋势和因素。同样重要的将是政治层面，包括全球人口老龄化以及医疗保险压力带来的经济后果。PM&R领域应专注于利用新兴趋势但又植根于我们传统价值观的活动。特别是，该领域应展望由于老龄化和长寿而需要我们服务的人群的大幅增长、新兴的全球健康群体以及我们日益增强的影响健康和功能改善的技术能力。该领域肩负着保持对我们核心价值观的认识、支持研究的共同利益、控制新兴技术的使用以满足患者需求、继续为残疾人争取社会正义以及融入新兴全球群体的责任。
