Walsh Nicolas E
Department of Rehabilitation Medicine, University of Texas Health Science Center, San Antonio 78284, USA.
Arch Phys Med Rehabil. 2004 Sep;85(9):1395-402. doi: 10.1016/j.apmr.2004.04.030.
Global initiatives in rehabilitation medicine. Global initiatives in rehabilitation medicine present significant challenges, as well as great opportunities for the field of physical medicine and rehabilitation. These initiatives are international in focus, from multiple countries, include many different medical specialties, and will impact physiatrists. The Bone and Joint Decade is a global multidisciplinary initiative that aims to reduce the burden of musculoskeletal disorders. Its aim is to improve the health-related quality of life of people with or at risk of musculoskeletal disorders. The International Classification of Functioning, Disability and Health (ICF) is a unified and standard classification system for describing health domains and health-related states with quantifiable assessment measures. The ICF is a significant change from current medical models to patient- and rehabilitation-oriented models of evaluating function, disability, and health status. Medical Professionalism in the New Millennium: A Physician Charter helps define medicines contract with society. The demand for medical professionalism is the result of unparalleled challenges facing the physician on a daily basis. The Physician Charter provides a reaffirmation of the Hippocratic oath in modern terms. The Maintenance of Certification is a response of organized medicine to the demand for physician competence during an entire career. This is a means of establishing safeguards to protect the public and of delivering a criterion standard for health care. These initiatives will have a profound influence on our future. I encourage each of you to participate in your own future through these activities.
康复医学领域的全球倡议。康复医学领域的全球倡议既带来了重大挑战，也为物理医学与康复领域提供了巨大机遇。这些倡议聚焦国际，涉及多个国家，涵盖许多不同医学专科，且将对物理治疗师产生影响。“骨与关节十年”是一项全球多学科倡议，旨在减轻肌肉骨骼疾病的负担。其目标是改善患有肌肉骨骼疾病或有患病风险人群的健康相关生活质量。《国际功能、残疾和健康分类》（ICF）是一个统一的标准分类系统，用于通过可量化的评估措施描述健康领域和与健康相关的状态。ICF标志着从当前医学模式向以患者和康复为导向的评估功能、残疾和健康状况模式的重大转变。《新千年的医学职业精神：医师宪章》有助于界定医学与社会的契约。对医学职业精神的需求是医师日常面临的前所未有的挑战的结果。《医师宪章》以现代术语重申了希波克拉底誓言。继续医学教育认证是医学组织对医师在整个职业生涯中能力要求的回应。这是一种建立保障措施以保护公众并提供医疗保健标准的手段。这些倡议将对我们的未来产生深远影响。我鼓励你们每个人通过这些活动参与塑造自己的未来。
