North Staffordshire Rehabilitation Centre, University Hospital of North Staffordshire, High Lane, Burslem, Stoke on Trent, UK-Staffordshire ST6 7AG, United Kingdom.
J Rehabil Med. 2010 May;42(5):417-24. doi: 10.2340/16501977-0565.
Physical and rehabilitation medicine (PRM) specialists have an important role in the clinical care of patients during the acute phase of a disabling health condition. This phase is defined as once definitive care or resuscitation has taken place and a patient's need to stay in hospital as an inpatient is primarily for PRM services for rehabilitation. This paper describes 4 options for the delivery of services for people, who continue to require to be inpatients and who will benefit from PRM interventions. These are described, along with their clear benefits during the acute phase of a health condition. The first 2 models are the most effective in making best use of the acute facilities and PRM services. The benefits of dedicated PRM beds appear to outweigh those of the other options and may be cheaper, although no cost-effectiveness studies comparing the first 2 options have yet been undertaken. Prospective trials are required to show this benefit, and a number of examples need to be set up to pilot this in order to provide realistic cost-effectiveness data.
物理医学与康复医学（PRM）专家在残疾患者的急性临床护理中发挥着重要作用。这一阶段的定义是，一旦进行了明确的治疗或复苏，患者需要住院接受康复治疗，主要是为了接受 PRM 服务。本文描述了 4 种为继续住院且将受益于 PRM 干预的患者提供服务的选择。这些选择及其在疾病急性期的明确益处一起进行了描述。前两种模式在充分利用急性设施和 PRM 服务方面最为有效。专门的 PRM 病床的好处似乎超过了其他选择，而且可能更便宜，尽管尚未进行比较前两种选择的成本效益研究。需要前瞻性试验来证明这一益处，并且需要建立一些示例来进行试点，以提供现实的成本效益数据。
