Clin Rehabil. 2011 May;25(5):387-95. doi: 10.1177/0269215511400282.
Rehabilitation is not cheap. It depends upon personal interactions between rehabilitation staff and the patient and their families, and salaries for staff are always expensive. Rehabilitation depends upon learning, which takes time. The more complex the problems presented by patients the more resources are likely to be needed. This editorial reviews briefly the nature of complexity, emphasizing that it encompasses both the number of factors impinging upon the outcome of interest and the non-linear nature of many of the relationships between different factors and inputs. It describes briefly the holistic biopsychosocial model of illness that underlies much rehabilitation practice and a model of the rehabilitation process, and it then considers how complexity might be measured. It concludes that measures exist, such as the INTERMED, although they can probably be improved. But evidence derived using the INTERMED already both validates the biopsychosocial model of illness, and provides a sound basis for further developments.
康复治疗并不便宜。它取决于康复工作人员与患者及其家属之间的个人互动，而员工的工资总是很高。康复治疗依赖于学习，这需要时间。患者所面临的问题越复杂，可能需要的资源就越多。这篇社论简要地回顾了复杂性的本质，强调它既包括影响关注结果的因素的数量，也包括许多不同因素之间的关系和投入的非线性性质。它简要描述了作为许多康复实践基础的整体生物心理社会疾病模型和康复过程模型，然后考虑了如何衡量复杂性。它的结论是，存在一些衡量方法，如 INTERMED，尽管它们可能还可以改进。但是，使用 INTERMED 获得的证据不仅验证了疾病的生物心理社会模型，而且为进一步发展提供了坚实的基础。
