Hannover Medical School, Integrative Rehabilitation Research Unit, Institute for Epidemiology, Social Medicine and Health Systems Research, OE 5410, Carl-Neuberg-Str. 1, DE-30625 Hannover, Germany.
J Rehabil Med. 2014 Jan;46(1):1-6. doi: 10.2340/16501977-1251.
There is a need for a comprehensive classification system of health-related rehabilitation services. For conceptual clarity our aim is to provide a health-related conceptual description of the term "rehabilitation service". First, we introduce a common understanding of the term "rehabilitation", based on the current definition in the World Health Organization's World Report on Disability, and a conceptual description of rehabilitation agreed upon by international Physical and Rehabilitation Medicine organizations. From a health perspective, rehabilitation can be regarded as a general health strategy with the aim of enabling persons with health conditions experiencing or likely to experience disability to achieve and maintain optimal functioning. Secondly, we distinguish different meanings of the term "service", that have originated in management literature. It is important to distinguish between micro, meso and macro level uses of the term "service". On a meso level, which is central for the classification of rehabilitation services, 2 aspects of a service, i.e. an offer of an intangible product and an organizational setting in which the offer is upheld, are both essential. The results of this conceptual analysis are used to develop a conceptual description of health-related rehabilitation, which is set out at the end of this paper. This conceptual description may provide the basis of a classification of health-related rehabilitation services, and is open for comments and discussion.
需要建立一个全面的健康相关康复服务分类系统。为了概念清晰，我们旨在提供“康复服务”一词的健康相关概念描述。首先，我们根据世界卫生组织《世界残疾报告》中的现行定义，以及国际物理医学与康复医学组织达成的康复概念描述，介绍对“康复”一词的普遍理解。从健康的角度来看，康复可以被视为一种通用的健康策略，旨在使有健康状况、正在经历或可能经历残疾的人能够实现并保持最佳功能。其次，我们区分了“服务”一词在管理文献中的不同含义。区分“服务”一词在微观、中观和宏观层面的不同用法非常重要。在中观层面（这是康复服务分类的核心），服务的两个方面，即无形产品的提供和提供服务的组织环境，都是必不可少的。这一概念分析的结果被用于制定健康相关康复的概念描述，该描述在本文的结尾处列出。这一概念描述可以为健康相关康复服务的分类提供基础，并欢迎提出意见和讨论。
