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康复治疗分类学:过去、现在和未来展望。

Treatment taxonomy for rehabilitation: past, present, and prospects.

机构信息

Department of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.

Moss Rehabilitation Research Institute, Elkins Park, PA.

出版信息

Arch Phys Med Rehabil. 2014 Jan;95(1 Suppl):S6-16. doi: 10.1016/j.apmr.2013.03.032.

Abstract

The idea of constructing a taxonomy of rehabilitation interventions has been around for quite some time, but other than small and mostly ad hoc efforts, not much progress has been made, in spite of articulate pleas by some well-respected clinician scholars. In this article, treatment taxonomies used in health care, and in rehabilitation specifically, are selectively reviewed, with a focus on the need to base a rehabilitation treatment taxonomy (RTT) on the "active ingredients" of treatments and their link to patient/client deficits/problems that are targeted in therapy. This is followed by a description of what we see as a fruitful approach to the development of an RTT that crosses disciplines, settings, and patient diagnoses, and a discussion of the potential uses in and benefits of a well-developed RTT for clinical service, research, education, and service administration.

摘要

构建康复干预措施分类法的想法已经存在了相当长的一段时间,但除了一些小规模的、主要是特别的努力外,尽管一些备受尊敬的临床学者提出了明确的请求,但进展甚微。在本文中,选择性地回顾了医疗保健中使用的治疗分类法,特别是康复治疗分类法(RTT),重点是需要根据治疗的“有效成分”及其与治疗中针对的患者/客户缺陷/问题建立 RTT。接下来描述了我们认为对于开发跨学科、跨环境和跨患者诊断的 RTT 是一种富有成效的方法,并讨论了一个完善的 RTT 在临床服务、研究、教育和服务管理中的潜在用途和好处。

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