Department of Physical Medicine and Rehabilitation, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey -
Department of Physical and Rehabilitation Medicine, "G. Gennimatas" General Hospital, Athens, Greece.
Eur J Phys Rehabil Med. 2017 Oct;53(5):802-811. doi: 10.23736/S1973-9087.17.04864-X.
Ageing people with disabilities (APwDs) are faced with challenges of ageing which is straightforwardly related to disability that adds to the burden related to their early-onset disability. The aim of the paper is to improve Physical and Rehabilitation Medicine (PRM) physicians' professional practice for APwDs (as a distinct group from those who are disabled due to the ageing process) in order to promote their functioning properties and to reduce activity limitations and/or participation restrictions. A systematic review of the literature and a Consensus procedure by means of a Delphi process have been performed involving the delegates of all European countries represented in the UEMS PRM Section. The systematic literature review is reported together with the 30 recommendations resulting from the Delphi procedure. The professional role of PRM physicians in relation to APwDs is extending, expanding and/or improving health-related rehabilitation services worldwide in various settings (getting beyond the rehabilitation facilities) emphasizing the concept of integrated care with collaboration across other sectors to meet the specific needs of APwDs. This evidence based position paper (EBPP) represents the official position of the European Union through the UEMS PRM Section and designates the professional role of PRM physicians in APwDs.
老年残疾患者（APwDs）面临着与残疾直接相关的老龄化挑战，这增加了他们早发性残疾相关的负担。本文的目的是提高物理医学与康复医学（PRM）医师针对 APwDs（与因衰老过程而残疾的患者不同的一个特定群体）的专业实践，以促进他们的功能特性，并减少活动受限和/或参与受限。通过德尔菲程序进行了文献系统回顾和共识程序，涉及 UEMS PRM 科代表的所有欧洲国家的代表。系统文献回顾与德尔菲程序产生的 30 项建议一起报告。PRM 医师在 APwDs 方面的专业作用正在全球范围内扩大、扩展和/或改进与健康相关的康复服务，在各种环境中（超越康复设施）强调综合护理的概念，与其他部门合作，满足 APwDs 的特定需求。这份基于证据的立场文件（EBPP）代表了欧盟通过 UEMS PRM 科的正式立场，并指定了 PRM 医师在 APwDs 中的专业角色。
