Morgan A G
N Z Med J. 1986 Mar 26;99(798):200-3.
Integration of all rehabilitation services to the community is advocated to form a comprehensive rehabilitation service. This will embrace all age groups over 14 and combine geriatrics and physical medicine with paramedical personnel in a multidisciplinary team. Close liaison with psychiatric rehabilitation will be achieved by parallel use of a computerised client register. General practitioners will be actively involved. This reorganisation will better utilise available facilities and allow scope to develop two proposed new resources: (1) the use of mutual aid by matching of complementary residual skills of the handicapped; and (2) the provision of extra accommodation and care by host-attendants. To fully capitalise on this service, hospital boards should take active initiatives to foster the development of attendant care and the provision of sheltered housing in liaison with government departments, ACC, local bodies and charity organisations. In the long term, central government should consider a final common path for funding of services for disabled people.
提倡将所有康复服务融入社区，以形成全面的康复服务。这将涵盖所有14岁以上的年龄组，并将老年医学和物理医学与辅助医务人员组成多学科团队。通过并行使用计算机化的客户登记册，将与精神康复建立密切联系。全科医生将积极参与。这次重组将更好地利用现有设施，并为开发两项拟议的新资源留出空间：（1）通过匹配残疾人互补的残余技能来利用互助；（2）由接待员提供额外的住宿和护理。为了充分利用这项服务，医院董事会应积极主动，与政府部门、事故赔偿委员会、地方机构和慈善组织联络，促进护理人员服务的发展和提供庇护住房。从长远来看，中央政府应考虑为残疾人服务的资金提供的最终通用途径。
