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以个体康复项目为核心的以人为中心的康复:欧洲医学专家联盟物理医学与康复医学科及其在欧洲的康复框架。

The Individual Rehabilitation Project as the core of person-centered rehabilitation: the Physical and Rehabilitation Medicine Section and Board of the European Union of Medical Specialists Framework for Rehabilitation in Europe.

机构信息

Foligno Hospital, USL Umbria2, Perugia, Italy -

ICF Research Branch, Nottwil, Switzerland.

出版信息

Eur J Phys Rehabil Med. 2022 Aug;58(4):503-510. doi: 10.23736/S1973-9087.22.07402-0. Epub 2022 Feb 11.

Abstract

To facilitate the interaction between the health professional and the patient, a framework to guide the rehabilitation process is needed. This framework would encompass three interwoven aspects: the rehabilitation management plan, Individual Rehabilitation Project (IRP), and rehabilitation cycle(s). All three framework aspects focus on the patient and on the aim of rehabilitation, i.e. to optimize a person's functioning across the continuum of care. An IRP is a multi-element, person-centered rehabilitation management scheme, in which rehabilitation is generally provided by a multiprofessional team under the leadership of a physical and rehabilitation medicine (PRM) physician, working in an interdisciplinary manner and together with the patient (or proxy). A reference system for operationalizing functioning and standardizing the process is the International Classification of Functioning, Disability and Health (ICF) - for assessing functioning needs, defining rehabilitation goals and outcomes. The objective of this paper is to present the IRP as a framework for rehabilitation in Europe (EUR-IRP). The specific aims are: 1) to introduce the IRP; and 2) to describe the framework components, elements and variables of the IRP. Demonstration projects (case studies) using the EUR-IRP will be conducted. The present paper presents the efforts to date for developing the EUR-IRP, a key part of the action plan of the PRM Section and Board of the European Union of Medical Specialists to implement the ICF systemwide across the care continuum. This paper serves as another step to bring together practice, science and governance in calling for contribution from rehabilitation clinicians and researchers and professional societies in PRM and beyond.

摘要

为了促进医疗专业人员与患者之间的互动,需要一个指导康复过程的框架。这个框架将包括三个相互交织的方面:康复管理计划、个人康复计划(IRP)和康复周期。这三个框架方面都以患者和康复目标为重点,即优化一个人在整个护理过程中的功能。IRP 是一个多要素、以个人为中心的康复管理方案,其中康复通常由多专业团队在物理和康复医学(PRM)医师的领导下提供,以跨学科的方式与患者(或其代理人)一起工作。运作功能和标准化流程的参考系统是国际功能、残疾和健康分类(ICF)-用于评估功能需求、定义康复目标和结果。本文的目的是将 IRP 作为欧洲康复的框架(EUR-IRP)进行介绍。具体目标是:1)介绍 IRP;2)描述 IRP 的框架组件、要素和变量。将使用 EUR-IRP 进行示范项目(案例研究)。本文介绍了为制定 EUR-IRP 所做的努力,这是欧洲医学专家联合会 PRM 科和理事会实施 ICF 系统在整个护理连续体中的行动计划的重要组成部分。本文是呼吁康复临床医生和研究人员以及 PRM 及其以外的专业协会为实践、科学和治理做出贡献的又一步。

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