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为什么我们在欧洲需要一个学术性物理医学与康复(PRM)的代表性组织,以及为什么我们现在就需要它。

Why we need a representative organization of academic PRM in Europe, and why we need it now.

作者信息

Stucki Gerold, Stam Henk J, Gimigliano Francesca, Negrini Stefano

机构信息

Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland; Center for Rehabilitation in Global Health Systems, WHO Collaborating Center, University of Lucerne, Lucerne, Switzerland; Swiss Paraplegic Research, Nottwil, Switzerland.

Department of Rehabilitation Medicine Erasmus MC, University Medical Center, Rotterdam, The Netherlands.

出版信息

J Rehabil Med. 2025 Jan 3;57:jrm42369. doi: 10.2340/jrm.v57.42369.

Abstract

The growing relevance of rehabilitation in healthcare to address increasing patient needs necessitates robust Physical and Rehabilitation Medicine (PRM) integration into medical education and practice. Academic PRM, rooted in medical faculties, is vital for developing the medical speciality as an academic discipline across Europe, where it faces challenges, including limited representation in medical schools and competition for resources with established disciplines. This commentary advocates establishing a representative organization for academic PRM in Europe. Currently, no organization adequately represents academic PRM at the European level. The lack of academic chairs and departments in some countries undermines PRM's credibility and visibility, making it less attractive to students and prospective academics. An organized effort could provide a platform for knowledge exchange, policy formulation, and advocacy, ultimately strengthening the discipline's presence in medical faculties. Immediate action is crucial, particularly in light of the WHO's call for action 2030 and its 2023 resolution emphasizing the need for rehabilitation within health systems. A representative European academic PRM organization could advocate for education on rehabilitation across all medical specialities and enhance the understanding of functioning as a health indicator. It would also support the development of national academic organizations across Europe and facilitate collaboration with other stakeholders, including patient organizations, rehabilitation professionals, and funding agencies. Critical considerations for creating this organization include defining core activities, establishing governance principles focused on representativity and inclusion, and fostering relationships with existing national, European, and international organizations of PRM and academic medicine. By leveraging successful models like the Association of Academic Physiatrists in the United States, Europe can develop a robust and credible voice for academic PRM. This initiative is timely and necessary to capitalize on the current momentum and ensure the future of academic PRM in Europe.

摘要

康复在医疗保健中的重要性日益凸显,以满足不断增长的患者需求,这就需要将强大的物理医学与康复医学(PRM)全面融入医学教育和实践。扎根于医学院系的学术性PRM,对于在欧洲将这一医学专业发展成为一门学科至关重要,在欧洲,它面临诸多挑战,包括在医学院校中代表性有限以及与成熟学科争夺资源。本评论主张在欧洲为学术性PRM建立一个代表性组织。目前,在欧洲层面没有一个组织能充分代表学术性PRM。一些国家缺乏学术职位和院系,这损害了PRM的可信度和知名度,使其对学生和未来的学者吸引力降低。有组织的努力可以提供一个知识交流、政策制定和宣传的平台,最终加强该学科在医学院系中的地位。立即采取行动至关重要,特别是鉴于世界卫生组织《2030年行动呼吁》及其2023年决议强调卫生系统内康复的必要性。一个有代表性的欧洲学术性PRM组织可以倡导在所有医学专业开展康复教育,并增进对将功能作为健康指标的理解。它还将支持欧洲各国学术组织的发展,并促进与其他利益相关者的合作,包括患者组织、康复专业人员和资助机构。创建这个组织的关键考虑因素包括确定核心活动、建立注重代表性和包容性的治理原则,以及促进与现有的国家、欧洲和国际PRM及学术医学组织的关系。通过借鉴美国学术物理治疗师协会等成功模式,欧洲可以为学术性PRM发出强有力且可信的声音。这一举措及时且必要,以利用当前的势头并确保欧洲学术性PRM的未来发展。

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