Haig A J, Nagy A, LeBreck D B, Aschenbach D, Collins S, Hansen G, Putman J
Medical College of Wisconsin, Department of Physical Medicine and Rehabilitation, Neenah.
Arch Phys Med Rehabil. 1994 Feb;75(2):172-6.
Persons who are geographically remote or do not qualify for inpatient rehabilitation have limited access to an effective multidisciplinary rehabilitation team. We present an innovative evaluation tool called the Quick Program. This multidisciplinary outpatient assessment involves a previsit database, therapy and physiatrist evaluations, a team meeting, and a patient-family meeting in a one-half day visit. Patient demographics and details of recommendations for the first 41 referrals are described. An average of 2.27 referrals per patient were made to resources outside of the core team, suggesting that the team achieved transdisciplinary status. The number of medical interventions recommended to accomplish rehabilitation goals (mean 2.16 per patient) suggests that the physiatrist was an active participant, and that physician input is crucial to success. We conclude that comprehensive rehabilitation planning for patients who have limited access to multidisciplinary rehabilitation team can be accomplished in a single visit.
地理位置偏远或不符合住院康复条件的患者，获得有效多学科康复团队服务的机会有限。我们介绍一种名为快速项目的创新评估工具。这种多学科门诊评估包括访前数据库、治疗师和物理治疗师评估、团队会议以及在半天的就诊时间内安排的患者-家属会议。描述了前41例转诊患者的人口统计学特征和建议细节。每位患者平均被转介至核心团队以外的资源2.27次，这表明该团队达到了跨学科状态。为实现康复目标而建议的医疗干预措施数量（每位患者平均2.16次）表明物理治疗师是积极参与者，并且医生的意见对成功至关重要。我们得出结论，对于获得多学科康复团队服务机会有限的患者，可在单次就诊中完成全面的康复规划。
