scholarly journals Rehabilitation, Physical and Rehabilitation Medicine and Community Based Rehabilitation - a comment to the debate towards a differentiated view of PRM on rehabilitation system, services and training of rehabilitation professionals

1970 ◽  
Vol 5 (01) ◽  
pp. 60-67
Author(s):  
Christoph Gutenbrunner ◽  
Boya Nugraha, MS, PhD
Keyword(s):  
Rehabilitation Medicine ◽  
Rehabilitation Service ◽  
Rehabilitation Services ◽  
Community Based ◽  
Rehabilitation Professionals ◽  
Community Based Rehabilitation ◽  
Physical And Rehabilitation Medicine ◽  
Level Model ◽  
The One ◽  
Acute Rehabilitation

This comment aims to give a contribution to the debate about the best way to implement rehabilitationservices and, in particular, how specialist in Physical and Rehabilitation Medicine (PRM) define its rolein rehabilitation services in general and in Community Based Rehabilitation (CBR). The paper discussesthe use of the team rehabilitation and the definitions of CBR. A differentiated model of rehabilitationservices according to the phase of the disease and the intensity of service provision is developed. Theterm rehabilitation nowadays is used in two different ways: Rehabilitation as a health strategy or a set ofmeasures. The term CBR also is used in a dual way on the one hand describing a policy or managementstrategy or on the other hand describing the provision of “basic” rehabilitation services which is offered atthe community level. It is important to differentiate between acute, post-acute rehabilitation and long-termrehabilitation services to understand the need of different types of rehabilitation services. Additionally a5-level model of the intensity of rehabilitation services covers rehabilitation that is delivered by families,peers, neighbours, and others to highly specialized rehabilitation services, e.g. for acute rehabilitation orrehabilitation for severely affected patients. In comprehensive rehabilitation service, including CBR, the roleof PRM specialists is described in three ways: PRM deliver rehabilitation services, PRM act as an advisorand coordinator or PRM act as a trainer.Keywords: Rehabilitation definition, community based rehabilitation, rehabilitation services, Physical and Rehabilitation Medicine

scholarly journals Rehabilitation Service Assessment and Workforce Capacity Building in Albania—A Civil Society Approach

2020 ◽  
Vol 17 (19) ◽  
pp. 7300
Author(s):  
Boya Nugraha ◽  
Klejda Tani ◽  
Christoph Gutenbrunner
Keyword(s):  
Capacity Building ◽  
Rehabilitation Medicine ◽  
World Health ◽  
Rehabilitation Service ◽  
Rehabilitation Services ◽  
Rehabilitation Professionals ◽  
Community Based Rehabilitation ◽  
Physical And Rehabilitation Medicine ◽  
Important Health ◽  
Workforce Capacity

Background: Rehabilitation is an important health strategy. Due to the lack of rehabilitation professionals (e.g., no physical and rehabilitation medicine, occupational therapist, and others) and lack of rehabilitation services (e.g., no multi-profession rehabilitation services in hospital, no post-acute rehabilitation services, no community-based rehabilitation services), the need to strengthen rehabilitation in Albania was pronounced. Therefore, this project aimed at rehabilitation service assessment and workforce capacity building in Albania. Methods: The World Health Organization’s Template for Rehabilitation Information Collection was used to collect available data related to rehabilitation services. Additionally, two site visits to different rehabilitation centers including interviews with relevant stakeholders were performed. A stakeholders’ workshop to prioritize recommendations was also performed before finalizing the report. Results: In Albania, rehabilitation service delivery, rehabilitation workforces, and financing in rehabilitation need to be strengthened. Conclusions: The project achieved the intended objectives. Additionally progress has been occurring in the development and implementation of the Physical and Rehabilitation Medicine specialization at the University of Medicine, Tirana.

scholarly journals Community-based rehabilitation service in Chengdu，southwest China: a cross-sectional general survey

2020 ◽  
Author(s):  
Siliang Chen ◽  
Yi Lei ◽  
Hua Dai ◽  
Jia Wu ◽  
Ziyu Yang ◽  
...  
Keyword(s):  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Southwest China ◽  
Health Centers ◽  
Rehabilitation Service ◽  
Rehabilitation Services ◽  
Community Based ◽  
Basic Health ◽  
Primary Health ◽  
Community Based Rehabilitation

Abstract Background: World Health Organization initiated community-based rehabilitation (CBR) in 1978, and by now, it has been an essential process of medical services worldwide. China had strengthened primary health care on building more than 35,000 community health centers (CHCs) in cities, and more than 34,000 township health centers (THCs) in the rural area. Nevertheless, it remains unclear that if these primary health centers could provide optional rehabilitation services for disabilities. And this study aims at evaluating the supply capacity of rehabilitation service in primary health centers of Chengdu, a regional center city of southwest China.Method : We conducted a general investigation of primary health centers in Chengdu, a city located in southwest China with more than 15 million population, our investigation covered all of Chengdu’s 390 primary health centers from October to November 2016. We researched these primary health centers on basic rehabilitation services, diseases, and rehabilitation equipment quantity and quality, and traditional Chinese medicine (TCM) physiotherapyResult: Rehabilitation therapy is available in 88.9% (337 of 379) of all primary health centers. Meanwhile, CHCs slightly surpass THCs with an available rate of 92.2% (106 of 115) and 87.5% (231 of 264), respectively. Traditional Chinese Medicine (TCM) physiotherapy is available in 97.1% (368 of 379) of all primary health centers, 97.3% (112 of 115) of CHCs and 97.0% (256 of 264) of THCs. Quantitative analysis showed that substantial factors which could make an impact on the number of patients per year contain: categories of rehabilitation disease (P<0.001, 95% confidence interval (CI) [-1.571, -0.702]),number of rehabilitation bed (P<0.001, 95%CI [-1.249, -0.290])Conclusion: CBR and TCM physiotherapy has become accessible for disabilities in most basic health centers of Chengdu City, whereas, available rate of CBR in THCs is lesser than in CHCs, which suggests an imbalance in primary health service development between rural and urban area. Categories of rehabilitation diseases, and the number of rehabilitation beds constitute co-factors that make an impact on the CBR capacity of basic health centers.

scholarly journals Investigation on the Operation Status of Community-Based Rehabilitation Station in a District of Chongqing

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Jingxuan Shang
Keyword(s):  
Human Resources ◽  
Medical Rehabilitation ◽  
Rehabilitation Service ◽  
Rehabilitation Services ◽  
Community Based ◽  
Treatment Services ◽  
Community Based Rehabilitation ◽  
Service Projects ◽  
Community Staff ◽  
Operation Status

Objective. Investigate and analyze the current operation status of the community-based rehabilitation station in a district of Chongqing to provide some reference schemes for improving the construction of the community-based rehabilitation system for Chongqing. Methods. Self-designed questionnaires were issued to 36 community-based rehabilitation stations in a district of Chongqing to investigate the human resources status, service projects, service methods, and other aspects of the community-based rehabilitation stations. Results. The community-based rehabilitation station lacks the participation of medical rehabilitation personnel, and only 33.3% of the community-based rehabilitation stations are composed of multidisciplinary human resources of medical and community staff. Community-based rehabilitation services focus on supply education and publicity (86.11%), and rehabilitation treatment services are not fully involved in the community-based rehabilitation service (44.44%). The methods of community-based rehabilitation services are mainly posters and other publicity activities (94.44%), and the community-based rehabilitation service methods are not highly goal-oriented. Conclusion. The survey found some problems to be improved in the construction and operation of grass-roots community-based rehabilitation stations in Chongqing. Community-based rehabilitation stations should enrich the human resources and technology of medical rehabilitation, become an extension of the restoration of community health institutions, and promote the high-quality development of community-based rehabilitation.

scholarly journals Community-based rehabilitation service in Chengdu, southwest China: a cross-sectional general survey

2020 ◽  
Author(s):  
Siliang Chen ◽  
Yi Lei ◽  
Hua Dai ◽  
Jia Wu ◽  
Ziyu Yang ◽  
...  
Keyword(s):  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Southwest China ◽  
Health Centers ◽  
Rehabilitation Service ◽  
Rehabilitation Services ◽  
Community Based ◽  
Basic Health ◽  
Primary Health ◽  
Community Based Rehabilitation

Abstract Background World Health Organization initiated community-based rehabilitation (CBR) in 1978, and by now, it has been an essential process of medical services worldwide. China had strengthened primary health care on building more than 35,000 community health centers (CHCs) in cities, and more than 34,000 township health centers (THCs) in the rural area. Nevertheless, it remains unclear that if these primary health centers could provide optional rehabilitation services for disabilities. And this study aims at evaluating the supply capacity of rehabilitation service in primary health centers of Chengdu, a regional center city of southwest China. Method We conducted a general investigation of primary health centers in Chengdu, a city located in southwest China with more than 15 million population, our investigation covered all of Chengdu’s 390 primary health centers from October to November 2016. We researched these primary health centers on basic rehabilitation services, diseases, and rehabilitation equipment quantity and quality, and traditional Chinese medicine (TCM) physiotherapy Result Rehabilitation therapy is available in 88.9% (337 of 379) of all primary health centers. Meanwhile, CHCs slightly surpass THCs with an available rate of 92.2% (106 of 115) and 87.5% (231 of 264), respectively. Traditional Chinese Medicine (TCM) physiotherapy is available in 97.1% (368 of 379) of all primary health centers, 97.3% (112 of 115) of CHCs and 97.0% (256 of 264) of THCs. Quantitative analysis showed that substantial factors which could make an impact on the number of patients per year contain: categories of rehabilitation disease (P<0.001, 95% confidence interval (CI) [-1.571, -0.702]),number of rehabilitation bed (P<0.001, 95%CI [-1.249, -0.290]) Conclusion CBR and TCM physiotherapy has become accessible for disabilities in most basic health centers of Chengdu City, whereas, available rate of CBR in THCs is lesser than in CHCs, which suggests an imbalance in primary health service development between rural and urban area. Categories of rehabilitation diseases, and the number of rehabilitation beds constitute co-factors that make an impact on the CBR capacity of basic health centers.

scholarly journals Community-based rehabilitation service in Chengdu, southwest China: a cross-sectional general survey

2020 ◽  
Author(s):  
Siliang Chen ◽  
Yi Lei ◽  
Hua Dai ◽  
Jia Wu ◽  
Ziyu Yang ◽  
...  
Keyword(s):  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Southwest China ◽  
Health Centers ◽  
Rehabilitation Service ◽  
Rehabilitation Services ◽  
Community Based ◽  
Basic Health ◽  
Primary Health ◽  
Community Based Rehabilitation

Abstract Background World Health Organization initiated community-based rehabilitation (CBR) in 1978, and by now, it has been an essential process of medical services worldwide. China had strengthened primary health care on building more than 35,000 community health centers (CHCs) in cities, and more than 34,000 township health centers (THCs) in the rural area. Nevertheless, it remains unclear that if these primary health centers could provide optional rehabilitation services for disabilities. And this study aims at evaluating the supply capacity of rehabilitation service in primary health centers of Chengdu, a regional center city of southwest China.Method We conducted a general investigation of primary health centers in Chengdu, a city located in southwest China with more than 15 million population. Our investigation covered all of Chengdu’s 390 primary health centers from October to November 2016. We researched these primary health centers on basic rehabilitation services, diseases, and rehabilitation equipment quantity and quality, and traditional Chinese medicine (TCM) physiotherapyResult Rehabilitation therapy is available in 88.9% (337 of 379) of all primary health centers. Meanwhile, CHCs slightly surpass THCs with an available rate of 92.2% (106 of 115) and 87.5% (231 of 264), respectively. Traditional Chinese Medicine (TCM) physiotherapy is available in 97.1% (368 of 379) of all primary health centers, 97.3% (112 of 115) of CHCs and 97.0% (256 of 264) of THCs. Quantitative analysis showed that substantial factors which could make an impact on the number of patients per year contain: categories of rehabilitation disease (P<0.001, 95% confidence interval (CI) [-1.571, -0.702]),number of rehabilitation bed (P<0.001, 95%CI [-1.249, -0.290])Conclusion CBR and TCM physiotherapy has become accessible for disabilities in most basic health centers of Chengdu City, whereas, available rate of CBR in THCs is lesser than in CHCs, which suggests an imbalance in primary health service development between rural and urban area. Categories of rehabilitation diseases, and the number of rehabilitation beds constitute co-factors that make an impact on the CBR capacity of basic health centers.

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