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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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PRACTICE OF PHYSICAL AND REHABILITATION MEDICINE IN EUROPE  WHITE BOOK ON PHYSICAL AND REHABILITATION MEDICINE IN EUROPEFREEfree


European Journal of Physical and Rehabilitation Medicine 2018 April;54(2):261-78

DOI: 10.23736/S1973-9087.18.05152-3

Copyright © 2018 AUTHORS

language: English

White Book on Physical and Rehabilitation Medicine (PRM) in Europe. Chapter 8. The PRM specialty in the healthcare system and society

European Physical and Rehabilitation Medicine Bodies Alliance 


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In the context of the White Book of Physical and Rehabilitation Medicine (PRM) in Europe, this paper deals with a global overview of the role of PRM in healthcare systems in Europe. Several documents and reports by WHO and the UN call for the worldwide strengthening of rehabilitation as a key health strategy of the 21st century. Therefore, further implementation of PRM in healthcare systems is crucial. Many aspects need to be considered when implementing PRM in a health system. Since PRM should be provided along the whole continuum of care, a specific phase model has been developed. Those phases depend on patients’ functional needs as well as on temporal aspects of a health condition: it can be congenital or acquired, and the disorder can have an acute onset or a progressive or degenerative course. The following phases are described in the paper: habilitation, prehabilitation, PRM in acute settings, in post-acute and in long-term settings. Regular triage and reassessment to assign the patient to the appropriate level and setting of rehabilitation care is mandatory. Therefore, rehabilitation services should be stratified and organized in networks, in order to allow for the best possible care adapted to the individual’s needs and goals, over the continuum of care. Providing correct PRM services requires good planning of service delivery, capacity building and resource allocation. The needed resources are human (with complex multi-professional teams), technical (diagnostic and therapeutic equipment, equipment for performing complementary diagnostic means, rehabilitation technology and assistive devices), and financial. Decisions on the allocation of the usually limited resources require a reasoned process and clear and fair criteria. Principles of clinical governance must be respected, and appropriate competencies are required. Disease prevention (primary, secondary and tertiary), health maintenance and support in chronic conditions as well as global health promotion are gaining growing importance in PRM. They include encouraging physical activity and promoting healthy behavior aiming at the maintenance of maximum function and avoiding complications in disabling or progressive conditions. This is discussed in the paper together with some ethical reflections on the choices PRM physicians continuously have to make during service delivery.


KEY WORDS: Physical and rehabilitation medicine - Europe - Delivery of health care - Health plan implementation

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Issue published online: March 22, 2018

Cite this article as

European Physical and Rehabilitation Medicine Bodies Alliance. White Book on Physical and Rehabilitation Medicine (PRM) in Europe. Chapter 8. The PRM specialty in the healthcare system and society. Eur J Phys Rehabil Med 2018;54:261-78. DOI: 10.23736/S1973-9087.18.05152-3

European Physical and Rehabilitation Medicine Bodies Alliance

European Academy of Rehabilitation Medicine (EARM); European Society of Physical and Rehabilitation Medicine (ESPRM); European Union of Medical Specialists PRM section (UEMS-PRM section); European College of Physical and Rehabilitation Medicine (ECPRM) - served by the UEMS-PRM Board. Editors: Carlotte KIEKENS; Pedro CANTISTA; Maria G. CERAVOLO; Nicolas CHRISTODOULOU; Alain DELARQUE; Christoph GUTENBRUNNER; Saša MOSLAVAC; Enrique VARELA-DONOSO; Anthony B. WARD; Mauro ZAMPOLINI; Stefano NEGRINI. Contributors: Filipe ANTUNES; Paolo BOLDRINI; François C. BOYER; John P. BURN; Mark DELARGY; Gordana DEVEČERSKI; Rochelle T. DY; Calogero FOTI; Alessandro GIUSTINI; Jean-Jacques GLAESENER; Kurt HOPPE; Alvydas JUOCEVICIUS; Carlotte KIEKENS; Jacinta MCELLIGOTT; Angela MCNAMARA; Anda NULLE; Aydan ORAL; Daiana POPA; Christina-Anastasia RAPIDI; Amandine RAPIN; Steven RIMBAUT; Christof A. SMIT; Katharina STIBRANT SUNNERHAGEN; Peter TAKÁČ; Raquel VALERO; Ilse J. VAN NES; Jiri VOTAVA; Andreas WINKELMANN; Alain YELNIK

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