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European Journal of Physical and Rehabilitation Medicine 2022 Feb 11

DOI: 10.23736/S1973-9087.22.07402-0


language: English

The Individual Rehabilitation Project as the core of person-centred rehabilitation - the Physical and Rehabilitation Medicine Section and Board of the European Union of Medical Specialists framework for rehabilitation in Europe

Mauro ZAMPOLINI 1 , Melissa SELB 2, 3, Paolo BOLDRINI 4, Catarina A. BRANCO 5, Volodymyr GOLYK 6, 7, Xiaolei HU 8, Carlotte KIEKENS 9, Stefano NEGRINI 10, 11, Anda NULLE 12, Aydan ORAL 13, Markos SGANTZOS 14, Aleksei SHMONIN 15, Iuly TREGER 16, 17, Gerold STUCKI 2, 3, 18, on behalf of UEMS-PRM Section and Board 

1 USL Umbria 2, Foligno Hospital, Perugia, Italy; 2 ICF Research Branch, Nottwil, Switzerland; 3 Swiss Paraplegic Research, Nottwil, Switzerland; 4 Italian Society of Physical and Rehabilitation Medicine (SIMFER); 5 Department of Physical and Rehabilitation Medicine - Centro Hospitalar de Entre o Douro e Vouga, Santa Maria da Feira, Portugal; 6 Department of Physical and Rehabilitation Medicine and Sports Medicine, Shupyk National University of Healthcare of Ukraine, Kyiv, Ukraine; 7 Department of Physical and Rehabilitation Medicine, City Municipal Teaching Hospital №4, Dnipro, Ukraine; 8 Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden; 9 IRCCS Multimedica, Milano, Italy; 10 Department of Biomedical, Surgical and Dental Sciences, Università La Statale, Milano, Italy; 11 IRCCS Istituto Ortopedico Galeazzi, Milano, Italy; 12 National Rehabilitation Center Vaivari, Jurmala, Latvia; 13 Department of Physical Medicine and Rehabilitation, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey; 14 Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece; 15 First Saint-Petersburg I.P.Pavlov State Medical University, Saint-Petersburg, Russia; 16 Department of Rehabilitation, Soroka University Medical Center, Beer-Sheva, Israel; 17 Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel; 18 Center for Rehabilitation in Global Health Systems, University of Lucerne, Switzerland

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-centred rehabilitation management scheme, in which rehabilitation is generally provided by a multi-professional 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 to 1) introduce the IRP and 2) 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 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.

KEY WORDS: Individual rehabilitation project; International Classification of Functioning; Disability and Health; Rehabilitation; Patient-centred care

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