Home > Riviste > European Journal of Physical and Rehabilitation Medicine > Fascicoli precedenti > European Journal of Physical and Rehabilitation Medicine 2018 April;54(2) > European Journal of Physical and Rehabilitation Medicine 2018 April;54(2):166-76

ULTIMO FASCICOLO
 

ARTICLE TOOLS

Publication history
Estratti
Per citare questo articolo

EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

Rivista di Medicina Fisica e Riabilitativa dopo Eventi Patologici


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
Impact Factor 1,827


eTOC

 

BACKGROUND OF PHYSICAL AND REHABILITATION MEDICINE  WHITE BOOK ON PHYSICAL AND REHABILITATION MEDICINE IN EUROPEFREEfree


European Journal of Physical and Rehabilitation Medicine 2018 April;54(2):166-76

DOI: 10.23736/S1973-9087.18.05145-6

Copyright © 2018 AUTHORS

lingua: Inglese

White Book on Physical and Rehabilitation Medicine in Europe. Chapter 2. Why rehabilitation is needed by individual and society

European Physical and Rehabilitation Medicine Bodies Alliance 


PDF  


In the context of the White Book of Physical and Rehabilitation Medicine (PRM) in Europe, this paper describes the background to the context of PRM services and comprises the following:
- Epidemiological Aspects of Functioning and Disability
- Ethical Aspects and Human Rights
- Rehabilitation and Health Systems
- Economic Burden of Disability
- Effects of Lack of Rehabilitation
Health care service planning accounts for the burden of disability among society and the chapter describes the justification for specialist rehabilitation, the background of PRM and why making a functional diagnosis and a management plan based on function is its core competence. The chapter describes the increasing burden of disability due to conditions seen in PRM practice rather than on all those diseases contributing to physical disablement and does not include mental illness, learning disabilities, etc. Ten percent of Western Europe’s population have a disability and are surviving longer, resulting in higher costs for health and social care and a greater impact of co-morbidities. The chapter also describes the impact and increased costs in the absence of rehabilitation. Not only is money spent on rehabilitation recovered with five to nine-fold savings (e.g. in return to work), but rehabilitation is effective in all phases of health conditions. Specialized rehabilitation (as delivered by PRM services) is highly cost-efficient for all neurological conditions, producing substantial savings in ongoing care costs, especially in high-dependency patients. Disability discrimination has been outlawed and the text describes the legal context and status of a person living in Europe with a disability. The second part highlights the United Nations Conventions on human rights, confirmed in the World Report on Disability, but also on the principles of ethical practice among PRM physicians. The third part addresses the variability of access to and funding of rehabilitation services across countries. The chapter also distinguishes highly specialist interventions (such as those provided by a PRM physician) from specialized therapies, (such as pressure ulcer management) and generic therapies (e.g. after an uncomplicated limb fracture). It will be important for healthcare authorities, public health organizations, payers, providers, healthcare professionals, consumers and the community. The economic and social burden of disability on society is considerable and will get worse, although this is difficult to quantify. Direct costs are variable and include disabled persons’ additional costs for daily living and state disability benefits. Rehabilitation has a pivotal role in reducing these costs through promoting personal recovery and increasing function through altering environmental factors. This part describes cost savings studies through rehabilitation for persons with severe disabilities.


KEY WORDS: Physical and rehabilitation medicine - Europe - Burden of disability - Economics - Human rights - Rehabilitation costs and impact

inizio pagina

Publication History

Issue published online: March 22, 2018

Per citare questo articolo

European Physical and Rehabilitation Medicine Bodies Alliance. White Book on Physical and Rehabilitation Medicine in Europe. Chapter 2. Why rehabilitation is needed by individual and society. Eur J Phys Rehabil Med 2018;54:166-76. DOI: 10.23736/S1973-9087.18.05145-6

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: Anthony B. WARD; Pedro CANTISTA; Maria G. CERAVOLO; Nicolas CHRISTODOULOU; Alain DELARQUE; Christoph GUTENBRUNNER; Carlotte KIEKENS; Saša MOSLAVAC; Enrique VARELA-DONOSO; Mauro ZAMPOLINI; Stefano NEGRINI. Contributors: Lloyd BRADLEY; Andrew J. HAIG; Karol HORNÁČEK; Géraldine JACQUEMIN; Vera NEUMANN; Rory O’CONNOR; Aydan ORAL; Peter TAKÁČ

Corresponding author e-mail