European Journal of Physical and Rehabilitation Medicine 2022 August;58(4):503-10

DOI: 10.23736/S1973-9087.22.07402-0

lingua: Inglese

The Individual Rehabilitation Project as the core of person-centered 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} UEMS-PRM Section and Board

¹ Foligno Hospital, USL Umbria2, Perugia, Italy; ² ICF Research Branch, Nottwil, Switzerland; ³ Swiss Paraplegic Research, Nottwil, Switzerland; ⁴ Italian Society of Physical and Rehabilitation Medicine (SIMFER), Treviso, Italy; 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 N.4, Dnipro, Ukraine; ⁸ Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden; ⁹ IRCCS Multimedica, Milan, Italy; ¹⁰ Department of Biomedical, Surgical and Dental Sciences, Università “La Statale,” Milan, Italy; ¹¹ IRCCS Istituto Ortopedico Galeazzi, Milan, Italy; ¹² National Rehabilitation Center “Vaivari,” Jurmala, Latvia; ¹³ Department of Physical Medicine and Rehabilitation, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey; ¹⁴ School of Health Sciences, Faculty of Medicine, 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, Lucerne, Switzerland

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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-centered rehabilitation management scheme, in which rehabilitation is generally provided by a multiprofessional 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: 1) to introduce the IRP; and 2) to 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 the 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: Rehabilitation; International classification of functioning, disability and health; Patient-centered care

inizio pagina

Publication History

Issue published online: July 27, 2022
Article first published online: February 11, 2022
Manuscript accepted: February 3, 2022
Manuscript received: December 9, 2021

Per citare questo articolo

Zampolini M, Selb M, Boldrini P, Branco CA, Golyk V, Hu X, et al.; UEMS-PRM Section and Board. The Individual Rehabilitation Project as the core of person-centered rehabilitation: the Physical and Rehabilitation Medicine Section and Board of the European Union of Medical Specialists Framework for Rehabilitation in Europe. Eur J Phys Rehabil Med 2022;58:503-10. DOI: 10.23736/S1973-9087.22.07402-0

UEMS-PRM Section and Board

Yvona ANGEROVA (General Teaching Hospital, First Faculty of Medicine Charles University, Prague, Czech Republic); Filomeni ARMAKOLA (P. & A. Kyriakou Paediatric General Hospital, Athens, Greece); Andrey BELKIN (Clinical Institute of Brain, Yekaterinburg, Russia); Mihai BERTEANU (Elias Emergency University Hospital, Bucharest, Romania); François C. BOYER (Reims Champagne Ardenne University, Reims, France); Helena BURGER (University Rehabilitation Institute and University of Ljubljana, Ljubljana, Slovenia); Pedro CANTISTA (University Hospital of Porto, Porto, Portugal); Maria Gabriella CERAVOLO (Università Politecnica delle Marche - UNIVPM, Ancona, Italy); Nicolas CHRISTODOULOU (Limassol Center of Medical and Rehabilitation Medicine, Limassol, Cyprus); Richard CREVENNA (Medical University of Vienna, Vienna, Austria); Zoltan DENES (National Institute for Medical Rehabilitation, Budapest, Hungary); Jean-Pascal DEVAILLY (Groupe Hospitalier Lariboisière - Fernand Widal, Paris Nord-Val de Seine University Hospital, Paris, France); Rolf FRISCHKNECHT (Lausanne University Hospital, Lausanne, Switzerland); Klemen GRABLJEVEC (University Rehabilitation Institute, Ljubljana, Slovenia); Frane GRUBIŠIĆ (School of Medicine University of Zagreb, University Hospital Center Sestre Milosrdnice, Zagreb, Croatia); Ilze HAZNERE (Pauls Stradiņš Clinical University Hospital, Riga, Latvia); Elena M. ILIEVA (Medical University of Plovdiv, Plovdiv, Bulgaria); Ingebjørg IRGENS (Sunnaas Rehabilitation Hospital, Oslo, Norway); Galina IVANOVA (Pirogov Russian National Research Medical University, Moscow, Russia); Alvydas JUOCEVICIUS (Faculty of Medicine, Vilnius University Hospital Santariskiu Klinikos, Vilnius University, Vilnius, Lithuania); Nelly KAKULIA (Tbilisi State Medical University, Tbilisi, Georgia); Jean-Franҫois KAUX (University of Liege, Liege, Belgium); Dina KHASANOVA (Faculty for Postgraduate Training and Professional Retraining of Specialists, Kazan State Medical University, Kazan, Russia); Ayşe A. KÜÇÜKDEVECI (Faculty of Medicine, Ankara University, Ankara, Turkey); Jolanta KUJAWA (Medical University of Lodz, Lodz, Poland); Nadica LAKTASIC ZERJAVIC (School of Medicine, University of Zagreb, Zagreb, Croatia); Milica LAZOVIC (School of Medicine, Institute for Rehabilitation, University of Belgrade, Belgrade, Serbia); Marguerite LECHES (Functional Assessment and Rehabilitation Service at Luxembourg Hospital Center, Luxembourg, Luxembourg); Gabriele LICHTI (Klinikum Bad Salzungen Zentrum für Physikalische und Rehabilitative Medizin, Bad Salzungen, Germany); Tea SCHNURRER-LUKE-VRBANIĆ (Faculty of Medicine, University Hospital of Rijeka, Rijeka, Croatia); Aet LUKMANN (University of Tartu, Tartu, Estonia); John MACFARLANE (Mercy University Hospital and Cork University Hospital, Cork, Ireland); Ivana PETRONIC-MARKOVIC (Faculty of Medicine, University of Belgrade, Belgrade, Serbia); Daiana POPA (Clinical Rehabilitation Hospital Felix-Spa Bihor County, Oradea, Romania); Manoj SIVAN (University of Leeds and Leeds Teaching and Community Hospitals NHS Trusts, Leeds, UK); Minna STAHL (HUS Helsinki University Hospital, Helsinki, Finland); Henk J. STAM (Erasmus MC University Medical Center, Rotterdam, the Netherlands); Regina STEMBERGER (PKA Innsbruck, Innsbruck, Austria); Piotr TEDERKO (Medical University of Warsaw, Warsaw, Poland); André THEVENON (Université Lille-Nord-de-France, Lille, France); Enrique VARELA DONOSO (Complutense University School of Medicine, Madrid, Spain); Oleksandr VLADYMYROV (Shupyk National University of Healthcare of Ukraine, Kyiv, Ukraine); Daniel WEVER (Roessingh Arbeid Medinello, Enschede, the Netherlands); Andreas WINKELMANN (University Hospital of Munich, Ludwig-Maximilians-University, Munich, Germany); Stephen ZAMMIT (Karin Grech Hospital, Pieta, Malta).

Corresponding author e-mail

mzampolini@gmail.com

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