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Gimigliano F, Francisco GE, Khan F, Li L, Schiappacasse C, Laffont I, Melvin J, Stucki G, Lains J, Frontera WR. Comment on: "Fostering a uniform global name for the specialty of physicians working in rehabilitation". Eur J Phys Rehabil Med 2022; 58:793-795. [PMID: 36472557 PMCID: PMC10081483 DOI: 10.23736/s1973-9087.22.07790-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- Francesca Gimigliano
- The International Society of Physical and Rehabilitation Medicine, Geneva, Switzerland - .,Department of Mental and Physical Health and Preventive Medicine, Luigi Vanvitelli University of Campania, Naples, Italy -
| | - Gerard E Francisco
- The International Society of Physical and Rehabilitation Medicine, Geneva, Switzerland.,Department of Physical Medicine and Rehabilitation, University of Texas Health Science Center at Houston, Houston, TX, USA.,Neurorecovery Research Center, TIRR Memorial Hermann, Houston, TX, USA
| | - Fary Khan
- The International Society of Physical and Rehabilitation Medicine, Geneva, Switzerland.,Department of Rehabilitation, Royal Melbourne Hospital, Parkville, Australia.,Australian Rehabilitation Research Centre, Royal Melbourne Hospital, Parkville, Australia.,Department of Medicine, University of Melbourne, Parkville, Australia
| | - Leonard Li
- The International Society of Physical and Rehabilitation Medicine, Geneva, Switzerland.,Division of Rehabilitation, Department of Medicine, University of Hong Kong, Hong Kong, China
| | - Carolina Schiappacasse
- The International Society of Physical and Rehabilitation Medicine, Geneva, Switzerland.,British Hospital, Las Araucarias Rehabilitation Clinic, San Martin University, Buenos Aires, Argentina
| | - Isabelle Laffont
- The International Society of Physical and Rehabilitation Medicine, Geneva, Switzerland.,Department of Physical Medicine and Rehabilitation, CHU Montpellier, University of Montpellier, Montpellier, France
| | - John Melvin
- The International Society of Physical and Rehabilitation Medicine, Geneva, Switzerland.,Department of Rehabilitation Medicine, Thomas Jefferson University, Philadelphia, PA, USA
| | - Gerold Stucki
- The International Society of Physical and Rehabilitation Medicine, Geneva, Switzerland.,Department of Health Sciences and Health Policy, Center for Rehabilitation in Global Health Systems, University of Lucerne, Lucerne, Switzerland.,Swiss Paraplegic Research (SPF), Guido A. Zaech Institute, Nottwil, Switzerland
| | - Jorge Lains
- The International Society of Physical and Rehabilitation Medicine, Geneva, Switzerland.,Rovisco Pais Medical and Rehabilitation Centre, Tocha, Portugal.,Faculty of Medicine, University of Coimbra, Coimbra, Portugal
| | - Walter R Frontera
- The International Society of Physical and Rehabilitation Medicine, Geneva, Switzerland.,Department of Physical Medicine, Rehabilitation and Sports Medicine, University of Puerto Rico School of Medicine, San Juan, Puerto Rico
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Skempes D, Kiekens C, Malmivaara A, Michail X, Bickenbach J, Stucki G. Supporting government policies to embed and expand rehabilitation in health systems in Europe: A framework for action. Health Policy 2021; 126:158-172. [PMID: 34281701 DOI: 10.1016/j.healthpol.2021.06.014] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2020] [Revised: 05/25/2021] [Accepted: 06/28/2021] [Indexed: 11/28/2022]
Abstract
Investment in action is vital to confront the challenges associated with chronic diseases and disability facing European health systems. Although relevant policy responses are being increasingly developed, most of them fail to recognize the role of rehabilitation services in achieving public health and social goals. Comprehensive guidance is thus urgently needed to support rehabilitation policy development and expand access to rehabilitation care to meet population needs effectively. This paper describes a framework to guide policy action for rehabilitation in Europe. The framework was developed in collaboration with the European Academy of Rehabilitation Medicine based on a focused literature review and expert consultations. A review in PubMed and grey literature sources identified 458 references and resulted in 135 relevant documents published between 2006 and 2019. Thematic analysis of extracted information helped summarize the findings and develop the draft policy action framework. This was circulated to a wider group of experts and discussed in three workshops in 2018-2019. The framework was revised according to their feedback. The proposed framework contains 48 options for policy action organized in six domains and twelve subdomains that address several areas of health programming. The proposed framework provides a structure to understand the policy terrain related to rehabilitation in Europe and the measures required for translating aspirational political pronouncements into targeted programmatic action and tangible health and social outcomes.
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Affiliation(s)
- Dimitrios Skempes
- Swiss Paraplegic Research, Nottwil, Switzerland; Center for Rehabilitation in Global Health Systems, Department of Health Sciences and Medicine, University of Lucerne, Switzerland
| | - Carlotte Kiekens
- Spinal Unit, Montecatone Rehabilitation Institute, Imola (Bologna), Italy; Physical and Rehabilitation Medicine, University Hospitals Leuven - Department of Development and Regeneration, KU Leuven - University of Leuven, Leuven, Belgium
| | - Anti Malmivaara
- Centre for Health and Social Economics, National Institute for Health and Welfare and Orton Orthopedic Hospital and Orton Research Institute, Orton Foundation, Helsinki, Finland
| | - Xanthi Michail
- Department of Physiotherapy, University of West Attica, Athens, Greece
| | - Jerome Bickenbach
- Swiss Paraplegic Research, Nottwil, Switzerland; Center for Rehabilitation in Global Health Systems, Department of Health Sciences and Medicine, University of Lucerne, Switzerland
| | - Gerold Stucki
- Swiss Paraplegic Research, Nottwil, Switzerland; Center for Rehabilitation in Global Health Systems, Department of Health Sciences and Medicine, University of Lucerne, Switzerland.
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Poudel M, Dy R, Oh-Park M, Gimigliano F, Kiekens C, Li L, Frontera W. International society of physical and rehabilitation medicine webinar series - An effective global educational initiative during COVID-19 pandemic. THE JOURNAL OF THE INTERNATIONAL SOCIETY OF PHYSICAL AND REHABILITATION MEDICINE 2021. [DOI: 10.4103/jisprm.jisprm_31_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Gimigliano F, De Sire A, Gastaldo M, Maghini I, Paoletta M, Pasquini A, Boldrini P, Selb M, Prodinger B. Use of the International Classification of Functioning, Disability and Health Generic-30 Set for the characterization of outpatients: Italian Society of Physical and Rehabilitative Medicine Residents Section Project. Eur J Phys Rehabil Med 2018; 55:258-264. [PMID: 29898590 DOI: 10.23736/s1973-9087.18.05324-8] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND The International Classification of Functioning, Disability and Health (ICF) Generic-30 Set (previously referred to as Rehabilitation Set) is a minimal set of ICF categories for reporting and assessing functioning and disability in clinical populations with different health conditions along the continuum of care. Recently, the Italian Society of Physical and Rehabilitation Medicine (SIMFER) developed an Italian modification of the simple and intuitive descriptions (SID) of these categories. This study was the first one to implement the use of the SID in practice. AIM The main aims of this study are: 1) to implement the use of the ICF in clinical practice and research among Italian Residents in PRM, and 2) to verify if the SID made the application of ICF Generic 30 Set more user-friendly than the original descriptions; 3) to examine the prevalence of functioning problems of patients accessing Rehabilitation Services to serve as reference for the development of an ICF-based clinical data collection tool. DESIGN Multicenter cross-sectional study. SETTING Italian Physical Medicine and Rehabilitation (PRM) outpatient rehabilitation services. POPULATION Patients referring to Italian PRM outpatient rehabilitation services and Italian Residents in PRM. METHODS Each School of Specialization involved, randomly, received the ICF Generic-30 Set with the original descriptions or with the SID. Residents collected over a 4-month period (April-July 2016) patients data related to the ICF Generic-30 Set categories. Moreover, the residents self-assessed their difficulty in using the ICF Generic-30 Set with the original descriptions or with the SID, through a Numeric Rating Scale (NRS). RESULTS Ninety-three residents collected functioning data of 864 patients (mean aged 57.7±19.3) with ICF Generic-30 Set: 304 with the original descriptions and 560 with SID. The difficulty in using the ICF Generic-30 Set with SID was rated as lower than using the original descriptions (NRS 2.8±2.5 vs. 3.5±3.1; P<0.001). The most common disease was the back pain (9.6%) and the most common altered ICF categories were b280 (76.3%) and b710 (72.9%). CONCLUSIONS This multicenter cross-sectional study shown that the ICF Generic-30 Set is a valuable instrument for reporting and assessing functioning and disability in clinical populations with different health conditions and along the continuum of care and that SID facilitate the understanding of the ICF categories and therefore their use in clinical practice. CLINICAL REHABILITATION IMPACT By increasing the knowledge of ICF among Italian PRM residents, this national survey makes an important step towards the system-wide implementation of ICF in the Italian healthcare system.
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Affiliation(s)
- Francesca Gimigliano
- Department of Mental and Physical Health and Preventive Medicine, Luigi Vanvitelli University of Campania, Naples, Italy
| | - Alessandro De Sire
- Department of Medical and Surgical Specialties and Dentistry, Luigi Vanvitelli University of Campania, Naples, Italy -
| | - Marco Gastaldo
- Unit of Physical and Rehabilitation Medicine, Department of Surgical Sciences, University of Turin, Turin, Italy
| | - Irene Maghini
- Department of Neurosciences, University of Padua, Padua, Italy
| | - Marco Paoletta
- Department of Medical and Surgical Specialties and Dentistry, Luigi Vanvitelli University of Campania, Naples, Italy
| | - Andrea Pasquini
- Department of Clinical and Experimental Medicine, University of Parma, Parma, Italy
| | - Paolo Boldrini
- Department of Rehabilitation, Azienda ULSS 2, Treviso, Italy
| | - Melissa Selb
- Swiss Paraplegic Research Center (SPF), Nottwil, Switzerland.,ICF Research Branch, WHO Collaborating Center for the Family of International Classifications in Germany, German Institute of Medical Documentation and Information (DIMDI), Nottwil, Switzerland
| | - Birgit Prodinger
- Swiss Paraplegic Research Center (SPF), Nottwil, Switzerland.,ICF Research Branch, WHO Collaborating Center for the Family of International Classifications in Germany, German Institute of Medical Documentation and Information (DIMDI), Nottwil, Switzerland.,Faculty of Applied Health and Social Sciences, University of Applied Sciences, Rosenheim, Germany
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