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. 2022 Aug;58(4):503-510.
doi: 10.23736/S1973-9087.22.07402-0. Epub 2022 Feb 11.

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

Collaborators, Affiliations

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 et al. Eur J Phys Rehabil Med. 2022 Aug.

Abstract

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.

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Conflict of interest statement

Conflicts of interest.—Carlotte Kiekens has a consultant relationship with SWISS Reha and Swiss Paraplegic Research; Melissa Selb received honoraria for holding ICF workshops.

Figures

Figure 1
Figure 1
—Interface between the rehabilitation management plan, Individual Rehabilitation Project, and rehabilitation cycles.
Figure 2
Figure 2
—Phases of the Rehab-Cycle with descriptions.

References

    1. Stucki G, Zampolini M, Juocevicius A, Negrini S, Christodoulou N. Practice, science and governance in interaction: European effort for the system-wide implementation of the International Classification of Functioning, Disability and Health (ICF) in Physical and Rehabilitation Medicine. Eur J Phys Rehabil Med 2017;53:299–307. https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&l... 10.23736/S1973-9087.16.04436-1 - DOI - PubMed
    1. Stucki G, Zampolini M, Selb M, Ceravolo MG, Delargy M, Varela Donoso E, et al. Study Group European Framework of Rehabilitation Service Types . European Framework of Rehabilitation Services Types: the perspective of the Physical and Rehabilitation Medicine Section and Board of the European Union of Medical Specialists. Eur J Phys Rehabil Med 2019;55:411–7. https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&l... 10.23736/S1973-9087.19.05728-9 - DOI - PubMed
    1. Selb M, Zampolini M, Delargy M, Kiekens C, Stucki G, Study Group Clinical Assessment Schedule . Specifying clinical assessment schedules for the European framework of rehabilitation service types: the perspective of the physical and rehabilitation medicine Section and Board of the European Union of Medical Specialists. Eur J Phys Rehabil Med 2019;55:834–44. https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&l... 10.23736/S1973-9087.19.05961-6 - DOI - PubMed
    1. S.I.M.F.E.R. (Italian Society of Physical and Rehabilitation Medicine) . Guidelines for rehabilitation services in Italy. Eura Medicophys 2005;41:95–109. https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&l... - PubMed
    1. Zampolini M, Stucki G, Giustini A, Negrini S. The individual rehabilitation project: a model to strengthen clinical rehabilitation in health systems worldwide. Eur J Phys Rehabil Med 2020;56:1–4. https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&l... 10.23736/S1973-9087.19.06110-0 - DOI - PubMed