Rehabilitation medical alliance: a new strategy for discipline construction_West China Medical Journal

Authors：

XIE Suhang ^1,2,3 , YANG Lin ^1,2,3 , YANG Yonghong ^1,2,3 , GAO Qiang ^1,2,3 , QU Yun ^1,2,3 , HE Hongchen ^1,2,3 , WEI Quan ^1,2,3 , LIU Shaxin ^1,2,3 , DU Chunping ^1,2,3 , LIU Sijia ^1,2,3 ,  HE Chengqi ^1,2,3

1. Rehabilitation Medicine Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. School of Rehabilitation Sciences, West China School of Medicine, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Rehabilitation Medicine Key Laboratory of Sichuan Province, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

HE Chengqi, Email: hxkfhcq@126.com

Keywords：

Rehabilitation; Medical alliance; Integrated care; Strategy

DOI：

10.7507/1002-0179.201904094

Video：

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The implementation of the medical alliance has promoted the effective integration of medical resources in China. However, with the increase in the demand for rehabilitation medical care, the construction of rehabilitation medical alliance will provide a new strategy for the development of rehabilitation medicine. The rehabilitation medical alliance will promote the subsidence of high-quality rehabilitation resources, enhance the service capacity of grass-roots rehabilitation, and achieve the hierarchical rehabilitation diagnosis and treatment. The rehabilitation medical alliance combines four alliance models to construct a three-tier system, forming a three-level alliance of administration and classification. Regarding rehabilitation clinical pathway, rehabilitation evaluation system, rehabilitation treatment system and the homogenization guarantee of rehabilitation nursing as its main content, intelligent rehabilitation medicine alliance could be established by means of technical means such as artificial intelligence and big data cloud platform.

Citation： XIE Suhang, YANG Lin, YANG Yonghong, GAO Qiang, QU Yun, HE Hongchen, WEI Quan, LIU Shaxin, DU Chunping, LIU Sijia, HE Chengqi. Rehabilitation medical alliance: a new strategy for discipline construction. West China Medical Journal, 2019, 34(5): 503-508. doi: 10.7507/1002-0179.201904094 Copy

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2.	孙自学, 龙俊睿, 段光锋, 等. 我国医疗联合体发展的动态分析. 中国医院管理, 2016, 36(10): 1-4.
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4.	李亚男, 吴海波. 中美医联体比较研究. 国外医学卫生经济分册, 2017, 34(4): 152-156, 162.
5.	黄培, 易利华. 3种不同类型医联体模式的实践与思考. 中国医院管理, 2015, 35(2): 16-19.
6.	陈雪柠. 2018年北京居民收入与经济增长同步人均可支配收入突破6万元. (2019-03-04)[2019-04-25]. http://www.beijing.gov.cn/gongkai/shuju/sjjd/t1579582.htm.
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9.	张晓溪, 宗莲, 李芬, 等. 2016年上海市卫生总费用核算结果及特点分析. 中国卫生经济, 2018, 37(8): 45-49.
10.	戴瑞明, 张天天, 周奕男, 等. 分级诊疗制度上海模式的政策效力. 中国医院管理, 2017, 37(12): 4-5.
11.	白鸽, 何世英, 戴瑞明, 等. 分级诊疗预期效果评价方法及实证模拟评价. 中国医院管理, 2017, 37(11): 8-10.
12.	陈玮, 龚震晔, 费健, 等. 上海市居民对医疗联合体内康复服务需求分析. 中国医院, 2018, 22(1): 3-5.
13.	Dunaway S, Montes J, McDermott MP, et al. Physical therapy services received by individuals with spinal muscular atrophy (SMA). J Pediatr Rehabil Med, 2016, 9(1): 35-44.
14.	Stratil J, Rieger MA, Voelter-Mahlknecht S. Optimizing cooperation between general practitioners, occupational health and rehabilitation physicians in Germany: a qualitative study. Int Arch Occup Environ Health, 2017, 90(8): 809-821.
15.	何成奇. 解读《卫生部建立完善康复医疗服务体系试点工作方案》的基本思路. 中国康复医学杂志, 2012, 27(6): 494-496.
16.	路鹏程. 基于康复诊疗决策支援系统构建区域三级康复服务体系. 广州: 南方医科大学, 2013.
17.	Pietrzak E, Cotea C, Pullman S, et al. Self-management and rehabilitation in osteoarthritis: is there a place for internet-based interventions?. Telemed J E Health, 2013, 19(10): 800-805.
18.	Liu Q, Wang S, Lin J, et al. The burden for knee osteoarthritis among Chinese elderly: estimates from a nationally representative study. Osteoarthritis Cartilage, 2018, 26(12): 1636-1642.
19.	Meng K, Peters S, Faller H. Effectiveness of a standardized back school program for patients with chronic low back pain after implementation in routine rehabilitation care. Patient Educ Couns, 2017, 100(6): 1161-1168.
20.	Peters S, Faller H, Pfeifer K, et al. Experiences of rehabilitation professionals with the implementation of a back school for patients with chronic low back pain: a qualitative study. Rehabil Res Pract, 2016, 2016: 6720783.
21.	黄美玲, 王玉龙, 王尧. 康复医学专科医疗联合体中脑卒中患者康复疗效的同质化研究. 中国康复医学杂志, 2017, 32(6): 618-623.
22.	张潘, 冯佳佳, 张瑜, 等. 我国公立医院临床路径开展及管理情况分析. 中国医院管理, 2019, 39(2): 41-43.
23.	中华医学会科技评审部. 中华医学会根据" 国家卫生计生委办公厅关于实施有关病种临床路径的通知”要求发布临床路径. (2017-06-05)[2019-03-27]. https://www.cma.org.cn/art/2017/6/5/art_41_18011.html.
24.	中华医学会科技评审部. 中华医学会根据" 国家卫生计生委办公厅关于实施有关病种临床路径的通知”要求发布临床路径. (2016-12-09)[2019-03-27]. https://www.cma.org.cn/art/2016/12/9/art_41_18009.html.
25.	Richards C L, Malouin F, Nadeau S. Stroke rehabilitation: clinical picture, assessment, and therapeutic challenge. Prog Brain Res, 2015, 218: 253-280.
26.	Nguyen C, Lefèvre-Colau MM, Poiraudeau S, et al. Rehabilitation (exercise and strength training) and osteoarthritis: a critical narrative review. Ann Phys Rehabil Med, 2016, 59(3): 190-195.
27.	Capozzi LC, Dolgoy ND, McNeely ML. Physical rehabilitation and occupational therapy. Oral Maxillofac Surg Clin North Am, 2018, 30(4): 471-486.
28.	Christiansen DH, Frost P, Falla D, et al. Effectiveness of standardized physical therapy exercises for patients with difficulty returning to usual activities after decompression surgery for subacromial impingement syndrome: randomized controlled trial. Phys Ther, 2016, 96(6): 787-796.
29.	Clarke DJ. Nursing practice in stroke rehabilitation: systematic review and meta-ethnography. J Clin Nurs, 2014, 23(9/10): 1201-1226.
30.	Bhimani R. Understanding work-related musculoskeletal injuries in rehabilitation from a nursing perspective. Rehabil Nurs, 2016, 41(2): 91-100.
31.	Dreyer P, Angel S, Langhorn L, et al. Nursing roles and functions in the acute and subacute rehabilitation of patients with stroke: going all in for the patient. J Neurosci Nurs, 2016, 48(2): 108-115.
32.	李敏. 专科康复护理对膝关节置换术后患者功能恢复效果的影响. 护理实践与研究, 2016, 13(18): 152-153.
33.	方梅, 温秀梅, 李小容, 等. 康复专科护理规范化流程管理在腰椎间盘突出症患者保守治疗中的效果观察. 国际护理学杂志, 2016, 35(6): 756-758.
34.	Nelson AM. Best practice in nursing: a concept analysis. Int J Nurs Stud, 2014, 51(11): 1507-1516.

1. 郑大喜, 梁允萍, 冯欣, 等. 医疗联合体内涵与外延的界定. 中国医院管理, 2018, 38(8): 1-3.
2. 孙自学, 龙俊睿, 段光锋, 等. 我国医疗联合体发展的动态分析. 中国医院管理, 2016, 36(10): 1-4.
3. 中华人民共和国国家卫生健康委员会.对十三届全国人大一次会议第6590号建议的答复. (2019-01-04)[2019-04-25]. http://www.nhc.gov.cn/wjw/jiany/201901/5eaabd1cd10e4f5fb6de5c88fdd14162.shtml.
4. 李亚男, 吴海波. 中美医联体比较研究. 国外医学卫生经济分册, 2017, 34(4): 152-156, 162.
5. 黄培, 易利华. 3种不同类型医联体模式的实践与思考. 中国医院管理, 2015, 35(2): 16-19.
6. 陈雪柠. 2018年北京居民收入与经济增长同步人均可支配收入突破6万元. (2019-03-04)[2019-04-25]. http://www.beijing.gov.cn/gongkai/shuju/sjjd/t1579582.htm.
7. 北京市财政局.市财政积极推进紧密型医联体建设. (2018-10-25)[2019-04-25]. http://czj.beijing.gov.cn/zwxx/czyw/ t20181025_1042501.html.
8. 黄奕云, 谢满容, 孙闯, 等. 医联体模式下对脑卒中患者社区康复成本-效益的评价. 实用临床医学, 2017, 18(4): 94-97.
9. 张晓溪, 宗莲, 李芬, 等. 2016年上海市卫生总费用核算结果及特点分析. 中国卫生经济, 2018, 37(8): 45-49.
10. 戴瑞明, 张天天, 周奕男, 等. 分级诊疗制度上海模式的政策效力. 中国医院管理, 2017, 37(12): 4-5.
11. 白鸽, 何世英, 戴瑞明, 等. 分级诊疗预期效果评价方法及实证模拟评价. 中国医院管理, 2017, 37(11): 8-10.
12. 陈玮, 龚震晔, 费健, 等. 上海市居民对医疗联合体内康复服务需求分析. 中国医院, 2018, 22(1): 3-5.
13. Dunaway S, Montes J, McDermott MP, et al. Physical therapy services received by individuals with spinal muscular atrophy (SMA). J Pediatr Rehabil Med, 2016, 9(1): 35-44.
14. Stratil J, Rieger MA, Voelter-Mahlknecht S. Optimizing cooperation between general practitioners, occupational health and rehabilitation physicians in Germany: a qualitative study. Int Arch Occup Environ Health, 2017, 90(8): 809-821.
15. 何成奇. 解读《卫生部建立完善康复医疗服务体系试点工作方案》的基本思路. 中国康复医学杂志, 2012, 27(6): 494-496.
16. 路鹏程. 基于康复诊疗决策支援系统构建区域三级康复服务体系. 广州: 南方医科大学, 2013.
17. Pietrzak E, Cotea C, Pullman S, et al. Self-management and rehabilitation in osteoarthritis: is there a place for internet-based interventions?. Telemed J E Health, 2013, 19(10): 800-805.
18. Liu Q, Wang S, Lin J, et al. The burden for knee osteoarthritis among Chinese elderly: estimates from a nationally representative study. Osteoarthritis Cartilage, 2018, 26(12): 1636-1642.
19. Meng K, Peters S, Faller H. Effectiveness of a standardized back school program for patients with chronic low back pain after implementation in routine rehabilitation care. Patient Educ Couns, 2017, 100(6): 1161-1168.
20. Peters S, Faller H, Pfeifer K, et al. Experiences of rehabilitation professionals with the implementation of a back school for patients with chronic low back pain: a qualitative study. Rehabil Res Pract, 2016, 2016: 6720783.
21. 黄美玲, 王玉龙, 王尧. 康复医学专科医疗联合体中脑卒中患者康复疗效的同质化研究. 中国康复医学杂志, 2017, 32(6): 618-623.
22. 张潘, 冯佳佳, 张瑜, 等. 我国公立医院临床路径开展及管理情况分析. 中国医院管理, 2019, 39(2): 41-43.
23. 中华医学会科技评审部. 中华医学会根据" 国家卫生计生委办公厅关于实施有关病种临床路径的通知”要求发布临床路径. (2017-06-05)[2019-03-27]. https://www.cma.org.cn/art/2017/6/5/art_41_18011.html.
24. 中华医学会科技评审部. 中华医学会根据" 国家卫生计生委办公厅关于实施有关病种临床路径的通知”要求发布临床路径. (2016-12-09)[2019-03-27]. https://www.cma.org.cn/art/2016/12/9/art_41_18009.html.
25. Richards C L, Malouin F, Nadeau S. Stroke rehabilitation: clinical picture, assessment, and therapeutic challenge. Prog Brain Res, 2015, 218: 253-280.
26. Nguyen C, Lefèvre-Colau MM, Poiraudeau S, et al. Rehabilitation (exercise and strength training) and osteoarthritis: a critical narrative review. Ann Phys Rehabil Med, 2016, 59(3): 190-195.
27. Capozzi LC, Dolgoy ND, McNeely ML. Physical rehabilitation and occupational therapy. Oral Maxillofac Surg Clin North Am, 2018, 30(4): 471-486.
28. Christiansen DH, Frost P, Falla D, et al. Effectiveness of standardized physical therapy exercises for patients with difficulty returning to usual activities after decompression surgery for subacromial impingement syndrome: randomized controlled trial. Phys Ther, 2016, 96(6): 787-796.
29. Clarke DJ. Nursing practice in stroke rehabilitation: systematic review and meta-ethnography. J Clin Nurs, 2014, 23(9/10): 1201-1226.
30. Bhimani R. Understanding work-related musculoskeletal injuries in rehabilitation from a nursing perspective. Rehabil Nurs, 2016, 41(2): 91-100.
31. Dreyer P, Angel S, Langhorn L, et al. Nursing roles and functions in the acute and subacute rehabilitation of patients with stroke: going all in for the patient. J Neurosci Nurs, 2016, 48(2): 108-115.
32. 李敏. 专科康复护理对膝关节置换术后患者功能恢复效果的影响. 护理实践与研究, 2016, 13(18): 152-153.
33. 方梅, 温秀梅, 李小容, 等. 康复专科护理规范化流程管理在腰椎间盘突出症患者保守治疗中的效果观察. 国际护理学杂志, 2016, 35(6): 756-758.
34. Nelson AM. Best practice in nursing: a concept analysis. Int J Nurs Stud, 2014, 51(11): 1507-1516.

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