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

1.	鄭大喜, 梁允萍, 馮欣, 等. 醫療聯合體內涵與外延的界定. 中國醫院管理, 2018, 38(8): 1-3.
2.	孫自學, 龍俊睿, 段光鋒, 等. 我國醫療聯合體發展的動態分析. 中國醫院管理, 2016, 36(10): 1-4.
3.	中華人民共和國國家衛生健康委員會.對十三屆全國人大一次會議第6590號建議的答復. (2019-01-04)[2019-04-25]. http://www.nhc.gov.cn/wjw/jiany/201901/5eaabd1cd10e4f5fb6de5c88fdd14162.shtml.
4.	李亞男, 吳海波. 中美醫聯體比較研究. 國外醫學衛生經濟分冊, 2017, 34(4): 152-156, 162.
5.	黃培, 易利華. 3種不同類型醫聯體模式的實踐與思考. 中國醫院管理, 2015, 35(2): 16-19.
6.	陳雪檸. 2018年北京居民收入與經濟增長同步人均可支配收入突破6萬元. (2019-03-04)[2019-04-25]. http://www.beijing.gov.cn/gongkai/shuju/sjjd/t1579582.htm.
7.	北京市財政局.市財政積極推進緊密型醫聯體建設. (2018-10-25)[2019-04-25]. http://czj.beijing.gov.cn/zwxx/czyw/ t20181025_1042501.html.
8.	黃奕云, 謝滿容, 孫闖, 等. 醫聯體模式下對腦卒中患者社區康復成本-效益的評價. 實用臨床醫學, 2017, 18(4): 94-97.
9.	張曉溪, 宗蓮, 李芬, 等. 2016年上海市衛生總費用核算結果及特點分析. 中國衛生經濟, 2018, 37(8): 45-49.
10.	戴瑞明, 張天天, 周奕男, 等. 分級診療制度上海模式的政策效力. 中國醫院管理, 2017, 37(12): 4-5.
11.	白鴿, 何世英, 戴瑞明, 等. 分級診療預期效果評價方法及實證模擬評價. 中國醫院管理, 2017, 37(11): 8-10.
12.	陳瑋, 龔震曄, 費健, 等. 上海市居民對醫療聯合體內康復服務需求分析. 中國醫院, 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. 解讀《衛生部建立完善康復醫療服務體系試點工作方案》的基本思路. 中國康復醫學雜志, 2012, 27(6): 494-496.
16.	路鵬程. 基于康復診療決策支援系統構建區域三級康復服務體系. 廣州: 南方醫科大學, 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.	黃美玲, 王玉龍, 王堯. 康復醫學專科醫療聯合體中腦卒中患者康復療效的同質化研究. 中國康復醫學雜志, 2017, 32(6): 618-623.
22.	張潘, 馮佳佳, 張瑜, 等. 我國公立醫院臨床路徑開展及管理情況分析. 中國醫院管理, 2019, 39(2): 41-43.
23.	中華醫學會科技評審部. 中華醫學會根據" 國家衛生計生委辦公廳關于實施有關病種臨床路徑的通知”要求發布臨床路徑. (2017-06-05)[2019-03-27]. https://www.cma.org.cn/art/2017/6/5/art_41_18011.html.
24.	中華醫學會科技評審部. 中華醫學會根據" 國家衛生計生委辦公廳關于實施有關病種臨床路徑的通知”要求發布臨床路徑. (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. 專科康復護理對膝關節置換術后患者功能恢復效果的影響. 護理實踐與研究, 2016, 13(18): 152-153.
33.	方梅, 溫秀梅, 李小容, 等. 康復專科護理規范化流程管理在腰椎間盤突出癥患者保守治療中的效果觀察. 國際護理學雜志, 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. 鄭大喜, 梁允萍, 馮欣, 等. 醫療聯合體內涵與外延的界定. 中國醫院管理, 2018, 38(8): 1-3.
2. 孫自學, 龍俊睿, 段光鋒, 等. 我國醫療聯合體發展的動態分析. 中國醫院管理, 2016, 36(10): 1-4.
3. 中華人民共和國國家衛生健康委員會.對十三屆全國人大一次會議第6590號建議的答復. (2019-01-04)[2019-04-25]. http://www.nhc.gov.cn/wjw/jiany/201901/5eaabd1cd10e4f5fb6de5c88fdd14162.shtml.
4. 李亞男, 吳海波. 中美醫聯體比較研究. 國外醫學衛生經濟分冊, 2017, 34(4): 152-156, 162.
5. 黃培, 易利華. 3種不同類型醫聯體模式的實踐與思考. 中國醫院管理, 2015, 35(2): 16-19.
6. 陳雪檸. 2018年北京居民收入與經濟增長同步人均可支配收入突破6萬元. (2019-03-04)[2019-04-25]. http://www.beijing.gov.cn/gongkai/shuju/sjjd/t1579582.htm.
7. 北京市財政局.市財政積極推進緊密型醫聯體建設. (2018-10-25)[2019-04-25]. http://czj.beijing.gov.cn/zwxx/czyw/ t20181025_1042501.html.
8. 黃奕云, 謝滿容, 孫闖, 等. 醫聯體模式下對腦卒中患者社區康復成本-效益的評價. 實用臨床醫學, 2017, 18(4): 94-97.
9. 張曉溪, 宗蓮, 李芬, 等. 2016年上海市衛生總費用核算結果及特點分析. 中國衛生經濟, 2018, 37(8): 45-49.
10. 戴瑞明, 張天天, 周奕男, 等. 分級診療制度上海模式的政策效力. 中國醫院管理, 2017, 37(12): 4-5.
11. 白鴿, 何世英, 戴瑞明, 等. 分級診療預期效果評價方法及實證模擬評價. 中國醫院管理, 2017, 37(11): 8-10.
12. 陳瑋, 龔震曄, 費健, 等. 上海市居民對醫療聯合體內康復服務需求分析. 中國醫院, 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. 解讀《衛生部建立完善康復醫療服務體系試點工作方案》的基本思路. 中國康復醫學雜志, 2012, 27(6): 494-496.
16. 路鵬程. 基于康復診療決策支援系統構建區域三級康復服務體系. 廣州: 南方醫科大學, 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. 黃美玲, 王玉龍, 王堯. 康復醫學專科醫療聯合體中腦卒中患者康復療效的同質化研究. 中國康復醫學雜志, 2017, 32(6): 618-623.
22. 張潘, 馮佳佳, 張瑜, 等. 我國公立醫院臨床路徑開展及管理情況分析. 中國醫院管理, 2019, 39(2): 41-43.
23. 中華醫學會科技評審部. 中華醫學會根據" 國家衛生計生委辦公廳關于實施有關病種臨床路徑的通知”要求發布臨床路徑. (2017-06-05)[2019-03-27]. https://www.cma.org.cn/art/2017/6/5/art_41_18011.html.
24. 中華醫學會科技評審部. 中華醫學會根據" 國家衛生計生委辦公廳關于實施有關病種臨床路徑的通知”要求發布臨床路徑. (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. 專科康復護理對膝關節置換術后患者功能恢復效果的影響. 護理實踐與研究, 2016, 13(18): 152-153.
33. 方梅, 溫秀梅, 李小容, 等. 康復專科護理規范化流程管理在腰椎間盤突出癥患者保守治療中的效果觀察. 國際護理學雜志, 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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