University Rehabilitation Institute RS, Ljubljana (IRLJ)
13.
Na dokazih sloneča rehabilitacijska medicina
Marinček, Črt ; Moharić, Metka
Rehabilitation medicine has advanced considerably as third branch of medicine (the other two being preventive and curative). However, it cannot develop further without concentrated efforts on ...research and evidence based development. This is essential for the following reasons: -to improve clinical practice and make it evidence-based; -to provide proof of both its effectiveness and cost effectiveness; -to improve the quality of life of people with disability; -to strengthen its academic presence in schools of medicine. In other words evidence based medicine in rehabilitation medicine has to specify the nature of a clinical problem, to evaluate the effectiveness of the way for solving it, and to convey its findings to those engaged in clinical practice as well as those who pay for the service. Rehabilitation medicine is one of the relatively young fields of healthcare, which grew its roots after the First World War and has been growing as a branch of modern medicine since the World War II. In the world today, which since then has not faced consequences of war and other catastrophes, the development of rehabilitation medicine has been advanced by demographic changes in Europe and North America. Rehabilitation medicine is no longer regarded as (solely) a right based on health or disability insurance but as an increasingly important factor affecting the quality of life of persons with various consequences of injuries and diseases. Rehabilitation medicine is not only interested in how to add years to life but how to add life to years and thus keep the abilities for an independent life also in the old age. Slovenia, like other parts of Europe, has not kept up with the United States in the standardization of the assessment of rehabilitation outcome. The main reason is historical and cultural differences which are reflected in health and social legislatures which in different countries place different emphases on rights and needs of insured persons. Even within the European Union, the differences have remained almost unchanged despite similarities in health and demographic status of various parts of Europe.
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