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Рехабилитационен екип - структура, роли и професионални компетенции на членовете

И. Kолева


The goal of current article is to emphasize the necessity of updating the structure of the rehabilitation team, the role and fields of competence of its members.

Different models of organization of the teamwork of the staff are applied: interdisciplinary (complex care of the patient based on different scientific and professional disciplines); multi-disciplinary or multi-professional (the role of every professional is completely independent from the others); transdisciplinary (everyone helps the work of the others; role and functions are distributed).

In the Bulgarian rehabilitation practice traditionally a lot of specialists are included: medical doctors - specialists in physical and rehabilitation medicine; professional bachelors with a degree in Rehabilitation, bachelors and masters with a degree in Medical Rehabilitation and Ergotherapy, in Kinesiotherapy and in Ergotherapy; masters with a degree Medical Rehabilitation and Balneology.

Author underlines the necessity of transition from a multi-disciplinary to a transdisciplinary model of team work. We suggest a clear definition of the fields of competence and the responsibility of the team members.

Concerning the role of the medical doctors we cite the European Definition of the Medical Act (Munich, 2005): `The medical act encompasses all the professional actions, e.g. scientific, teaching, training and educational, organizational, clinical and medico-technical steps, performed to promote health and functioning, prevent diseases, provide diagnostic or therapeutic and rehabilitative care to patients, individuals groups or communities in the framework of the respect of ethical and deontological values. It is the responsibility of, and must always be performed by a registered medical doctor/physician or under his or her direct supervision and/or prescription.`


rehabilitation team; professional competences; rehabilitation; kinesiotherapy; ergotherapy

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