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Journal of Varna Medical College

Role of rehabilitation in chronic disease

Paraskeva Mancheva, Gergana Nenova, Nikolay Nedev, Elena Kraycheva

Abstract

Better health is the main goal of every society, that is aiming to achieve it with the help of the healthcare system. The modern world is facing a new structure of morbidity, in which the chronically ill are 70% of the diseased, that are looking for medical help. Rehabilitation is one of the opportunities, to which the society directs its attention with the hope of improving the quality of the patient`s life. Having that in mind, the specialists, leading the rehabilitation process, must solve that kind of problem every day by defining and performing the methods and means in each individual patient. The amount of rehabilitation care is different for every patient and is based on his/her functional potential, the affected organ and has the task of developing a compensatory mechanism, allowing the replacement of weakened or lost functions. Under the impact of the systemic implementation of different exercises the deficits, accumulated as a result of chronical illness, can be restricted. The improvement of quality of care for these patients requires insurance of a working example for rehabilitation care in the conditions of hospital and non-hospital environment. The facing of challenges in the provision of complex and long-term care for the patient requires well prepared professionals, who can provide it. The expected results are related to the improvement of the quality of care for the ill person and the reduction of the financial outlays of the health and social systems of our country.


Keywords

chronical disease, rehabilitation

Full Text


References

Горанов, М. Основи на общата медицина, Университетско издателство, ВМИ-Плевен, 2001, 88-89, 120-303.

Дернер, К. Хороший врач. Алетейя, Москва, 2006, 156.

Желев, В. Физиотерапия при вътрешни и хирургични болести, Изд.Авангард Прима, София, 2013.

Желев, В. Физиотерапия Трета част, Изд.Авангард Прима, София, 2011.

Gillam, S., A. N. Siriwardena. The Quality and Outcomes Framework: QOF- Transforming General Practice. Radcliffe Publishing Oxford, 2010. Spiegel, J. S., T. M. Spiegel, N. B. Ward. Are rehabilitation programs for rheumatoid arthritis patients effective? Semin Arthritis Rheum, 1987, 16:260-270.

Kachakova, V. et al. Intefrated HIV Care – Good Practices from Bulgaria – oral presentation for the 15-th Conference for Integrated care, 25-28 march 2015, Edinburgh, Scotland.

Netherlands Health Care Inspectorate. The State of Health Care (Summary). Coordination of care (seamless care) for chronically ill patients, The Haque, 2003, 69-73.

Tijhuis, G. J., A. H. Zwinderman, J. M. W. Hazes, W. B. van den Hout, F. C. Breedveld, T. P. M. Vliet. Vlieland Arandomized comparison of care provided by a clinical nurse specialist, inpatient team care and day patient team care in rheumatoid arthritis. Arthritis Rheum, 2002, 47, 525-531.

Tsiachristas, A., B. Hipple-Walters, K. M. Lemmens, A. P. Nieboer, M. P. Rutten-van Molken. Towards integrated care for chronic conditions: Dutch policy developments to overcome the (financial) barriers. Health Policy, 2011, 101, 122-132.

Valentijn, P., S. Schepman, W. Opheij, M. Bruijnzeels. Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care. Int J Integr Care, 2013, 13(1).

Word Confederation for Physical Therapy. Ethical principles. London, UK: WCPT, 2011.

Word Confederation for Physical Therapy. Policy statement: Ethical responsibilities of physical therapists and WCPT members. London, UK: WCPT, 2011.


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