Article

Rehabilitation is not cheap.
It depends upon personal interactions between
rehabilitation staff and the patient and their families, and salaries for staff
are always expensive. Rehabilitation depends upon learning, which takes time. The
more complex the problems presented by patients the more resources are likely to
be needed. This editorial reviews briefly the nature of complexity, emphasizing
that it encompasses both the number of factors impinging upon the outcome of
interest and the non-linear nature of many of the relationships between different
factors and inputs. It describes briefly the holistic biopsychosocial model of
illness that underlies much rehabilitation practice and a model of the
rehabilitation process, and it then considers how complexity might be measured.
It concludes that measures exist, such as the INTERMED, although they can
probably be improved. But evidence derived using the INTERMED already both
validates the biopsychosocial model of illness, and provides a sound basis for further developments.

Langue : ANGLAIS