P-3-15-03
URBAN COMMUNITY-BASED REHABILITATION AT A UNIVERSITY HOSPITAL
Masazumi Mizuma, Yoshiaki Mori, Tetsuo Miyagawa, and Nobuyuki Kawate
(Dept. of Rehab. Medicine, Showa University, School of Medicine, Tokyo, JAPAN)
We analyzed diagnostic evaluation, with respect to place of residence, and the outcome for 1480 patients, including 631 with cerebrovascular disease (CVD), who underwent rehabilitation at Showa University Hospital from 1988 to 1992. Approximately 75% of patients lived in Tokyo, and 60% lived near the 3 wards (Ohta-ku, Shinagawa-ku, Meguro-ku). 80% of the resident patients in 3 wards lived within a radius of 3 kilometer of our hospital. So our hospital can provide not only highly specialized medical service, but also total rehabilitation service, including community-based rehabilitation. Consequently, the roles of our university hospital are performed as follows, 1) Care and rehabilitation for the patients through acute to continuing. 2) The relation with community hospitals and health care centers. 3) The function as a rehabilitation center. 4) Education for physiatrists and medical post-graduates and undergraduates about community-based rehabilitation included domicilary rehabilitation care.
P-3-16-01
EDUCATION OF REHABILITATION PROFESSIONALS IN ESTONIA
Ann Tamm (University of Tartu, Tartu, Estonia)
New problems rising during the ongoing medical and social welfare system reform demands restructuring of rehabilitation education in Estonia. Medical and social welfare system reform began with introduction of family medicine system in 1990. The first step of this reform was new education: through the continuing education courses (80 CP) to become family doctor. The same scheme was followed for the first course of rehabilitation doctors. Nowadays all specialists in medical field (doctors) are educated through the residency (2-5 years accordance to speciality). Restructuring of the hospital care system with decreasing beds and increasing importance of out-patient and home care system demands more well educated and trained rehabilitation professionals as earlier. Restructuring of rehabilitation professionals (physiotherapists, speech therapists, social workers) education began in University of Tartu in early 1990. This educational reform had deep influence to the organisation of rehabilitation system and demands the creation of education in occupational therapy-speciality absent nowadays in Estonia. The first group of occupational therapists had began their studies in co-operation with Oulu Polytechnic (Finland) in 1996. The future development of rehabilitation professional education we will preview within international co- operation and co-work in Baltic See Region according to minimum standards for education in relevant specialities.
