How do Health, Medical Treatment and Welfare Service Providers Conceptualize Community-Based Rehabilitation? -Comparison with Community Care-

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  • Morita Hiroaki
    Department of Physical Therapy, Aomori University of Health and Welfare
  • Ito Hideo
    Former Department of Physical Therapy, Aomori University of Health and Welfare
  • Yamamoto Harue
    Department of Nursing, Aomori University of Health and Welfare

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Abstract

[Purpose] This study was conducted to establish an understanding of how health, medical treatment and welfare service providers conceptualize the term "community-based rehabilitation (CBR)", based on comparison with community care and to provide cautions in use of CBR in support activities. [Subjects and Methods] The subjects were 2894 randomly selected workers supporting the elderly and disabled in 982 institutions in all areas of Aomori Prefecture using the stratified cluster sampling. The questionnaires were sent by mail. The subjects selected items that they considered to be the content of CBR or community care from 22 social resources available for the elderly and disabled (multiple answers allowed). [Results] The subjects recognized as CBR were limited to outpatient treatment and rehabilitation, day service and day care with rehabilitation service, home-visit rehabilitation service and functional training. The subjects considered that the concept of community care was wider than CBR regardless of occupation, however, the concept of approximately half of social resources varied between occupation. [Conclusion] In CBR as used in support activities, it is necessary to educate healthcare and welfare service providers about the definitions according to the substance of the definition of these terms in advance. Furthermore, the concept of CBR should be standardized between them.<br>

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