预防性个案管理

Preventive Rehabilitation

要在日常治疗中实现"无缝康复",确保在最佳时间内由最优秀的合格服务人员提供相应康复服务,医生和医院均面临很大的压力。要实现重新融入社会的目标,需要社会保障力量的不断努力,通过个案管理专业人员积极实施行动计划。"防优于治"的观点得到业界普遍认可,由此引出了"预防先于康复,康复先于赔付"的原则。预防也是专业康复管理不可分割的一部分。早期预防介入的目的是防止残疾人状况日趋恶化到只能依赖家庭及社会保障度日的境地。时间固然非常重要,但个性化举措对于预防性康复也起着至关重要的作用。因此,个案管理人员要保证在康复过程初期就考虑到被保险人的工作状况,便于实现重返工作岗位的目标。预防性康复成功的必要条件是:被保险人始终对专家的工作给予认可和支持,这也是整个医疗及职业康复过程中工作动力的主要来源。康复管理必须特别注重个体需求及早期参与。残疾人重新融入社会也同样重要。成为残疾人康复管理专业人员的先决条件是主管专家具有专业资格。因此,国际残疾管理标准委员会已开发出国际认可的培训模块及反映世界康复管理最高标准的认证过程。经过全部25个特定培训模块的培训并通过考试,即可获得残疾管理专业人员认证资格。

Treating physicians and hospitals are hard-pressed to ensure a seamless rehabilitation process during day-to-day treatment, in which the appropriate service is always provided at the optimal moment by the best qualified service provider. Consistent efforts to meet the reintegration objective require the social security carrier to implement active action plans via a professional case management. It is widely accepted that ＂Prevention is better than cure＂, leading to the principle of ＂prevention before rehabilitation and rehabilitation before compen- sation＂. However, prevention also plays an integral part of professional rehabilitation management, Prevention by early intervention aims to prevent people with disabilities from entering a downward social spiral until the bottom of which they become dependent on their family or social security. Even though time matters, tailored measures are key to preventive rehabilitation, too. Accordingly, case managers need to en- sure that the insured＇s individual work situation is taken into account from the very beginning of the rehabilitation process in order to facili- tate the goal of return to work. Preventive rehabilitation can only succeed if the experts＇ work is accepted and supported by the insured indi- vidual right from the start of the rehabilitation process. This is a key element of the individual＇s motivation in the process of medical and oc- cupational rehabilitation. Rehabilitation management must take particular account of individual needs and early involvement （participation）. Of at least the same importance is the reintegration of people with disabilities. A major requirement of a professional rehabilitation manage- ment for disabled people is the qualification of the experts running it. Therefore the International Disability Management Standards Council （IDMSC） has developed internationally acknowledged training modules and a certification processes reflecting the combined highest stan- dards on disability management around the world. Professionals trained on twenty five specific training modules that, in addition, have passed an exam are certified as CDMP, Certified Disability Management Professionals.