<p>The term “function” is widely used in manual medicine, orthopedics, and rehabilitation and represents a&#xa0;unifying, systemic approach to care management for all those involved in the rehabilitation process in the various organizational forms of rehabilitative intervention. Thinking in terms of functions is a&#xa0;complement and unifying element to pain medicine, and the recovery and stabilization of function is a&#xa0;positive goal. The central importance of functions –&#xa0;activities&#xa0;– participation in the individual context of the disease consequences model is reflected in the World Health Organization’s International Classification of Functioning, Disability and Health (ICF, 2001): People are viewed and treated from a&#xa0;lifespan perspective. This makes the restoration or promotion of physiological function a&#xa0;central criterion and goal in care management (treatment, prevention, prehabilitation, and rehabilitation) throughout a&#xa0;person’s life. Such “functional medicine” is a&#xa0;practical model for physicians and patients in communication and education. Function-oriented care management is presented using the specific example of patients with coxarthrosis and after endoprosthesis operations and their follow-up treatment.</p>

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Funktionsmedizin und Versorgungsmanagement

  • Volker Liefring,
  • Lothar Beyer,
  • Egbert Seidel,
  • Joachim Beyer

摘要

The term “function” is widely used in manual medicine, orthopedics, and rehabilitation and represents a unifying, systemic approach to care management for all those involved in the rehabilitation process in the various organizational forms of rehabilitative intervention. Thinking in terms of functions is a complement and unifying element to pain medicine, and the recovery and stabilization of function is a positive goal. The central importance of functions – activities – participation in the individual context of the disease consequences model is reflected in the World Health Organization’s International Classification of Functioning, Disability and Health (ICF, 2001): People are viewed and treated from a lifespan perspective. This makes the restoration or promotion of physiological function a central criterion and goal in care management (treatment, prevention, prehabilitation, and rehabilitation) throughout a person’s life. Such “functional medicine” is a practical model for physicians and patients in communication and education. Function-oriented care management is presented using the specific example of patients with coxarthrosis and after endoprosthesis operations and their follow-up treatment.