Overcoming Physical Medicine and Rehabilitation Challenges in the Future

Abstract

Medical sciences development was growing continually and fast, including in Physical Medicine and Rehabilitation (PM&R). Besides the development in medical science, the health care system also faces changes in conceptual and administration models which rise challenges to PM&R better services in the future. several indicators can be used to assessed PM&R service improvement, these indicators include ease of access for PM&R care, the ratio between population and PM&R specialist, also the availability of PM&R facilities following hospital standardization. Proper strategies and steps of anticipation must be prepared to tackle this rising challenge. Medical sciences development was growing continually and fast, including in Physical Medicine and Rehabilitation (PM&R). Currently, and also in the future, findings in biomedicine and technology of assistive devices for disabled people are one of the best inventions in PM&R. this advancement results in the improvement of care and the disabled's quality of life, however, it can also raise challenges for a physiatrist to develop their skills and explore the latest science following the advancement of science and technology to provide the best care for patients. In general, several indicators can be used to assessed PM&R service improvement, these indicators include ease of access for PM&R care, the ratio between population and PM&R specialist, also the availability of PM&R facilities following hospital standardization. Proper strategies and steps of anticipation must be prepared to tackle this rising challenge Currently, the health care system faces challenges that require conceptual changes and organization administration model to ease access to health care service, maintain a high quality of care, and maintain financial viability simultaneously. As a part of the health care system, PM&R service faces equivocal challenges so improvements are required to provide better service in the future. Demographic change in society was one of the changes occur in our health care system. Increased in the geriatric population were seen in many developing countries. This results in two consequences: (1) high prevalence of functional impairment caused by a normal degenerative process which results in health deterioration, and (2) pressure in society and health care system to provide care for this age group. The direction of organizational development and medical rehabilitation service will be affected by these consequences. Currently, a shift in disease patterns was occurring. An acute disease which previously common was now predominated by chronic disease. Many hospitals cares still set their focus on acute disease therapy, while the majority of the case is shifting towards the need for long term care. This discrepancy between patients’ needs and the care given by health care providers will rises challenges for both sides (Faria, 2010). The social model of functional impairment, as a new rehabilitation paradigm, stresses the awareness that environmental barriers on participation are the main cause of disability and dependency. This contrasts with the old paradigm, in which the functional problem was seen as a consequence of disability. The resolve for this issue requires, not only disabled people and their families, but also an