Commentary on “The learning rehabilitation system: Strengthening an intersectoral strategy to improve functioning of an ageing population” by Bickenbach et al.

Abstract

Bickenbach et al. in their paper propose the transformation of the Learning Health System paradigm into a Learning Rehabilitation System. The shift towards Rehabilitation, as opposed to the traditional anatomical-physiological approach, holds paramount importance in healthcare since Rehabilitation, as defined by the World Health Organization, centers on the individual, emphasizing the optimization of functioning and reduction of disability. In this commentary we would like to add some concepts to the discussion. When establishing an Individual Rehabilitation Project, the environment in which patients live and healthcare workers operate should be considered, since the broad context could be very different. We believe that a smooth and successful transition through a Learning Rehabilitation System needs an ethical and not moralistic educational system, solid international political stability and an active prevention perspective by health organizations. A new “health pyramid” grounded in the concept of human functioning of the single individual, should be the compass guiding future health interventions.