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目前全国各地综合医院正依据卫生部《全国综合医院分级管理标准》设置康复医学科,这对于康复医学事业的发展以及众多的残疾者来说,无疑是件好事。但我们注意到,各地在具体实施过程中,存在着一些认识上、做法上的偏差,严重影响和制约着康复医学事业的健康发展。有鉴于此,我们依照国家有关文件,结合国内外先进康复医学科室的经验。提出综合医院康复医学科设置的构想,以供同道参考。一、综合医院康复医学科的性质、任务康复医学与临床医学并非是重复的,也不是治疗的延续,而是并列关系,从治疗的第一阶段开始就同时并进。临床医学的诊治对象是疾病,而康复医学诊治的对象是残疾,如瘫痪、器官缺损、聋、哑、盲等以及可能导致残疾的伤病;临床医学采取的方法基本上是药物、手术,康复医学除了应用一般的医疗技
At present, general hospitals across the country are setting up rehabilitative medicine departments according to the “National General Hospital Classification Management Standards” set up by the Ministry of Health. This is undoubtedly a good thing for the development of rehabilitation medicine and many disabled people. However, we have noticed that there are some deviations in understanding and practice in the specific implementation process of various places, which seriously affect and restrict the healthy development of rehabilitation medicine. In view of this, we have combined the experiences of advanced rehabilitation medical departments at home and abroad in accordance with relevant national documents. The idea of setting up a general hospital rehabilitation medicine section was proposed for reference. 1. The nature of rehabilitation medicine in general hospitals, task rehabilitation medicine, and clinical medicine are not repeated, nor are they a continuation of treatment, but rather a parallel relationship. From the first stage of treatment, it goes hand in hand. The object of diagnosis and treatment in clinical medicine is disease, while the object of diagnosis and treatment in rehabilitation medicine is disability, such as delirium, organ defect, deafness, dumbness, blindness, and injury that may lead to disability; the methods adopted in clinical medicine are basically drugs, surgery, and rehabilitation. In addition to applying general medical technology, medicine