脳外傷リハビリテーションの課題

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In a previous review about the traumatic brain injury TBI rehabilitation presented in this journal in 1990, I pointed out the strong trends of development in this area in the U.S.A. In this review I again look into the current status of TBI rehabilitation in the U.S.A. and compare it with the status of Japan. The U.S.A. senate passed the public law called the Traumatic Brain Injury Act in 1996, which ensured the governmental funds of 8.5 million dollars a year available for TBI rehabilitation activities. The seventeen major rehabilitation facilities in the U.S.A. are assuming the role as the traumatic brain injury model systems TBIMS which provide the models of TBI rehabilitation and do research, education and technology transfer. The brain injury association of the U.S.A. BIAUSA, a very powerful organization of the patients and families, has established a network between 800 supporting organizations and has branches in 43 states. The Archives of Physical Medicine and Rehabilitation has published special issues on TBI rehabilitation in 1994 and 1997. It appears that the managed care environment in the U.S.A. has become a strong motive for the TBI specialists to publish articles to claim the efficacy of various types of TBI rehabilitation programs by many kinds of outcome studies. In Japan there are very scarce incidence studies and not such availability of the various kinds of TBI programs. The Japanese media have just started to broadcast about the lack of programs and insufficiencies of the governmental policies in TBI rehabilitation.
社団法人日本リハビリテーション医学会の論文
2000-02-18

脳外傷リハビリテーションの課題

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