We very much appreciate the well-considered comments to our article.
1We see these comments as an opportunity to provide more insight into the methodology applied to develop the World Health Organization’s (WHO) Package of Rehabilitation Interventions (PRI).
- Rauch A.
- Negrini S.
- Cieza A.
Toward strengthening rehabilitation in health systems: methods used to develop a WHO Package of Rehabilitation Interventions.
Arch Phys Med Rehabil. 2019; 100: 2205-2211
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- Toward strengthening rehabilitation in health systems: methods used to develop a WHO Package of Rehabilitation Interventions.Arch Phys Med Rehabil. 2019; 100: 2205-2211
- Strengthening health systems to provide rehabilitation services.Bull World Health Organ. 2017; 95: 167
- Evidence in rehabilitation medicine: between facts and prejudices.Am J Phys Med Rehabil. 2019; 98: 88-96
Published online: February 27, 2020
© 2020 by the American Congress of Rehabilitation Medicine
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- WHO Package of Rehabilitation Interventions: Some Concerns About MethodologyArchives of Physical Medicine and RehabilitationVol. 101Issue 6
- PreviewRauch et al1 recently published a Special Communication regarding the World Health Organization’s (WHO’s) planned methodology to develop a Package of Rehabilitation Interventions (PRI). Given the early stage of this project and in the hope that the process will be an ongoing one, I would like to express 4 concerns about the proposed methodology. First, the initial step in the planned process is to select health conditions that are prevalent and that cause disability. The authors acknowledge that “(defining) a package of rehabilitation interventions based on health conditions and not on functioning domains…may be controversial”1(p2209) but suggest that being able to later search the PRI for interventions by functioning domains adequately addresses this limitation.