Level 6 -Centre of

Excellence

Level 5 -Hospital with

Rehab subspecialty

services

Level 4 -Hospital with

Resident Rehab.

Physician

Level 3 -District

Hospital/State Hospital

Level 2 -Health Clinics

/DH with PT/OT/ST

Level 1 -Health Clinics - with trained

MA/SN

Medical Division Public Health

REHABILITATION MEDICINE- MOH

MOH: Rehabilitation in Primary Care setting

1996 : plan for rehabilitation service in primary careCurrent:

•597 / 1061 Health Clinics has Physiotherapist and/ or Occupational Therapist / or Speech Therapist•Workforce: PT: 326 OT: 246 SLT: 2

Scope•Emphasis is more towards primary prevention •Service is delivered in clinic/nearby hospital or home through Domiciliary service. •15 Health clinics offers Psychosocial Rehabilitation through MENTARI program.

Source: BPKK

EMERGENCY MEDICINE

INTERNAL MEDICINE

GENERAL SURGERY

GENERAL PAEDIATRICS

RADIATION ONCOLOGYOBSTETRICS AND GYNAECOLOGY (O & G)

CARDIOTHORACIC

SURGERY

NEU

RO

SUR

GER

Y

PAEDIATRIC

SURGERY

CLINICAL ONCOLOGY

ANAESTHESIOLOGY AND

CRITICAL CARE

ORTHOPAEDIC SURGERY

UROLOGY

OTORHINOLARYNGOL

OGY

OPHTHALMOLOGY

PLASTIC SURGERY

FAMILY MEDICINE

PSYCHIATRY

PATHOLOGY

MEDICAL DIVISIONPUBLIC HEALTH

DIVISION

PUBLIC HEALTH

Integration in other Medical Specialities

orthopedics rehab

SCI Rehabilitation

Amputee Rehab

General Medicine

rehab

Stroke Rehab

Neurological Rehab

Neurosurgery Rehab ABI Rehab

Emergency Medicine

RehabPre-empted

Admission for thrombolysis

Knowing and understanding what and where services can be offered in both speciality

Dual directional relationships

Benefits:• Improvement in

communication• Seamless care for

patients• Rehab preparedness• Closing the gap

between specialities

Integration in other Medical Specialities -Hybrids

Obs & GynaeSCI

RehabilitationFertility clinics for SCI patients

Neurological rehabilitation/

ABI rehabilitation

Palliative Medicine

NeuroPalliative

Neurosurgery Rehab Psychiatry Neuropsychiatry

Neurological Rehab/ABI

rehabOphthalmology Neuro-Ophthal

Emphasis on in-patient rehabilitation programme

Prioritize services in major hospitals

Buy in from other

members of the rehab

team

Regular meetings and emphasis on

goals and time line

Rehab Cycle: Audiology

service

Interaction with other specialities on a regular

basis

Focus and build a

service one at a time

Postings to other

speciality during post

grad training

Reflection

Reh

abili

tati

on

in t

he

com

mu

nit

y

Outcomes

• Visibility Breeds Strengths

• Involvement in the extremes of continuum spectrum

• Diversified Rehab Role

Specialty

• Can be general but some are possibly unique to different subsets of disability group

Health outcomes