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Community-based rehabilitation and health professional practice: developmental opportunities and challenges in the global North and South.

机译：基于社区的康复和卫生专业实践：全球北部和南部的发展机遇与挑战。

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PURPOSE: This article examines the politically-charged and hotly contested issue of the role of professionals can and should play in the provision of disability services in both the global North and South, with specific reference to Community-Based Rehabilitation (CBR). METHOD: A discursive theoretical discussion of the issues regarding the current and normative power relations that exist between disabled people and professionals working in the health sector is undertaken, by drawing upon contemporary debates in disability studies, rehabilitation, development studies and political science. This article provides an historical analysis of the development and subsequent critique of the underlying principles of CBR. Reference is then to the social model of disability and how it relates to client-professional relationships and subsequently analyses what impact and implications this has for professional practice. RESULTS: The normative relationships that exist between disabled people and health professionals remains a contested area. Political imperatives for increased user involvement and public sector reform necessitate the reconfiguration of client-professional relationships. However, there is scant agreement on precisely how this should take place. CONCLUSION: The article concludes by suggesting practical strategies on how health and care services can be provided in a manner that embraces the positive characteristics of the social model of disability, and which enables professionals, such as occupational therapists, rehabilitation professionals and physicians to act as facilitators in extending the human rights and responsibilities of disabled people.
机译：目的：本文探讨了在全球北部和南部，专业人员在提供残疾人服务方面可以而且应该发挥的政治作用和激烈争论的问题，并特别提及基于社区的康复（CBR）。方法：通过在残疾人研究，康复，发展研究和政治科学方面的当代辩论中，对残疾人与卫生部门专业人员之间当前和规范的权力关系问题进行了讨论性的理论讨论。本文对CBR的基本原理的发展和后续批评进行了历史分析。然后提及残疾的社会模型及其与客户-专业关系的关系，然后分析其对专业实践的影响和意义。结果：残疾人与卫生专业人员之间存在的规范关系仍然是一个有争议的领域。增加用户参与和公共部门改革的政治迫切需要重新配置客户与专业的关系。但是，关于如何进行准确的达成共识。结论：本文最后提出了一些实用策略，提出了如何以包含残疾社会模型的积极特征的方式提供保健和护理服务，并使职业治疗师，康复专业人员和医生等专业人员能够以促进残疾人的人权和责任的促进者。

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