The report is available in English with a French summary - KCE

200 Musculoskeletal & Neurological Rehabilitation KCE reports 57
to be identified in the logic of “trajectories of care” with “phases” and fitting in
organisational “networks” or “chains of care”.
Some countries try to conceptually differentiate between “general rehabilitation”,
“general multidisciplinary rehabilitation”, “complex multidisciplinary rehabilitation”, and
“top reference multidisciplinary rehabilitation”. This distinction is based on the
particular needs of the patients. Organisations and providers are being identified to fulfil
tasks on this gradients. The planning of these centres is ought to be fitting with
geographical and epidemiological characteristics. The functioning of these different types
of facilities should be adapted to the logic of rehabilitation trajectories” in “networks”
or “chains of organisations”
In all countries it can be observed that some centres function as “reference centres” for
specific pathologies. They develop specific competences and knowledge related to
specific disorders. However, these centres are not exclusive to a certain pathology.
Neither does it mean that other centres cannot service similar pathology groups,
especially if a limited number of rehabilitation centres serve a region. All centres offer
rehabilitation support for different types of musculoskeletal and neurological problems
(with maybe as a sole exception for MS).
In some countries the access to rehabilitation is controlled through the aims of
rehabilitation. In Germany and the Netherlands, aged groups have a bigger chance to
have a different facility providing (less intensive) rehabilitation.
Other facilities, can provide a certain level of medical and paramedical rehabilitation, but
focus more on the longer term social aspects of rehabilitation. They mainly play a role
in the provision of (inpatient or ambulatory) support for those who are unable to live
independently.