Abstract
The situation of rehabilitative procedure in medical settings is still uncertain. The phase classified by time-course (acute/sub-acute/chronic) and the category of the facility (general/rehabilitative/community-based) should be counted first in discussing this theme. Some clients receive rehabilitative therapeutic service for quite long time from acute hospital to community based settings. It is not easy to observe and maintain the quality of this medical resource crossing over the facilities variation. The professional therapists (Physical therapist・Occupational therapist・Speech pathologist) work together as a team according to the instruction of a Physician in charge or Physiatrist. The things should be mentioned specially is that each therapists works with their own opinion as certified professionals. Their therapeutic theories varies widely, because of not so many of them are on academic backgrounds with clarified evidence. Quality assurance of rehabilitation in medical circumstances would be established through the process of, 1) visualizing the theory of therapeutic measure and 2) standardization covering facilities with different characteristics.
