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. 1970,. 1988 400 70 80, 1000 10 10%,.. 1988 13,000, 30 1,800. 1 10 9,000 1 4,500 1,. 40%.. 1965 300 100 10 1, 1970. 30 2..,.,. 10, 1.. (social support ). 1988,.,.
.,,...,..,,,,,...,.,.,,.,,,.,,,,,. 1. (1995).,., 2., (1990).. 3. (1993).., 13 (2), 96-111. 4. (1992)., ( ). 5. (1995).., 1
4-8. 6. (1998)., 7. Currie DM, M arburg er RA (1988). W ritin g T h erapy Referrals an d T reatm ent Plan s an d Interdisciplinary T eam, In DeLisa (Eds.), Rehabilitation M edicine, Prin ciples and Practice (pp. 145-157). 8. Dv onch P (1988). V ocation al Reh abilitation Coun selin g S ervices. In Goodgold (E ds.), Reh abilitation M edicin e (Ch apter 58, pp. 908-915), C. V. M osby. 9. DeLisa JA, M artin GM, Currie DM (1988). Rehabilitation M edicin e : Past, Present, an d Future. In Reh abilitation M edicine, Principles and Preactice (Ch apter 1, pp 3-24), J. B. Lippin cott 10. Giv en B, Simmon s S (1977). Interdisciplin ary H ealth Care T eam : F act or F iction? Nurs F orum, 15, 116-184. 11. Haestead L S, Grabois M (1985). Rehabilitation Specialists. In H alstead and Grabois (Eds.), M edic al Rehabilitation (Ch apter 2, pp 7-12), Rav en Press 12. Lane ME (1984). Preparin g for 1990 ' s : A Challeng e to Specialty of PM &R. Arch Phy s M ed Rehabil, 65, 740-741 13. LeF ebv re C, Berrym an (19880. T herapeutic Recreation, In Goodgold (ed.). Reh abilitation M edicine (Chapter 59, pp 916-923). C. V. M osby 14. Lehm ann JF (1968). Patient care n eeds a s a basis for dev elopm ent of objectiv es of phy sical medicin e and reh abilitation teachin g in undergraduate sch ools. J. Chronic Dis., 21, 3-12. 15. Mignan o MT (19880. Rehabilitation Nursin g. In Goodgold (Eds.). Reh abilitation M edicine (Chapter 31, pp 425-440). C. V. M osby. 16. Wiker son D.(1997). On the Language and Classification of Disablem ent and a New ICIDH. Rehabilit ation Outlook, 2(2), 5-7