When East meets Wests: community-based rehabilitation in Chinese communities.
OBJECTIVE
Community-based rehabilitation (CBR) has been practiced in mainland China for over three decades. This study reviews the development of CBR and describes its practice in Chinese communities in order to discuss current controversies within CBR practice internationally and in the Chinese context.


METHODS
Review of literature. Development of CBR, its principles and controversies internationally and in the Eastern world is reviewed. CBR practice in Chinese communities is examined.


RESULTS
Shifting ideology and practices mean many different activities are labelled CBR. Variation across contexts has led to many controversies, specifically: the lack of evidence to support practice; ownership of programs; conceptual differences surrounding autonomy and participation and cultural issues. Contemporary Chinese cultural values and Chinese CBR are shaped by traditional peasant culture, traditional Chinese philosophy and socialist ideology.


CONCLUSIONS
The review indicates that Western CBR concepts and philosophy cannot be directly applied to the Chinese context. An appropriate model or framework is needed to fit the unique Chinese cultural context and to guide practice in Chinese communities.
Chung
Eva Yin-han
EY
SAHK, Home-Based Rehabilitation Service, Kowloon, Hong Kong, Hong Kong. eyhchung@yahoo.com.hk
Packer
Tanya
T
Yau
Matthew
M
D044466:Asian People; D002681:China; D003153:Community Health Services / Q000458:organization & administration*; D003256:Community Participation; D003431:Cross-Cultural Comparison; D003469:Culture; D006233:Persons with Disabilities / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D012046:Rehabilitation / Q000458:organization & administration*