ICF Core Set for patients with musculoskeletal conditions in the acute hospital
Thomas StollMirjam BrachErika Omega HuberM ScheuringerS. R. SchwarzkopfNenad KonstanjsekGerold Stucki
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Abstract:
Purpose: The aim of this consensus process was to decide on a first version of the ICF Core Set for patients with musculoskeletal conditions in the acute hospital.Methods: The ICF Core Set development involved a formal decision-making and consensus process integrating evidence gathered from preliminary studies including focus groups of health professionals, a systematic review of the literature and empiric data collection from patients.Results: Twenty-one experts selected a total of 47 second-level ICF categories. The largest number of categories was selected from the ICF component Body Functions (17 categories or 36%). Nine (19%) of the categories were selected from the component Body Structures, 11 (23%) from the component Activities and Participation, and 10 (21%) from the component Environmental Factors.Conclusion: The Acute ICF Core Set for patients with musculoskeletal conditions provides all professionals with a clinical framework to comprehensively assess patients in the acute hospital. This first ICF Core Set will be further tested through empiric studies in German-speaking countries and internationally.Keywords:
Component (thermodynamics)
Minimum Data Set
Implementation of the International Classification of Functioning, Disability and Health (ICF) started in 2001 with the unanimous endorsement of the classification by the 54th World Health Organization (WHO) as a framework for describing and measuring health and disability. In recent years, the ICF has been increasingly applied to research and development in China, and has influenced the policies of the Chinese Disabled Person Enterprise and Chinese Rehabilitation Career. This paper introduces the translation, training and spread of ICF and its application in the fields of medicine, society and education in China.
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Background The World Health Organization has adopted two classifications relating to disability, one was published in 1980 and the more recent one in 2001. Although the international classification of functioning, disability and health (ICF) was drafted as a revision of the international classification of impairments, disabilities and handicaps (ICIDH), the ICF is based on major changes when compared with the ICIDH. One of them has to do with the environment. Method Quotations from the classification manuals and related articles are presented in order to make clear the scope of the environment in the ICF. Results The ICF has a universal application. The gap between capacity and performance reflects the barriers created by the environment. Conclusions In the ICF, universalism and barriers have specific meanings, reflecting specific policy choices.
Universalism
Scope (computer science)
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The International Classification of Functioning, Disability and Health (ICF) provides a useful framework and classification to better situate disability, health, and functioning. The ICF recognizes disability and functioning as the dynamic individual and environment interaction, promoting a more realistic perspective. This article describes the ICF, its utility, and its strengths/weaknesses.
Strengths and weaknesses
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International classification of functioning (ICF) is a "common language" to describe health and disability. It gives detailed operational definitions of different functions that constitute health. From body functions such as vision, hearing, to activities of daily living and participation in societal life, ICF has brought international consensus on definitions and provided a framework to describe health and disability.
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Purpose: The purpose of this article is to describe the international classification system proposed by the World Health Organisation for describing individuals with disability. Initially the 'International classification of impairment, disability and handicap' (ICIDH) was used. This has been replaced by the 'International classification of functioning, disability and health' (ICF). Both of these systems will be described and followed by a discussion of the advantages and disadvantages of using the WHOs classification framework. An application to the field of severe disability will be made throughout.Method: Providing a theoretical framework for classification of disability in accordance with the system proposed by the WHO.Results: The ICF is a useful tool that contributes to uniformity of international terminology and standardization in the disability field. It is not a minority model, and focuses on strengths and skills.Conclusions: An international classification system such as the ICF offers a conceptual framework for information that is relevant to the long-term consequences of disability. Although any type of classification system has certain limitations, the advantages present within the ICF outweigh the limitations.
International standardization
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The International Classification of Functioning, Disability and Health (ICF) utilizes domains of body functions and structures, activities and participation, as well as environmental and personal factors to fully encapsulate the concepts of health and disability. The International Classification of Functioning, Disability and Health provides a rich and holistic understanding of functioning that is particularly valuable in the setting of childhood disability and rehabilitation. With applicability that enhances a nuanced understanding of each child within their family, school, and community, the International Classification of Functioning, Disability and Health also ensures facile and meaningful communication between professionals. Use of the International Classification of Functioning, Disability and Health promotes improved treatment plans for individual children and for larger programmatic decisions. This article demonstrates how the International Classification of Functioning, Disability and Health has reinvented the language and understanding of childhood disability and rehabilitation.
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The International Classification of Functioning, Disability and Health (ICF), provides a framework for the description of health and health-related states and offers a biopsychosocial model of disability. The ICF was introduced by the World Health Organization in 1999 as a response to the conceptual and practical difficulties posed by its predecessor, the International Classification of Functioning, Disability and Health. The ICF lists body functions and structure, and activity and participation. The relationship between impairment, activity, and participation is not linear, and can be further moderated by contextual factors, including personal and environmental factors. There are a wide range of potential applications of the ICF.It has been adopted most widely within rehabilitation services to describe individual functioning, but can also be used at a service and national policy level to describe, monitor, and evaluate different activities.This chapter outlines the use of the ICF, considers its strengths, and highlights its function in a range of settings.
Biopsychosocial model
Kinesiology
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The International Classification of Functioning, Disability and Health (ICF) provides a framework for the description of health and health-related states and offers a biopsychosocial model of disability. The ICF was introduced by the World Health Organization in 1999 as a response to the conceptual and practical difficulties posed by its predecessor, the International Classification of Functioning, Disability and Health. The ICF lists body functions and structure, and activity and participation. The relationship between impairment, activity, and participation is not linear, and can be further moderated by contextual influences, including personal and environmental factors. There are a wide range of potential applications of the ICF. It has been adopted most widely within rehabilitation services to describe individual functioning, but can also be used at a service and national policy level to describe, monitor, and evaluate different activities. This chapter outlines the use of the ICF, considers its strengths, and highlights its function in a range of settings.
Biopsychosocial model
Kinesiology
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Social functioning
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