ICF und sozialmedizinische Beurteilung der Leistungsfähigkeit im Erwerbsleben: Alles klar? - Ein Diskussionsbeitrag

Körner, Mirjam

doi:10.1055/s-2005-866907

Cited by 5 publications

(4 citation statements)

References 4 publications

(4 reference statements)

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“…Conceptual papers on the applicability of the ICF in MEWC argue that the ICF is neither useful for describing (in)consistencies and causal relationships between impairments, contextual influences, activity limitations and work ability restrictions, nor for addressing the dynamic development of disability over time [10, 11]. However, since these issues reflect procedural and decisional challenges in MEWC rather than specific aspects related to functioning, they fall beyond the scope of the ICF taxonomy and will not be further dwelled upon in this study.…”

Section: Introductionmentioning

confidence: 99%

Towards comprehensive and transparent reporting: context-specific additions to the ICF taxonomy for medical evaluations of work capacity involving claimants with chronic widespread pain and low back pain

Schwegler

Anner

Becker

et al. 2014

BMC Health Serv Res

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BackgroundMedical evaluations of work capacity provide key information for decisions on a claimant’s eligibility for disability benefits. In recent years, the evaluations have been increasingly criticized for low transparency and poor standardization. The International Classification of Functioning, Disability and Health (ICF) provides a comprehensive spectrum of categories for reporting functioning and its determinants in terms of impairments and contextual factors and could facilitate transparent and standardized documentation of medical evaluations of work capacity. However, the comprehensiveness of the ICF taxonomy in this particular context has not been empirically examined. In this study, we wanted to identify potential context-specific additions to the ICF for its application in medical evaluations of work capacity involving chronic widespread pain (CWP) and low back pain (LBP).MethodsA retrospective content analysis of Swiss medical reports was conducted by using the ICF for data coding. Concepts not appropriately classifiable with ICF categories were labeled as specification categories (i.e. context-specific additions) and were assigned to predefined specification areas (i.e. precision, coverage, personal factors, and broad concepts). Relevant specification categories for medical evaluations of work capacity involving CWP and LBP were determined by calculating their relative frequency across reports and setting a relevance threshold.ResultsForty-three specification categories for CWP and fifty-two for LBP reports passed the threshold. In both groups of reports, precision was the most frequent specification area, followed by personal factors.ConclusionsThe ICF taxonomy represents a universally applicable standard for reporting health and functioning information. However, when applying the ICF for comprehensive and transparent reporting in medical evaluations of work capacity involving CWP and LBP context-specific additions are needed. This is particularly true for the documentation of specific pain-related issues, work activities and personal factors. To ensure the practicability of the multidisciplinary evaluation process, the large number of ICF categories and context-specific additions necessary for comprehensive documentation could be specifically allocated to the disciplines in charge of their assessment.

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Section: Introductionmentioning

confidence: 99%

Towards comprehensive and transparent reporting: context-specific additions to the ICF taxonomy for medical evaluations of work capacity involving claimants with chronic widespread pain and low back pain

Schwegler

Anner

Becker

et al. 2014

BMC Health Serv Res

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“…There is on-going scientific discussion of the precise boundaries and possible shortcomings of the ICF framework or the classification [35-38]. Some of these items of discussion are relevant to our argument:…”

Section: Discussionmentioning

confidence: 99%

“…The personal factors include aspects of the past (such as education) but in a static way. We are unable to describe the dynamic development of health and health-related domains, nor are there means to express the future events and prognosis of work [38]. With capacity, we can indicate the expected performance in a standardized environment but are still missing the dynamic development.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of work disability and the international classification of functioning, disability and health: what to expect and what not

et al. 2012

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BackgroundIndividuals who are sick and unable to work may receive wage replacement benefits from an insurer. For these provisions, a disability evaluation is required. This disability evaluation is criticised for lack of standardisation and transparency. The International Classification of Functioning, Disability and Health (ICF) was developed to express the situation of people with disability. We discuss potential benefits of the ICF to structure and phrase disability evaluation in the field of social insurance. We describe core features of disability evaluation of the ICF across countries. We address how and to what extent the ICF may be applied in disability evaluation.DiscussionThe medical reports in disability evaluation contain the following core features: health condition, functional capacity, socio-medical history, feasibility of interventions and prognosis of work disability. Reports also address consistency, causal relations according to legal requirements, and ability to work. The ICF consists of a conceptual framework of functioning, disability and health, definitions referring to functioning, disability and health, and a hierarchical classification of these definitions. The ICF component ’activities and participation’ is suited to capture functional capacity. Interventions can be described as environmental factors but these would need an additional qualifier to indicate feasibility. The components ‘participation’ and ‘environmental factors’ are suited to capture work requirements. The socio-medical history, the prognosis, and legal requirements are problematic to capture with both the ICF framework and classification.SummaryThe ICF framework reflects modern thinking in disability evaluation. It allows for the medical expert to describe work disability as a bio-psycho-social concept, and what components are of importance in disability evaluation for the medical expert. The ICF definitions for body functions, structures, activity and participation, and environmental factors cover essential parts of disability evaluation. The ICF framework and definitions are however limited with respect to comprehensive descriptions of work disability.

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“…E-services have also been considered as technology-based self-services[ 20 ]. For individuals with disabilities, e-services have become almost essential in their daily life by providing a variety of useful services and tools in any context of use [ 21 , 22 ], in order to cope with and alleviate their condition [ 23 ]. This suggests that e-tools and services need to be utilized in a wide range of situations, and that they need to be adapted to each person’s individual needs [ 19 , 20 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

How Do Persons with Mild Acquired Cognitive Impairment Use Information and Communication Technology and E-Services? Results from a Swedish National Survey

et al. 2016

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IntroductionMild acquired cognitive impairment is a term used to describe a sub-group of persons with mild cognitive impairment who are expected to reach a stable cognitive level over time. One tactic that can be considered for further developing treatment for this group is the use of information and communication technology and e-services. The purpose of this study was to investigate the current use of regular e-services and social media by this group as well as their user experiences.Methods and MaterialsData were collected through a self-administered survey and analyzed using quantitative methods. The questionnaire included questions regarding the participants’ use of and experience with e-services. Categorization of e-services was based on and cross-validated with the International Classification of Functioning, Disability and Health (ICF). To estimate participants’ degree and type of impairment, the Cognitive Failure Questionnaire (CFQ), measuring cognitive difficulties in performing everyday tasks, was added.ResultsIn total, 282 persons with acquired brain injury participated in the survey. The participants’ CFQ scores showed that they were suffering from mild to moderate cognitive impairments, most often acquired from traumatic brain injuries (40%). The majority (89%) used e-services in different categories whereof the most popular and essential ones were communication services (59%) and banking (39%) services. Participants with higher total CFQ scores (>58) used more e-services in most of the categories compared to participants with lower scores (<31). Although participants were interested in social media, they were annoyed by advertisements and the Internet speed in general. Some participants reported privacy concerns and addictive behavior. However, they mostly considered e-services to be trustworthy and supportive in different contexts. The usage of electronic devices decreased by age with the exception of electronic tablets that were used by older participants approximately as frequently as by other age groups.ConclusionsAlthough persons with mild to moderate acquired brain injury used various e-services that are not customized for them, very few participants used self-care health services (apps) and readers (e-readers). Further studies are needed on utilizing these identified aspects for this group to support them with their chronic condition.

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ICF und sozialmedizinische Beurteilung der Leistungsfähigkeit im Erwerbsleben: Alles klar? - Ein Diskussionsbeitrag

Cited by 5 publications

References 4 publications

Towards comprehensive and transparent reporting: context-specific additions to the ICF taxonomy for medical evaluations of work capacity involving claimants with chronic widespread pain and low back pain

Towards comprehensive and transparent reporting: context-specific additions to the ICF taxonomy for medical evaluations of work capacity involving claimants with chronic widespread pain and low back pain

Evaluation of work disability and the international classification of functioning, disability and health: what to expect and what not

How Do Persons with Mild Acquired Cognitive Impairment Use Information and Communication Technology and E-Services? Results from a Swedish National Survey

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