Identification of common content between the questionnaire of the Health Survey (ISA-SP) and the International Classification of Functionality, Disability, and Health

Abstract

The purpose of this paper was to identify the common contents between São Paulo's Health Survey Questionnaire (Physical Disability and Emotional Health Blocks) and the International Classification of Functionality, Disability, and Health. The first stage of the research consisted of the search for the modules of São Paulo's Health Survey, which addressed the issue of disability, and the passages about this theme were highlighted and inserted into a new file. In the second stage, the significant contents were extracted. In the last one, these contents were codified to the codes of the International Classification of Functionality, Disability, and Health by two independent researchers. For the descriptive statistical analysis, crude numbers, percentages, and simple frequencies were used. The degree of agreement between the two professionals was calculated using Kappa's coefficient and the confidence interval. The most common domains were those about functions and body structures and about activities and participation, in which the domain of environmental factors presented a lower frequency of approach.

Operacionalização da Classificação Internacional de Funcionalidade, Incapacidade e Saúde, CIF, em um Centro Especializado em Reabilitação

“…Data systematization, possibility of generating indicators and their contribution to qualify the healthcare, was a recurring topic highlighted by the professionals. National and international initiatives corroborating this finding were also identified (12)(13)(14)(15)(16) .…”

“…Results also show that the construction of a tool based on the reality of the healthcare center, which portraits its local needs, is essential. The collective creation of instruments, working with the Classification components, domains, categories and structure showed to be important for the experience and expansion of the biopsychosocial approach in the clinical practice, as well as to ensure the routine use of the classification, as stated by the professionals themselves at the end of the process (13)(14)(15)(16) .…”

“…To that end, the use of this Classification in healthcare services demands the development of appropriate tools for its implementation in the clinical-therapeutic practice. Tools comprising the core ICF sets, in combination with the use of qualifiers brought by the classification, allow the description of user's functionality experience, to define therapeutic goals and appropriate interventions, allowing an overlook of the resources needed to improve specific functionality aspects, as well as to monitor post-assistance changes (12)(13)(14)(15)(16) .…”

Pacientes com capsulite adesiva relatam melhora da funcionalidade pela Classificação Internacional de Funcionalidade, Incapacidade e Saúde e DASH após bloqueios do nervo supraescapular

“…Quanto menor o valor, melhor a funcionalidade do indivíduo. 15,20 O DASH avalia as disfunções do membro superior ao longo do tempo por meio de 30 questões sobre sintomas e realização de atividades específicas, e pode ser aplicado antes e após procedimentos. Sua pontuação vai até 100 (quanto maior a pontuação, maior a incapacidade).…”

“…12,13 O uso da CIF na prática clínica pode trazer informações importantes a serem levantadas no atendimento ao paciente, com uma linguagem unificada e padronizada baseada em diferentes construtos e domínios. [14][15][16] Outro instrumento bastante utilizado em estudos dos membros superiores é o questionário de Disfunções do Braço, Ombro e Mão (Disabilities of the Arm, Shoulder and Hand, DASH, em inglês), que é aplicado somente na avaliação da função e dos sintomas dessa parte do corpo durante a realização de certas atividades. 17 Há um apoio crescente ao uso de desfechos relatados pelo paciente para a determinação da qualidade do tratamento e da orientação terapêutica.…”