The ICF has made a difference to functioning and disability measurement and statistics

Abstract

The ICF provides specificity and a common language in the complex world of functioning and disability and is stimulating new thinking, new applications in measurement and statistics, and the assembling of new knowledge. Nevertheless, the field needs to mature. Identified gaps suggest ways to improve measurement and statistics to underpin policies, services and outcomes. Implications for Rehabilitation The ICF offers a conceptualization of functioning and disability that can underpin assessment and documentation in rehabilitation, with a growing body of experience to draw on for guidance. Experience with the ICF reminds practitioners to consider all the domains of participation, the effect of the environment on participation and the importance of involving clients/patients in assessment and service planning. Understanding the variability of functioning within everyday environments and designing interventions for removing barriers in various environments is a vital part of rehabilitation planning.

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

“…The use of checklists allowed more visibility of the work process of several areas, creating indicators of problem-solving capacity for the assistance provided in each modality, being useful to plan healthcare based on the needs of both users and professionals, which is similar to the findings in other existent studies (22)(23)(24) . Findings also allow to classify and measure the functionality based on the use of ICF qualifiers, the degree of commitment, in addition to showing the evolution of participant users, which corroborates the studies already conducted (25,26) .…”

“…The results of the implementation process were presented to the participant team, as well as for all the managers, the Municipal Secretary of Health amongst them. Thus, checklists can be used by the local management, and provide the work process of several areas with more visibility, obtaining problem-solving indicators for the healthcare assistance provided, in addition to be useful to plan the healthcare based on the users' and professionals' needs, corroborating studies in the literature (15,(23)(24)(25)(26) .…”

“…The checklists, incorporated to the routine of the study healthcare center, can serve as a documentation about the users' health conditions, contributing to define goals for the rehabilitation plan, as shown by other studies (5,25,26) . Therefore, they can allow professionals and users to have clearer therapeutic goals, identifying what users actually do (performance) and what they are capable of doing (capacity), and how much that impacts the several life situations (participation), as well as to define more specific goals that are significant for users, as evidenced by the findings of this study (25,26,28) .…”

Biopsychosocial model in health care: reflections in the production of functioning and disability data

“…The discussion about the insertion of data related to functioning in different levels of documentation in health care becomes increasingly relevant in the last decade [15]. Thus, this article proposes a discussion based on the following guiding questions: 1) How important is the information on functioning to justify the targeting of resources for its systematic collection?…”

The International Classification of Health Interventions (ICHI) – a new tool for describing and reporting interventions in audiology

“…The newest member, ICHI, is currently in development and due for completion at the end of 2020. These classifications systematise health and medical concepts such as diagnosis, functioning and interventions, and provide a standard basis for collecting and exchanging information (Madden and Bundy 2019;Zaiss and Dauben 2018).…”