Gesundheits-, sozial-, gesellschafts- und organisationspolitische Auswirkungen der Anwendung der ICF auf eine integrierte Rehabilitation - Vision der Umsetzung und ihrer Folgen

Seger, Wolfgang; Schian, H.-M.; Steinke, B.; Heipertz, W; Schuntermann, Michael F.

doi:10.1055/s-2004-812821

Cited by 8 publications

(6 citation statements)

References 4 publications

(7 reference statements)

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“…In 2001 the World Health Organisation (WHO) adopted the International Classification of Functioning and Disability and Health as a means to describe health, functioning and disability for populations and individuals within health related domains [15], such as rehabilitation [24], statistical analysis [25], education [26], and governance [27]. The ICF is presented as a conceptual framework of disability and health, as well as a hierarchical classification of 1424 coded categories and 1122 definitions.…”

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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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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“…6 Zu den Erwartungen und Vorstellungen zur Umsetzung vgl. [55]. Zur Entwicklung auf internationaler Ebene siehe z.…”

Section: Icf´paradigmenwechsel´implementierungsphase´bestands− Aufnahunclassified

“…7 Nicht zuletzt aus diesem Grunde ist für die Themenbearbeitung auch die Etablierung einer nationalen Konsensuskonferenz gefordert wor− den, um ¹Wildwuchs" zu vermeiden (vgl. [55], S. 398). Ähnliche Erfah− rungen werden auch in anderen Ländern gemacht (z.…”

Section: Icf´paradigmenwechsel´implementierungsphase´bestands− Aufnahunclassified

Das Klassifikationssystem der ICF

Schliehe¹

2006

Rehabilitation

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With the International Classification of Functioning, Disability and Health, ICF and its adoption by the World Health Organization in May 2001, the concept of "functional health" reached a new dimension. Prepared and developed further over many years, the concept of a comprehensive and internationally consented classification system completed the shifting of paradigm in our notion of disease and disablement, bringing along far-reaching consequences for theory and practice in particular in rehabilitation. Symbolizing this paradigmatic shift, destigmatization, resource orientation, context factors, and participation are among the central notions of the concept. The ICF is a foundation for seeking international agreement across the bounds of disciplines and is amidst an intensive transfer and implementation process, also in Germany. Due to the multitude of actors and activities involved, it has become almost impossible even for those taking a strong interest in the matter to keep up with developments and fields of applications, let alone to achieve consensus in these respects. The German Society of Rehabilitation Sciences therefore initiated a problem-oriented stocktaking of the present situation. This article seeks to point out a number of important developments and trends in order to provide initial orientation and overview. The stocktaking is intended to contribute to further disseminating the ICF, at the same time however to outline several crucial fields of application and development. To be continued and deepened, this preliminary stocktaking underlines several core developments along with a number of conceptual issues still unresolved for the time being. Notwithstanding a high degree of acceptance of the concepts underlying the ICF, continued and, as far as possible, coordinated efforts toward implementation will be required at all levels.

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“…B. Versicherungen, Begutachtungen durchsetzen wird. Als neue und gemeinsame Kommunikationsbasis wird die ICF die multiprofessionelle und interdisziplinäre Zusammenarbeit der Kliniken, der Gesundheitseinrichtungen und der politischen Ebenen verbessern und fördern [9]. Es ist zu erwarten, dass das ICF-basierte Rehabilitationsmanagement auch die rehabilitativ-medizinische Berufsausbildung und im gesundheitspolitischen Bereich das Case-Management und die Ressourcenallokation beeinflussen wird.…”

Section: Präambelunclassified

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2004

Rehabilitation

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Gesundheits-, sozial-, gesellschafts- und organisationspolitische Auswirkungen der Anwendung der ICF auf eine integrierte Rehabilitation - Vision der Umsetzung und ihrer Folgen

Cited by 8 publications

References 4 publications

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

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

Das Klassifikationssystem der ICF

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