The WHO construct of health-related functioning (HrF) and its implications for health policy

Salvador‐Carulla, Luis; Garcia-Gutierrez, Carlos

doi:10.1186/1471-2458-11-s4-s9

Cited by 24 publications

(17 citation statements)

References 32 publications

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“…Furthermore, dyspnea and fatigue are major factors that influence health-related quality of life. The interaction between progressive dyspnea and decreased health-related quality of life can lead to a worsened health status for patients with COPD [15]. …”

Section: Introductionmentioning

confidence: 99%

Impact of risk factors, activities and psychological disorders on the health of patients with chronic obstructive pulmonary disease in China: a cross-sectional study

Zhang¹,

Lou²,

Zhu

et al. 2013

BMC Public Health

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BackgroundPatients with chronic obstructive pulmonary disease (COPD) often have organ dysfunction and resulting poor quality of life; however, in China little information is available regarding factors that affect their health. Here, the relationship between risk factors, activities and psychological disorders and health of patients with COPD in rural areas of Xuzhou, China was assessed.MethodsA cross-sectional study of 7597 COPD patients randomly selected by place of residence from 24,641 COPD patients who had been identified by screening of the 1.10 million health records of all residents of the target area was carried out to evaluate the relationships between risk factors, activities, psychological disorders and the ADO index (age, dyspnea, and airflow obstruction). The participants were assessed by spirometry and by administering a newly designed face-to-face questionnaire, which included items on general factors, risk factors, activities and psychological disorders. Correlations between the ADO index and the items addressed by the questionnaire were calculated.ResultsThe mean score of the ADO index was 3.7 ± 1.6. The ADO indices of current smokers, ex-smokers, and non-smokers were 3.9 ± 2.1, 3.7 ± 1.9, and 3.2 ± 1.5, respectively (P < 0.001). The ADO indices of cooks and non-cooks were 4.0 ± 2.2 and 3.5 ± 1.7, respectively (P < 0.001). The correlation coefficient between self-assessment of health status and ADO index was 0.976 (P < 0.001). Only 5.7% of patients reported no limitation of their daily living activities. The correlation coefficient between daily living activities and ADO index was 0.981 (P < 0.001). Only 5.5% of patients reported no limitation of social activities. The correlation coefficient between social activities and ADO index was 0.989 (P < 0.001), between the assessed anxiety score and ADO index 0.972 (P < 0.001), and between the assessed depression score and ADO index 0.989 (P < 0.001).ConclusionsCOPD severity was significantly correlated with behavior (especially regarding smoking and cooking with biofuel in confined spaces), physical strength, daily living activities, social activities, anxiety and depression. Comprehensive approaches are required for the prevention and treatment of COPD.

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Section: Introductionmentioning

confidence: 99%

Impact of risk factors, activities and psychological disorders on the health of patients with chronic obstructive pulmonary disease in China: a cross-sectional study

Zhang¹,

Lou²,

Zhu

et al. 2013

BMC Public Health

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“…The subcategorization by clinical severity levels does not contradict the use of other approaches to subclassification, including multidimensional approaches aimed at connecting the IDD diagnosis to needed supports including intervention and planning (23). In the future, subcategorization based on clinical severity levels should be complemented by …”

Section: Subcategoriesmentioning

confidence: 99%

Intellectual developmental disorders: towards a new name, definition and framework for “mental retardation/intellectual disability” in ICD‐11

et al. 2011

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Although "intellectual disability" has widely replaced the term "mental retardation", the debate as to whether this entity should be conceptualized as a health condition or as a disability has intensified as the revision of the World Health Organization (WHO)'s International Classification of Diseases (ICD) advances. Defining intellectual disability as a health condition is central to retaining it in ICD, with significant implications for health policy and access to health services. This paper presents the consensus reached to date by the WHO ICD Working Group on the Classification of Intellectual Disabilities. Literature reviews were conducted and a mixed qualitative approach was followed in a series of meetings to produce consensus-based recommendations combining prior expert knowledge and available evidence. The Working Group proposes replacing mental retardation with intellectual developmental disorders, defined as "a group of developmental conditions characterized by significant impairment of cognitive functions, which are associated with limitations of learning, adaptive behaviour and skills". The Working Group further advises that intellectual developmental disorders be incorporated in the larger grouping (parent category) of neurodevelopmental disorders, that current subcategories based on clinical severity (i.e., mild, moderate, severe, profound) be continued, and that problem behaviours be removed from the core classification structure of intellectual developmental disorders and instead described as associated features.

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“…Although some of these limitations were inherent in the ICF at the time of its initial publication, others have become evident with implementation. These issues include underlying constructs related to health related functioning [13,14] and inadequate representation of the elements of the ''biopsychosocial'' model [15]. In this regard is should be noted that the biopsychosocial model has been a well-established holistic concept of health in medical literature [16] but this fact and its features were not acknowledged in any way in the development of the ICF.…”

Section: Icf: Lessons Learnedmentioning

confidence: 93%

ICF and ICF-CY lessons learned: Pandora’s box of personal factors

Simeonsson

Lollar

Björck‐Åkesson

et al. 2014

Disability and Rehabilitation

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A central contribution of the ICF/ICF-CY is the universal language of codes for the components of body structure, body function, activities and participation and Environmental Factors. As such the codes provide taxonomical legitimacy and power for documenting dimensions of functioning and disability in clinical and rehabilitation contexts. As there are no codes of "personal factors", there is no basis for documentation of the component. Demographic information, if needed for identification, should be recorded in customary formats, independent of any component or codes of the ICF/ICF-CY.

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The WHO construct of health-related functioning (HrF) and its implications for health policy

Cited by 24 publications

References 32 publications

Impact of risk factors, activities and psychological disorders on the health of patients with chronic obstructive pulmonary disease in China: a cross-sectional study

Impact of risk factors, activities and psychological disorders on the health of patients with chronic obstructive pulmonary disease in China: a cross-sectional study

Intellectual developmental disorders: towards a new name, definition and framework for “mental retardation/intellectual disability” in ICD‐11

ICF and ICF-CY lessons learned: Pandora’s box of personal factors

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