Hurst Rachel
Disability Awareness in Action, Special Rapporteur on Human Rights for Disabled Peoples' International, 11 Belgrave Road, London, SW1V 1RB, UK.
Disabil Rehabil. 2003;25(11-12):572-6. doi: 10.1080/0963828031000137072.
To outline the thinking of disabled people about their situation and status before the formulation of the ICIDH (International Classification of Impairment, Disability and Handicap) in 1980, the growth of the international disability rights movement since 1980, its subsequent involvement in the revision process and then its hopes as to the effectiveness of the ICF (the International Classification of Functioning, Disability and Health-the revised ICIDH) in the future.
This is a personal analysis based on the author's experience as a disability rights activist and as a member of the World Council of Disabled Peoples' International (DPI), elected in 1987 to represent DPI in the revision process and who later became Chair of the Environmental Task Force.
These are shown to be a major shift from the medical model of disability to the adoption of the interactive model and the impacts of environmental factors in all aspects of health and functioning.
That proper use of the environmental factors within the ICF will ensure appropriate policies, systems and services for health care and support, provide measurable indicators for health status and sustainable development and underpin the recognition that disability is a human rights issue.
概述1980年《国际损伤、残疾和障碍分类》(ICIDH)制定之前残疾人对自身状况和地位的看法,自1980年以来国际残疾人权利运动的发展,其随后参与修订过程的情况,以及对《国际功能、残疾和健康分类》(ICF,即修订后的ICIDH)未来有效性的期望。
这是基于作者作为残疾人权利活动家以及作为国际残疾人联盟(DPI)世界理事会成员的经历所做的个人分析。作者于1987年当选,在修订过程中代表DPI,后来成为环境问题特别工作组主席。
结果表明从残疾的医学模式到采用互动模式以及环境因素对健康和功能各方面的影响发生了重大转变。
在ICF中恰当运用环境因素将确保制定适当的医疗保健和支持政策、系统及服务,为健康状况和可持续发展提供可衡量的指标,并支持将残疾视为人权问题这一认识。