Jette Alan M
Health and Disability Research Institute, Boston University, 53 Bay State Road, Boston, MA 02215, USA.
Phys Ther. 2006 May;86(5):726-34.
Within physical therapy, the disablement model has proven useful as a language to delineate the consequences of disease and injury. This perspective provides an update on the changing language of disablement, reviews selected contemporary disablement models, and discusses some challenges that need to be addressed to achieve a universal disablement language that can be used to discuss physical therapy research and clinical interventions. The World Health Organization's International Classification of Functioning, Disability and Health (ICF) framework has the potential of becoming a standard for disablement language that looks beyond mortality and disease to focus on how people live with their conditions. If widely adopted, the ICF framework could provide the rehabilitation field with a common, international language with the potential to facilitate communication and scholarly discourse across disciplines and national boundaries, to stimulate interdisciplinary research, to improve clinical care, and ultimately to better inform health policy and management.
在物理治疗领域,失能模型已被证明是一种有用的语言,可用于描述疾病和损伤的后果。本文从这一视角对不断变化的失能语言进行了更新,回顾了一些当代失能模型,并讨论了要实现一种可用于讨论物理治疗研究和临床干预的通用失能语言需要解决的一些挑战。世界卫生组织的《国际功能、残疾和健康分类》(ICF)框架有可能成为失能语言的标准,该标准超越了死亡率和疾病范畴,转而关注人们如何与自身状况共处。如果被广泛采用,ICF框架可为康复领域提供一种通用的国际语言,有望促进跨学科和跨国界的交流与学术探讨,激发跨学科研究,改善临床护理,并最终为卫生政策和管理提供更充分的信息。