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迈向通用残疾评估框架:利用国际功能、残疾和健康分类提供公共服务和福利的理论和方法学问题。

Towards a common disability assessment framework: theoretical and methodological issues for providing public services and benefits using ICF.

机构信息

Friuli-Venezia Giulia Health Agency - WHO Italian Collaborating Centre, via Pozzuolo 330, Udine, Italy.

出版信息

Disabil Rehabil. 2009;31 Suppl 1:S8-15. doi: 10.3109/09638280903317815.

DOI:10.3109/09638280903317815
PMID:19968541
Abstract

PURPOSE

To report on the preliminary results of an Italian project on the implementation of an ICF-based protocol for providing public services and benefits for persons with disabilities.

METHODS

The UN Convention on the Rights of persons with disabilities (UNC) was mapped to the ICF, and core elements were implemented in an ICF-based evaluation protocol. A person-environment interaction classification (PEIC) tree was also developed for defining evaluation outputs.

RESULTS

The PEIC and the ICF-based protocol are the guideline and the data interpretation source, respectively, for providing public services and benefits. They enable to assign persons to different services, from surveillance and monitoring to facilitator provision or sustain over time, to barrier removal or to the reorganisation of environmental factors provision. A detailed description of the target intervention is made available through the implementation of a protocol, which points out the effect of personal support and other environmental factors.

CONCLUSIONS

The detailed description of functioning and disability provided by our methodology can help policy makers and administrators in decision making, on the basis of a description of real needs, and in targeting person-tailored interventions.

摘要

目的

报告意大利开展的一个项目的初步结果,该项目旨在实施基于国际功能、残疾和健康分类(ICF)的协议,为残疾人士提供公共服务和福利。

方法

将《联合国残疾人权利公约》(UNC)映射到 ICF 上,并在基于 ICF 的评估协议中实施核心要素。还开发了一个人与环境交互分类(PEIC)树,用于定义评估结果。

结果

PEIC 和基于 ICF 的协议分别是提供公共服务和福利的指南和数据解释来源。它们可以将人员分配到不同的服务中,从监测和监控到提供促进者或随着时间的推移持续提供、消除障碍或重新组织环境因素的提供。通过实施协议,可以详细描述目标干预措施,指出个人支持和其他环境因素的效果。

结论

我们的方法提供的功能和残疾的详细描述可以帮助政策制定者和管理者在决策时,根据实际需求的描述,并针对个性化干预措施进行决策。

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