Graduate Program in Health & Rehabilitation Science, Faculty of Health Sciences, The University of Western Ontario, London, Ontario, Canada.
J Interprof Care. 2010 Nov;24(6):666-77. doi: 10.3109/13561820903550671.
Primary health care (PHC) mandates the provision of services delivered by a collaborative team of providers, ultimately to improve quality of care and health status. Considering the challenges related to interprofessional collaboration within novel PHC models, we explored how the World Health Organization's (WHO) International Classification of Functioning, Disability and Health (ICF) could facilitate the enactment of PHC teams. The Canadian Family Health Team (FHT) initiative is used as an example. This paper will explore how the ICF could inform the development of a practice model to enable PHC. Three potential barriers to the envisioned enactment of PHC within the espoused Canadian FHT initiative are identified through a critical gaps analysis; lack of (i) philosophical grounding, (ii) developmental and operational directives, and (iii) evaluation methods. An ICF-informed practice model is proposed to overcome these potential barriers. It is argued that the proposed ICF-informed practice model has international implications as a unifying conceptual framework ideally situated to facilitate the provision of comprehensive evidence-based person-centered care by interprofessional collaborative teams within diverse PHC models.
初级卫生保健(PHC)要求由协作提供者团队提供服务,最终目的是提高医疗质量和健康状况。鉴于新型 PHC 模式中涉及到的跨专业合作的挑战,我们探讨了世界卫生组织(WHO)的《国际功能、残疾和健康分类》(ICF)如何能够促进 PHC 团队的实施。加拿大家庭健康团队(FHT)倡议被用作示例。本文将探讨 ICF 如何为促进 PHC 的实践模型的发展提供信息。通过批判性差距分析,确定了在加拿大 FHT 倡议中设想的 PHC 实施可能面临的三个潜在障碍:(i)缺乏哲学基础;(ii)发展和操作指令;(iii)评估方法。提出了一个基于 ICF 的实践模型来克服这些潜在障碍。有人认为,所提出的基于 ICF 的实践模型具有国际意义,因为它是一个统一的概念框架,理想情况下可以促进跨专业合作团队在各种 PHC 模式中提供全面的基于证据的以人为本的护理。