Department of Health Sciences and Health Policy, University of Lucerne, Lucerne, Switzerland.
J Occup Rehabil. 2010 Dec;20(4):502-11. doi: 10.1007/s10926-010-9241-9.
The consequences of accidents, injuries, and health conditions that prevent workers from engaging in employment are prevailing issues in the area of work disability. Vocational rehabilitation (VR) programs aim to facilitate return-to-work process but there is no universal description of functioning for patients who participate in VR. Our objective is to develop a Core Set for VR based on the international classification of functioning, disability, and health (ICF). An ICF Core Set is a short list of ICF categories with alphanumeric codes relevant to a health condition or a health-related event.
Development process consists of three phases. First is the preparatory phase which consists of four parallel studies: (1) systematic review of the literature, (2) worldwide survey of experts, (3) cross-sectional study, and (4) focus group interview. Patients with various health conditions are to be recruited from five VR centers located in Switzerland and Germany. The second phase is a consensus conference where findings from the preparatory phase will be presented followed by a multi-stage consensus process to determine the ICF categories that will comprise the Core Set for VR. The final phase consists of validation studies in several health conditions and settings.
We expect the first version of the ICF Core Set for VR to be completed in 2010. The Core Set can serve as a guide in the evaluation of patients and in planning appropriate intervention within VR programs. This Core Set could also provide a standard and common language among clinicians, researchers, insurers, and policymakers in the implementation of successful VR.
事故、伤害和健康状况导致工人无法就业的后果是工作残疾领域的普遍问题。职业康复（VR）计划旨在促进重返工作岗位的过程，但对于参与 VR 的患者，没有普遍的功能描述。我们的目标是根据国际功能、残疾和健康分类（ICF）制定基于 VR 的核心集。ICF 核心集是与健康状况或健康相关事件相关的 ICF 类别简短列表，带有字母数字代码。
开发过程包括三个阶段。第一阶段是准备阶段，包括四项平行研究：（1）文献系统回顾，（2）专家全球调查，（3）横断面研究和（4）焦点小组访谈。将从瑞士和德国的五个 VR 中心招募各种健康状况的患者。第二阶段是共识会议，会上将介绍准备阶段的研究结果，然后进行多阶段共识过程，以确定构成 VR 核心集的 ICF 类别。最后阶段包括在多种健康状况和环境中进行验证研究。
我们预计 2010 年将完成 VR 的第一个 ICF 核心集版本。核心集可作为评估患者和规划 VR 计划中适当干预措施的指南。该核心集还可以为临床医生、研究人员、保险公司和政策制定者在实施成功的 VR 方面提供标准和通用语言。
