Krisciūnas Aleksandras, Keizeris Alvidas, Urboniene Ausrine
Department of Rehabilitation, Kaunas University of Medicine, Eiveniu 2, 50009 Kaunas, Lithuania.
Medicina (Kaunas). 2010;46 Suppl 1:1-7.
The International Classification of Functioning, Disability, and Health (ICF) organizes and classifies health and other related conditions, their consequences, and factors. The aim of this article is to summarize the experience of implementation of the ICF and possibilities for its application based on the recent literature data. This article gives brief information about background and history of the ICF development; essential ICF regulations and aims are defined as well as data on designing the methods of evaluation of health and other conditions related to it according to the ICF and their practical use in various rehabilitation spheres are presented. Examples of other countries where the ICF is accepted and implemented in social security sphere are given. After summarizing the information on experience of the ICF implementation in other countries, the following aspects are emphasized: evaluation methods of functional state for patients and disabled are being developed and implemented according to the Comprehensive and Brief ICF Core Sets; the need for service in rehabilitation, geriatrics, and social security spheres is identified; the effectiveness of rehabilitation programs is evaluated based on the changes of personal functionality, described by the ICF categories. Development of a rehabilitation program is illustrated by the example of practical application of the ICF. According to the experience of other countries, guidelines of the ICF implementation into practice in Lithuania are given.
《国际功能、残疾和健康分类》(ICF)对健康及其他相关状况、其后果和影响因素进行组织和分类。本文旨在基于近期文献数据总结ICF的实施经验及其应用可能性。本文简要介绍了ICF的发展背景和历史;明确了ICF的基本规则和目标,并介绍了根据ICF设计健康及其他相关状况评估方法的数据及其在各个康复领域的实际应用。列举了ICF在社会保障领域被接受和实施的其他国家的例子。在总结其他国家ICF实施经验的信息后,强调了以下几个方面:根据《综合和简要ICF核心集》开发和实施针对患者和残疾人功能状态的评估方法;确定康复、老年医学和社会保障领域的服务需求;根据ICF类别所描述的个人功能变化评估康复计划的有效性。通过ICF实际应用的例子说明了康复计划的制定。根据其他国家的经验,给出了立陶宛将ICF实施到实践中的指导方针。