Heerkens Yvonne, Bougie Theo, Claus Ellen
Duth Institute of Allied Health Care, Amersfoort, The Netherlands.
Prosthet Orthot Int. 2011 Sep;35(3):310-7. doi: 10.1177/0309364611419890.
For many people assistive products are important to perform daily activities and to participate in society. In the process of selecting the proper assistive product for a person, it is important to describe in a uniform and transparent way his/her present functioning and wishes with respect to functioning. To indicate how the ICF (the International Classification of Functioning, Disability and Health) can be used during the supply process, we have taken as a framework a general guideline describing this process. The guideline distinguishes seven steps in the supply process and for each step an inventory is made of the actions of the client, the actions of the care professional, the instruments used, the decisions made, the data generated, relevant classifications (including the ICF) to code these data, and the results for the client. It is the aim of this discussion paper to describe the role of the ICF in the prescription and supply of assistive products and to discuss the specific data in this process that can be classified using the ICF. Although the ICF is not perfect, it is a useful tool to code important data in the process of supplying assistive products. Clinical relevance Assistive products - used worldwide by millions of people - are used to maintain or enhance functioning, rather than to cure a disease.( 1 ) As functioning can be classified with the International Classification of Functioning, Disability and Health (ICF), it can be expected that the use of ICF terminology in the supply process of assistive products will result in a better match between the characteristics of the person and the characteristics of the assistive product.
对许多人来说，辅助产品对于开展日常活动和融入社会至关重要。在为某人选择合适辅助产品的过程中，以统一且透明的方式描述其当前功能以及对功能的期望非常重要。为了说明在供应过程中如何使用《国际功能、残疾和健康分类》（ICF），我们采用了一个描述该过程的通用指南作为框架。该指南在供应过程中区分了七个步骤，并针对每个步骤列出了服务对象的行动、护理专业人员的行动、所使用的工具、做出的决定、生成的数据、用于对这些数据进行编码的相关分类（包括ICF）以及对服务对象的结果。本讨论文件的目的是描述ICF在辅助产品处方和供应中的作用，并讨论在此过程中可使用ICF进行分类的具体数据。尽管ICF并不完美，但它是在辅助产品供应过程中对重要数据进行编码的有用工具。临床相关性 辅助产品在全球被数百万人使用，其用途是维持或增强功能，而非治愈疾病。（1）由于功能可通过《国际功能、残疾和健康分类》（ICF）进行分类，因此可以预期，在辅助产品供应过程中使用ICF术语将使人的特征与辅助产品的特征更好地匹配。
