Spies M, Brütt A L, Freitag M, Buchholz A
Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf.
Rehabilitation (Stuttg). 2015 Oct;54(5):297-303. doi: 10.1055/s-0035-1555908. Epub 2015 Oct 27.
The aim of this study was to gather information on the current state of the implementation of the International Classification of Functioning, Disability and Health (ICF) in psychosomatic and addiction rehabilitation.
In the summer of 2013, rehabilitation clinics in Germany were surveyed online on their ICF utilization. The questionnaire covered scope and purpose of ICF use, application of ICF core sets and assessments as well as barriers to the use of ICF.
Of 359 clinics invited, 104 (30%) participated in the survey. Of those surveyed, 60 (61.9%) claimed to have taken measures to implement the ICF in their clinic; only 37 (38.5%), however, reported using the ICF in their daily work. The main barriers identified were complexity of the ICF, time management issues and training deficits.
Approaches to ICF use are not uniform. There is a need for training programs, and guidance from health care insurance providers could help towards uniform implementation of the ICF.
本研究旨在收集有关《国际功能、残疾和健康分类》（ICF）在身心疾病与成瘾康复领域实施现状的信息。
2013年夏季，对德国的康复诊所就其ICF使用情况进行了在线调查。问卷涵盖了ICF使用的范围和目的、ICF核心组合与评估的应用以及ICF使用的障碍。
在受邀的359家诊所中，104家（30%）参与了调查。在接受调查的诊所中，60家（61.9%）称已采取措施在其诊所实施ICF；然而，只有37家（38.5%）报告在日常工作中使用ICF。确定的主要障碍是ICF的复杂性、时间管理问题和培训不足。
ICF的使用方法并不统一。需要开展培训项目，医疗保险机构的指导有助于ICF的统一实施。
