Kleineke Vera Elisabeth, Menzel-Begemann Anke, Wild Burkhard, Meyer Thorsten
Institut für Epidemiologie, Forschungsschwerpunkt Integrative Rehabilitationsforschung, Sozialmedizin und Gesundheitssystemforschung der Medizinischen Hochschule Hannover, OE 5410, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.
Fachbereich Gesundheit, Lehr- und Forschungsgebiet Rehabilitationswissenschaften, Fachhochschule Münster, Münster, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2016 Sep;59(9):1139-46. doi: 10.1007/s00103-016-2405-9.
The International Classification of Functioning, Disability and Health (ICF), as well as the main goal of enabling participation, are of fundamental importance for medical rehabilitation. According to the logic of the ICF and its underlying multidimensional model of functioning and disability, the participation of a person can be influenced by modelling environmental factors.
This article presents environmental factors as defined by the ICF in the context of medical rehabilitation and aims to answer to what extent environmental factors are already involved in medical rehabilitation and if there are further environmental factors with the potential of being involved in interventions for improvement of participation.
An analysis of documents with relevance to medical rehabilitation was done. Text passages that referred to environmental factors were linked to the environmental factor codes of the ICF.
The ICF and its underlying model of functioning and disability provide a conceptual framework both for making the current usage of environmental factors apparent and for deriving and developing new intervention approaches with the involvement of environmental factors. The analysis of documents showed that environmental factor codes vary in how well they are represented in these documents. There are environmental factor codes that are barely or not at all represented, but do have potential to contribute to the improvement of participation.
《国际功能、残疾和健康分类》（ICF）以及促进参与这一主要目标对医学康复至关重要。根据ICF的逻辑及其功能和残疾的多维模型，个人的参与可能会受到环境因素塑造的影响。
本文介绍了ICF在医学康复背景下所定义的环境因素，旨在回答环境因素在多大程度上已参与医学康复，以及是否存在其他有潜力参与改善参与度干预措施的环境因素。
对与医学康复相关的文献进行了分析。提及环境因素的文本段落与ICF的环境因素代码相关联。
ICF及其功能和残疾模型为明确当前环境因素的使用情况以及在环境因素参与下推导和开发新的干预方法提供了概念框架。文献分析表明，环境因素代码在这些文献中的呈现程度各不相同。有些环境因素代码几乎没有或根本没有呈现，但确实有潜力促进参与度的提高。
