Stucki Gerold, Prodinger Birgit, Bickenbach Jerome
Department of Health Sciences and Health Policy, Faculty of Humanities and Social Sciences, University of Lucerne, Lucerne, Switzerland -
Swiss Paraplegic Research (SPF), Nottwil, Switzerland -
Eur J Phys Rehabil Med. 2017 Feb;53(1):144-149. doi: 10.23736/S1973-9087.17.04569-5. Epub 2017 Jan 24.
In this methodological note on applying the ICF in rehabilitation, we introduce suitable tools that allow us to document comprehensively and systematically the lived experience of health to guide clinical practice, the management of services, evidence-informed policy and scientific inquiry. The objective of this methodological note is to present the currently available tools with respect to four questions: 1) what ICF domains to document; 2) what perspective to take; 3) what data collection tools to apply; and 4) which approach to use for reporting. The application of these tools is illustrated using the Swiss Spinal Cord Injury (SwiSCI) Cohort Study. Existing ICF Sets provide a practical approach for identifying the domains to document. One can document from the perspective of biological health, lived health, and appraised health. For identifying suitable data collection tools, either existing tools can be linked to the ICF or available ICF-based data collection tools can be used. For reporting, an interval scale metric is suggested. The four step approach presented provides users with a logical sequence to follow when planning the documentation of functioning using the ICF as a health information reference system in practice and research.
在本关于在康复中应用《国际功能、残疾和健康分类》（ICF）的方法说明中，我们介绍了一些合适的工具，这些工具使我们能够全面、系统地记录健康的实际体验，以指导临床实践、服务管理、循证政策制定和科学探究。本方法说明的目的是针对四个问题介绍当前可用的工具：1）记录哪些ICF领域；2）采用何种视角；3）应用哪些数据收集工具；4）使用哪种报告方法。通过瑞士脊髓损伤（SwiSCI）队列研究来说明这些工具的应用。现有的ICF集为确定要记录的领域提供了一种实用方法。可以从生物健康、实际健康和评估健康的视角进行记录。为了确定合适的数据收集工具，可以将现有工具与ICF相联系，或者使用现有的基于ICF的数据收集工具。对于报告，建议采用区间量表指标。所呈现的四步方法为用户在实践和研究中使用ICF作为健康信息参考系统来规划功能记录时提供了一个可遵循的逻辑顺序。
