a Graduate Institute of Injury Prevention and Control, College of Public Health , Taipei Medical University , Taipei , Taiwan.
b Department of Physical Medicine and Rehabilitation , Wan Fang Hospital, Taipei Medical University , Taipei , Taiwan.
Disabil Rehabil. 2019 Jun;41(13):1552-1560. doi: 10.1080/09638288.2018.1442506. Epub 2018 Feb 24.
To explore the perceptions and attitudes among people with disabilities towards the newly implemented International Classification of Functioning, Disability and Health-based disability evaluation system (the new system) in Taiwan.
Using a self-administered questionnaire, we conducted a nationwide survey. The questionnaire focused on the domains of quality, satisfaction, and revision of the new system. In total, 1073 persons (age, ≥18 years) with disabilities or their primary caregivers, who experienced both the old and the new system, responded to the questionnaire.
Most participants were satisfied with the new system overall (58.7%) and the subscale of quality of structure (91.3%) and quality of outcome (63.6%). However, only 20.5% of the participants were favourable to the quality of process. The probability of being satisfied with the system overall was low for the quality of process subscale (adjusted odds ratio range, 0.3 ∼ 0.4) and its item of long interval (0.2 ∼ 0.6). Contrariwise, the probability was high for the other subscales (3.9 ∼ 13.7) and the item of identifying needs (21.9 ∼ 23.4).
Persons with disabilities and their primary caregivers have positive attitudes towards the new system. It is important to simplify the assessment tools and procedures to improve the system's quality of process and facilitate its usability. IMPLICATIONS FOR REHABILITATION Persons with disabilities have positive attitudes towards the newly implemented International Classification of Functioning, Disability, and Health-based disability evaluation system in Taiwan. The system that provides comprehensive information about functioning and disability of persons with disabilities is able to capture the difficulties and needs of those individuals in their daily lives. The system hence helps people to mitigate the effects of disability and guide rehabilitation. The assessment items and processes of the system, however, were perceived to be complicated, time-consuming, and inconvenient. Simplifying the assessment items and processes, such as developing a short form version of the assessment tool and increasing the service time, may facilitate the usability of the system.
探讨台湾新实施的基于国际功能、残疾和健康分类的残疾评估系统（新系统）在残疾人群体中的感知和态度。
采用自填式问卷进行全国性调查。问卷重点关注新系统的质量、满意度和修订等方面。共有 1073 名（年龄≥18 岁）残疾人士或其主要照顾者曾经历过新旧系统，他们对问卷做出了回应。
大多数参与者对新系统总体（58.7%）和结构质量（91.3%）以及结果质量（63.6%）的满意度较高。然而，只有 20.5%的参与者对过程质量表示满意。对系统总体质量满意度较低的是过程质量子量表（调整后的优势比范围为 0.3～0.4）及其间隔时间长的项目（0.2～0.6）。相反，其他子量表（3.9～13.7）和需求识别项目（21.9～23.4）的满意度较高。
残疾人士及其主要照顾者对新系统持积极态度。简化评估工具和程序以提高系统的过程质量并提高其可用性非常重要。
残疾人士对台湾新实施的基于国际功能、残疾和健康分类的残疾评估系统持积极态度。该系统提供了关于残疾人士功能和残疾的全面信息，能够捕捉到他们日常生活中的困难和需求。该系统有助于减轻残疾的影响并指导康复。然而，该系统的评估项目和流程被认为较为复杂、耗时且不便。简化评估项目和流程，例如开发评估工具的简短版本并增加服务时间，可能会提高系统的可用性。
