Giardini Anna, Traversoni Silvia, Garbelli Claudio, Lodigiani Anna
Servizio di Psicologia, Istituti Clinici Scientifici Maugeri SpA Società Benefit, IRCCS Montescano (PV).
Direttore Sanitario Centrale, Istituti Clinici Scientifici Maugeri SpA Società Benefit.
G Ital Med Lav Ergon. 2018 Feb;40(1):22-29.
In the light of the growing complexity featuring the contemporary world, a future challenge is represented by the maintenance of the humanization of healthcare, along with the necessity of a high specificity personalized treatment, in a growing emergency of lack of resources. Furthermore, the ongoing digital revolution spreading in every productive sector involves the health-care system as well, playing a crucial role for the goals of the specialized care-related prevention-treatment-rehabilitation approach of the Rehabilitation Medicine. However, the digitalization of clinical data is not to be considered as a mere tout-court necessity, but it deserves to be planned and carried out with consistent awareness: the digital transformation calls for a theoretical paradigm which, together with a shared language, will be able to embrace its multilevel complexity, taking into account the patient needs, the clinical care pathways and the administrative requests.
In the present work the potentialities of the WHO ICF model (International Classification of Functioning, Disability and Health) will be described. In particular, will be discussed the role of the ICF in representing the keystone able to connect the ICD-9-CM classification, the clinical care pathways, the individualized rehabilitation project and program and their digital implementation.
Hence, each step of the process that led the implementation of the biopsychosocial model in the ICF Maugeri workflows will be presented, as well as the critical issues related to the digitalisation process and the strengths in safeguarding the patients' wellbeing.
鉴于当代世界日益复杂，未来的一项挑战是在资源日益匮乏的紧急情况下，维持医疗保健的人性化，同时需要高度特异性的个性化治疗。此外，正在各个生产部门蔓延的数字革命也涉及医疗保健系统，对康复医学专业护理相关的预防 - 治疗 - 康复方法的目标发挥着关键作用。然而，临床数据的数字化不应仅仅被视为一种简单的必然需求，而值得在具有一致认识的情况下进行规划和实施：数字转型需要一种理论范式，这种范式连同一种共享语言，将能够涵盖其多层次的复杂性，同时考虑患者需求、临床护理路径和行政要求。
在本研究中，将描述世界卫生组织国际功能、残疾和健康分类（ICF）模型的潜力。特别是，将讨论ICF在代表能够连接ICD - 9 - CM分类、临床护理路径、个性化康复项目及其数字实施的关键要素方面的作用。
因此，将展示在ICF毛格里流程中实施生物心理社会模型的过程的每一步，以及与数字化过程相关的关键问题和保障患者福祉方面的优势。
