Department of Ethics, Law and Humanities, Amsterdam UMC, VU University Amsterdam, Amsterdam, The Netherlands.
Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, Amsterdam UMC, Amsterdam, The Netherlands.
Disabil Rehabil. 2023 Jul;45(14):2382-2389. doi: 10.1080/09638288.2022.2089737. Epub 2022 Jun 22.
Over the past two decades, healthcare systems have shifted to adopt a more holistic, patient-centered care system. However, operationalization in practice remains challenging. Two frameworks have contributed substantially to the transformation toward more holistic and patient-centered care: the International Classification of Functioning, Disability and Health (ICF) and the capability approach (CA). Using these frameworks jointly can contribute to improved patient-centered care in clinical practice.
This article explores the strengths and weaknesses of the use of the two frameworks in care and investigates whether using them jointly might contribute to more appropriate and patient-centered care. We will present a practical example of this integration in the form of a novel e-health application.
The exploration indicated that if the frameworks are used jointly, the individual weaknesses can be overcome. The application, used to exemplify the joint use of the frameworks, contains all categories of the ICF. It offers a unique tool that allows a person to self-assess, record, and evaluate their functioning and capabilities and formulate related goals.
Using the ICF jointly with the CA can foster holistic, patient-centered care. The e-health application provides a concrete example of how the frameworks can be used jointly. Implications for rehabilitationUsing the International Classification of Functioning, Disability and Health jointly with the capability approach can foster holistic, patient-centered care.The joint use of the frameworks is demonstrated by an e-health application which enables users to evaluate their functioning in relation to their own goals, provides them with the opportunity to increase control over their health and have a more active role in their care.Tools to record both functioning and goals from a patient's perspective can support professionals in offering patient-centered care in daily practice.Individual recording, monitoring and evaluation of functioning, capabilities and goals regarding functioning can provide a basis for research and quality improvement.
在过去的二十年中，医疗保健系统已经转变为采用更全面、以患者为中心的医疗系统。然而，在实践中实施仍然具有挑战性。有两个框架为向更全面和以患者为中心的护理转变做出了重大贡献：国际功能、残疾和健康分类（ICF）和能力方法（CA）。联合使用这些框架可以促进临床实践中以患者为中心的护理的改善。
本文探讨了在护理中使用这两个框架的优缺点，并研究了联合使用它们是否有助于提供更适当和以患者为中心的护理。我们将以一种新的电子健康应用程序的形式呈现这种整合的实际示例。
探索表明，如果联合使用这些框架，则可以克服个别弱点。该应用程序用于举例说明框架的联合使用，其中包含 ICF 的所有类别。它提供了一个独特的工具，允许个人自我评估、记录和评估他们的功能和能力，并制定相关目标。
联合使用 ICF 和 CA 可以促进全面的、以患者为中心的护理。电子健康应用程序提供了一个具体的例子，说明如何联合使用这些框架。
联合使用国际功能、残疾和健康分类和能力方法可以促进全面的、以患者为中心的护理。
该框架的联合使用由电子健康应用程序证明，该应用程序使用户能够根据自己的目标评估自己的功能，为他们提供控制自己健康和在护理中发挥更积极作用的机会。
从患者角度记录功能和目标的工具可以支持专业人员在日常实践中提供以患者为中心的护理。
个人记录、监测和评估功能、能力和功能目标可以为研究和质量改进提供基础。
