scholarly journals Perfiles epidemiológicos de personas con discapacidad beneficiarias de políticas públicas a través del WHO-DAS II

2020 ◽  
pp. 075
Author(s):  
María José Bagnato ◽  
Julia Córdoba

El presente estudio pretende mostrar la utilidad del World Health Organization Disability Assessment Schedule 2.0 (WHO-DAS II) (OMS, 2009) para analizar el perfil epidemiológico de personas con discapacidad. Se aplica, a su vez, un cuestionario que recoge información relacionada con la salud y la discapacidad de 247 usuarios/as de prestaciones públicas de la ciudad de Montevideo (Uruguay). Se proponen como objetivos identificar el perfil poblacional con discapacidad entrevistado, relacionar el uso de la prestación que declaran con los espacios socio-sanitarios en los que participa, determinar las necesidades de apoyo para la realización de las actividades de la vida diaria e identificar necesidades de acceso a servicios e inclusión social. Se concluye que es posible utilizar el WHO-DASII (OMS, 2009) para conocer el perfil poblacional y, en detalle, la existencia de barrearas y facilitadores para la participación en comunidad, ocio, acceso a la salud e inclusión laboral y educativa.

2019 ◽  
Vol 21 (4) ◽  
Author(s):  
Isfandari Siti ◽  
Betty Roosihermiatie

Intersectoral approach is essential to develop program for people with disability in Indonesia. Coordination across ministries are necessary to manage this issue. The planning, provision and monitoring of medical and support services as well as program for population groups with disability may require assessment. Purpose of this study is to assess disability in Indonesia. Methods: performing analysis of disability data from 2013 Indonesian Household Health Survey known as Riskesdas. Level of disability obtained from two main population groups: those with and without non communicable disease (NCD). They then divided by age. The World Health Organization Disability Assessment Schedule II (WHODASII) was used to measure disability. Results: contribution of NCD on disability is obvious among older age indicated by higher proportion of disability with NCD. While risk of disability among younger age is unclear, since disability with NCDproportion is lower than disability without NCD. Probably risk of disability among younger age is other than NCD. None of the groups had members with extreme disability on their global WHO-DASII scores. The analysis identifi es target groups for each stakeholder to develop program for people with disability to reach their maximum potential. Abstrak Penanganan penduduk dengan disabilitas membutuhkan keterlibatan lintas kementerian. Diperlukan informasi besar masalah penduduk dengan disabilitas di Indonesia. Analisa bertujuan mengetahui besaran masalah. Metode: analisa deskriptif univariat dan bivariat data disabilitas Riskesdas 2013 untuk memperoleh Informasi disabilitas seluruh penduduk. Selanjutnya dilakukan analisa besaran disabilitas pada penduduk dengan dan tanpa Penyakit Tidak Menular (PTM). Kelompok ini kemudian digolongkan menurut umur. Instrumen The World Health Organization Disability Assessment Schedule II (WHO-DASII) digunakan untuk mengukur disabilitas. Hasil: 18% penduduk Indonesia mengalami disabilitas. Informasi lebih rinci 8,2% mengalami kesulitan ringan, 6,8% kesulitan sedang dan 3% kesulitan berat. Kontribusi PTM terhadap disabilitas terlihat jelas pada kelompok usia 45 tahun atau lebih ditunjukkan dengan lebih tingginya proporsi disabilitas dengan PTM. Sedangkan risiko disabilitas pada kelompok usia sebelum 45 tahun bukan PTM, karena proporsidisabilitas dengan PTM lebih rendah.


PLoS ONE ◽  
2019 ◽  
Vol 14 (8) ◽  
pp. e0220806
Author(s):  
Michelle J. Bovin ◽  
Eric C. Meyer ◽  
Nathan A. Kimbrel ◽  
Sarah E. Kleiman ◽  
Jonathan D. Green ◽  
...  

2015 ◽  
Vol 122 (3) ◽  
pp. 524-536 ◽  
Author(s):  
Mark A. Shulman ◽  
Paul S. Myles ◽  
Matthew T. V. Chan ◽  
David R. McIlroy ◽  
Sophie Wallace ◽  
...  

Abstract Background: Survival and freedom from disability are arguably the most important patient-centered outcomes after surgery, but it is unclear how postoperative disability should be measured. The authors thus evaluated the World Health Organization Disability Assessment Schedule 2.0 in a surgical population. Methods: The authors examined the psychometric properties of World Health Organization Disability Assessment Schedule 2.0 in a diverse cohort of 510 surgical patients. The authors assessed clinical acceptability, validity, reliability, and responsiveness up to 12 months after surgery. Results: Criterion and convergent validity of World Health Organization Disability Assessment Schedule 2.0 were supported by good correlation with the 40-item quality of recovery scale at 30 days after surgery (r = −0.70) and at 3, 6, and 12 months after surgery with physical functioning (The Katz index of independence in Activities of Daily Living; r = −0.70, r = −0.60, and rho = −0.47); quality of life (EQ-5D; r = −0.57, −0.60, and −0.52); and pain interference scores (modified Brief Pain Inventory Short Form; r = 0.72, 0.74, and 0.81) (all P < 0.0005). Construct validity was supported by increased hospital stay (6.9 vs. 5.3 days, P = 0.008) and increased day 30 complications (20% vs. 11%, P = 0.042) in patients with new disability. There was excellent internal consistency with Cronbach’s α and split-half coefficients greater than 0.90 at all time points (all P < 0.0005). Responsiveness was excellent with effect sizes of 3.4, 3.0, and 1.0 at 3, 6, and 12 months after surgery, respectively. Conclusions: World Health Organization Disability Assessment Schedule 2.0 is a clinically acceptable, valid, reliable, and responsive instrument for measuring postoperative disability in a diverse surgical population. Its use as an endpoint in future perioperative studies can provide outcome data that are meaningful to clinicians and patients alike.


2015 ◽  
Vol 174 ◽  
pp. 353-360 ◽  
Author(s):  
Georgina Guilera ◽  
Juana Gómez-Benito ◽  
Óscar Pino ◽  
Emilio Rojo ◽  
Eduard Vieta ◽  
...  

2019 ◽  
Vol 270 (3) ◽  
pp. 301-310 ◽  
Author(s):  
Ruey Chen ◽  
Tsan-Hon Liou ◽  
Nae-Fang Miao ◽  
Kwang-Hwa Chang ◽  
Chia-Feng Yen ◽  
...  

Assessment ◽  
2019 ◽  
Vol 27 (8) ◽  
pp. 1731-1747 ◽  
Author(s):  
Saundra M. Tabet ◽  
Glenn W. Lambie ◽  
Shiva Jahani ◽  
S. Mostafa Rasoolimanesh

The researchers examined the factor structure and model specifications of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) with confirmatory tetrad analysis (CTA) using partial least squares–structural equation modeling (PLS-SEM) with a sample of adult clients ( N = 298) receiving individual therapy at a university-based counseling research center. The CTA and PLS-SEM results identified the formative nature of the WHODAS 2.0 subscale scores, supporting an alternative measurement model of the WHODAS 2.0 scores as a second-order formative–formative model.


Spinal Cord ◽  
2019 ◽  
Vol 57 (6) ◽  
pp. 516-524 ◽  
Author(s):  
Tzu-Ying Chiu ◽  
Monika E. Finger ◽  
Carolina S. Fellinghauer ◽  
Reuben Escorpizo ◽  
Wen-Chou Chi ◽  
...  

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