Situating Primary Health Care within the International Classification of Functioning, Disability and Health: Enabling the Canadian Family Health Team Initiative

2010 ◽  
Vol 24 (6) ◽  
pp. 666-677 ◽  
Author(s):  
Sinéad P. Dufour ◽  
S. Deborah Lucy
2020 ◽  
Author(s):  
Ainul Nadziha Mohd Hanafiah ◽  
Mohammad Zabri Johari ◽  
Syafinas Azam

Abstract Background: Malaysia has committed to the global call to achieve universal health coverage, and with the adoption of Sustainable Development Goals, is further strengthening the health system through the primary health care services, particularly the family doctor concept. The Enhanced Primary Health Care (EnPHC) initiative was implemented to address the worrying upward trend of non-communicable disease[I1] prevalence, and incorporates the Family Health Team (FHT) concept. The aim of this paper is to describe the implementation of the FHT as part of the EnPHC intervention.Methods: In-depth interviews and focus group discussions were conducted with the intervention design team, healthcare providers and patients in two rounds during the implementation period. A total of 121 individuals in the two rounds, split into different groups, where some of the participants of the FGD were also interviewed individually[I2] . Data were analysed using a thematic analysis, with codes being organised into larger themes.Results: Themes that emerged from the data were around the process of FHT implementation and the advantages of the FHT, which included continuity of health care and improved quality of care. Patients and health care providers were receptive to the FHT concept, and took the effort to adapt the concept in the local settings. Conclusions: The FHT concept implemented at 20 public primary health clinics has benefits appreciated by health care providers and patients. Addressing the viable shortcomings would better prepare the current primary healthcare system to scale up the FHT concept nationwide and enhance its feasibility and sustainability.Trial registration: The study is registered with the National Medical Research Register, Ministry of Health Malaysia (NMRR-17-295-34771).


2020 ◽  
Author(s):  
Ainul Nadziha Mohd Hanafiah ◽  
Mohammad Zabri Johari ◽  
Syafinas Azam

Abstract Background: Malaysia has committed to the global call to achieve universal health coverage, and with the adoption of Sustainable Development Goals, is further strengthening the health system through the primary health care services, particularly the family doctor concept (FDC). The Enhanced Primary Health Care (EnPHC) initiative was implemented to address the worrying upward trend of NCD prevalence, and incorporates the Family Health Team (FHT) concept. The aim of this paper is to describe the implementation of the FHT as part of the EnPHC intervention. Methods: In-depth interviews and focus group discussions were conducted with the intervention design team, healthcare providers and patients in two rounds during the implementation period. We explored their views on the design and plans for the intervention, the process, acceptance, adoption, feasibility and sustainability of the intervention, as well as patients’ awareness and understanding of the FHT implementation. Results: Themes that emerged from the data were around the process of FHT implementation and the advantages of the FHT, which included continuity of health care and improved quality of care. Patients and health care providers were receptive to the FHT concept, and took the effort to adapt the concept in the local settings. Conclusions: The FHT concept implemented at 20 public primary health clinics has benefits appreciated by HCPs and patients. Addressing the viable shortcomings would better prepare the current primary healthcare system to scale up the FHT concept nationwide and enhance its feasibility and sustainability. Trial registration: The study is registered with the National Medical Research Register, Ministry of Health Malaysia (NMRR-17-295-34771).


2006 ◽  
Vol 86 (9) ◽  
pp. 1203-1220 ◽  
Author(s):  
Monika E Finger ◽  
Alarcos Cieza ◽  
Juerg Stoll ◽  
Gerold Stucki ◽  
Erika O Huber

Abstract Background and Purpose. Disability or limitations in human functioning are universal experiences that concern all people. Physical therapists aim to improve functioning and prevent disability. With the approval of the new International Classification of Functioning, Disability and Health (ICF), we can now rely on a globally recognized framework and classification to be used in different health care situations by all health care professionals in multidisciplinary teams. The objective of this study was to identify ICF categories that describe the most relevant and common patient problems managed by physical therapists in acute, rehabilitation, and community health care situations taking into account 3 major groups of health conditions: musculoskeletal, neurological, and internal. Subjects. The subjects were physical therapists who were identified as possible participants by the heads of physical therapy departments who were members of the Swiss Association of Physical Therapy Department Heads or who were recruited from the membership of the Swiss Association of Physiotherapy. Methods. A consensus-building, 3-round, electronic-mail survey with 9 groups of physical therapists was conducted using the Delphi technique. Results. Two hundred sixty-three physical therapists participated in at least one round of the Delphi exercise. They had consensus levels of 80% or higher for categories in all ICF components (Body Functions, Body Structures, Activities and Participation, and Environmental Factors 1 and 2). Discussion and Conclusion. This study is a first step toward identifying a list of intervention categories relevant for physical therapy according to the ICF. The ICF, designed as a common language for multidisciplinary use, is also a very helpful framework for defining the core competence for the physical therapy profession.


2021 ◽  
Vol 20 (2) ◽  
pp. 71-81
Author(s):  
Suelem Dias ◽  
Bruna Dourado ◽  
Clarissa Freire ◽  
Lara Ximenes ◽  
Lielma Da Silva ◽  
...  

RESUMO O trabalho interprofissional e a prática colaborativa em saúde são estratégias para melhorar o funcionamento e organização do sistema de saúde na Atenção Primária à Saúde. Este trabalho tem como objetivo relatar a experiência das vivências de um grupo do PET-Saúde/Interprofissionalidade em um Centro de Saúde da Família, diante das ações interprofissionais. A princípio houve um momento de observação do serviço, a fim de conhecer sua dinâmica. Posteriormente, em momentos de conversas e  Educação Permanente com a equipe de saúde e, foram discutidos os conceitos de inter, multi e uniprofissionalidade, destacando os pontos positivos e negativos, além de sugerir os possíveis locais onde a interprofissionalidade poderia se inserir. Deste modo, construímos e pactuamos junto com a equipe de saúde um quadro de serviços interprofissionais a serem desenvolvidos no Centro de Saúde da Família. Todavia, há uma necessidade de maior adesão de gestores, profissionais e população para apoiar as estratégias da Educação Interprofissional, ferramenta potente para a transformação das redes de Atenção Primária à Saúde. Palavras-chave: Interprofissionalidade. Educação Interprofissional. Prática Colaborativa. Educação Permanente. ABSTRACT Interprofessional work and collaborative health practice are strategies to improve the operation and organization of the health system in Primary Health Care (PHC). This work aims to relate the experience of a group from PET-Saúde / Interprofissionalidade at the Family Health Center, in face of interprofessional actions. First, there was a moment of observation of the service, to learn about its operation. Subsequently, in moments of conversations and Permanent Educacion with the health team, the concepts of inter, multi and uniprofessionality were discussed, highlighting the positive and negative points, in addition to suggesting the possible places where interprofessionality could be used. This way, we built and agreed with the health team a framework of interprofessional services to be developed at the Family Health Center. However, there is a need for greater accession by managers, professionals and the population to support as strategies of Interprofessional Education, a potent tool for the transformation of Primary Health Care networks. Keywords: Interprofessionality. Interprofessional Education. Collaborative Practice. Permanent Education.


2016 ◽  
Vol 31 (8) ◽  
pp. 554-563
Author(s):  
Peter B Viehoff ◽  
Lianne Pelzer ◽  
Yvonne F Heerkens ◽  
Dorine C van Ravensberg ◽  
Martino Neumann

Purpose To capture the views of different health care providers involved in the treatment of patients with lymphoedema from various countries around the world on the functioning of lymphoedema patients and the factors influencing functioning of these patients using the international classification of functioning, disability and health (ICF). Method A worldwide e-mail survey with questions based on components of the ICF. Results In total, 142 health professionals from seven different health professions and 20 different countries answered the questions. The aspects of functioning that were named by the health professionals could be linked to 359 different ICF categories. Of these categories, 109 belonged to body functions (30.4%), 55 to body structures (15.3%), 121 to activities and participation (33.7%) and 74 to environmental factors (20.6%). Overall, the most mentioned items were health services, systems and policies, immunological system functions, looking after one’s health, products and technology for personal use in daily life and dressing. Conclusions The ICF provided a valuable reference for identifying concepts in statements from international health care professionals experienced in the treatment of lymphoedema patients. The results of this research will be used in the development of ICF core sets for lymphoedema.


Revista CEFAC ◽  
2021 ◽  
Vol 23 (4) ◽  
Author(s):  
Valquíria Conceição Souza ◽  
Stela Maris Aguiar Lemos

ABSTRACT Purpose: to describe aspects of functioning and disability related to hearing and sociodemographic factors of audiology service users. Methods: an exploratory study with a probabilistic sample comprising 152 participants who answered a socioeconomic and assistance questionnaire. The functioning and disability were analyzed by means of the International Classification of Functioning, Disability, and Health. Descriptive data analyses were conducted. Results: most users of the Hearing Health Care Service considered they had mild (41.2%) or moderate (34.2%) disability in b1560 Auditory perception, and mild (36%) and moderate (35.1%) disability in b230 Hearing Functions. In Activities and Participation, the users of the Hearing Health Care Service obtained better results in d330 Speaking (83.3%), d315 Communicating with and receiving nonverbal messages (65.8%), and d760 Family relationships (65.1%). The hearing aid was a facilitator in these subjects’ social interaction with the environment. Most of those attending the Audiology Outpatient Center did not have disabilities or difficulties in the activities and participation, and the environment was a facilitator. Conclusion: most of the participants attending the Hearing Health Care Service had a disability in auditory perception and hearing functions. However, such a disability was not a limiting factor in the performance of most of the activities and participations assessed.


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