scholarly journals The ICF Classification as a Simple Tool to Aid in the Assessment of Healthcare Services in a Non-COVID-19 Hospital during the COVID-19 Pandemic

Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 398
Author(s):  
Mateusz Lucki ◽  
Agnieszka Wareńczak ◽  
Ewa Chlebuś ◽  
Przemysław Daroszewski ◽  
Przemysław Lisiński
Keyword(s):  
Healthcare Services ◽  
Working Time ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Rehabilitation Hospital ◽  
Simple Tool ◽  
Orthopedic Rehabilitation ◽  
Medical Facilities ◽  
The Impact

The COVID-19 pandemic has had a significant impact on the operation of medical facilities. In this period, they have seen increased absence of medical staff from work, a decrease in the number of hospitalizations and in the value of healthcare services provided. We assess the impact of this pandemic on the operation of a non-COVID-19 orthopedic and rehabilitation hospital using International Classification of Functioning, Disability and Health (ICF) categories. The authors analyzed these parameters in relation to the operation of a non-COVID-19 orthopedic, rehabilitation and rheumatological hospital in Q1 2020 compared to Q1 2019. For the analysis, the categories and qualifiers of the ICF were used, allowing for a simple and easily readable data analysis. In March 2020, in comparison to March 2019, the average working time of medical workers (p < 0.001) and the number of hospitalizations (p < 0.034) decreased significantly. In April 2020, compared to April 2019, the average working time of medical workers (<0.001) and the number of hospitalizations (0.002) also decreased significantly. In addition, in April 2020, the percentage value of the contracted services provided decreased significantly (p = 0.017), which was not observed in March of that year. The COVID-19 pandemic has affected the operation of a non-COVID-19 hospital, causing an increase in staff absences from work, a decrease in the number of hospitalizations and a decrease in the value of the revenue generated from health services provided. The ICF is a useful tool for the evaluation of a hospital’s healthcare services.

scholarly journals Development International Classification of Functioning, Disability and Health Core Set for Post Total Knee Replacement Rehabilitation Program: Delphi-Based Consensus Study in Taiwan

2021 ◽  
Vol 18 (4) ◽  
pp. 1630
Author(s):  
Shih-Wei Huang ◽  
Yi-Wen Chen ◽  
Reuben Escorpizo ◽  
Chun-De Liao ◽  
Tsan-Hon Liou
Keyword(s):  
Environmental Factors ◽  
Rehabilitation Program ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Icf Core Set ◽  
Core Set ◽  
Orthopedic Rehabilitation ◽  
Total Knee

Osteoarthritis is one of the leading causes of disability. Total knee arthroplasty (TKA) is a surgical intervention for patients with severe osteoarthritis. Post TKA rehabilitation is crucial for improving patient’s quality of life. However, traditional rehabilitation has only focused on physical function; a systemic analysis of other dimensions such as social participation and environmental factors of post TKA rehabilitation is lacking. The aim of this study was to develop a core set from the International Classification of Functioning, Disability and Health (ICF) to create a comprehensive rehabilitation program for patients with osteoarthritis post TKA. Before the Delphi-based consensus process, a literature review process was performed for related ICF categories selection. We used a three-round Delphi-based consensus among 20 physical therapists with orthopedic rehabilitation expertise in a university-based hospital. A five-point Likert scale was used to rate the importance of each item. The consensus of ratings was analyzed using Spearman’s rho and semi-interquartile range indices. The ICF core set for post TKA rehabilitation was determined based on a high level of consensus and a mean score of ≥4.0 in the third Delphi-based consensus round. The ICF core set comprised 32 categories, with 13 regarding body function, four regarding body structures, nine regarding activities and participation, four regarding environmental factors, and two regarding personal factors. Our ICF core set for post TKA rehabilitation can provide information on effective rehabilitation strategies and goal setting for patients post TKA. However, further validation and feasibility assessments are warranted.

scholarly journals Linking the patient experience of foot involvement related to psoriatic arthritis to the International Classification of Functioning, Disability and Health

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Kate Carter ◽  
Caterina Tannous ◽  
Steven Walmsley ◽  
Keith Rome ◽  
Deborah E Turner
Keyword(s):  
Patient Experience ◽  
Health Professionals ◽  
Group Analysis ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Body Structure ◽  
Disability And Health ◽  
Foot Problems ◽  
The Impact

Abstract Objective The aim was to categorize the patient experience of PsA-related foot involvement by linking it to the International Classification of Functioning, Disability and Health (ICF) framework. Methods Concepts, obtained from a previous qualitative investigation of people with PsA and health professionals into their perspective of PsA-related foot involvement, were linked to the full version of the ICF classification. Concepts were linked to the most appropriate ICF category using established linking rules, which enable a systematic and standardized linking process. All concepts were linked independently to the ICF by two investigators, followed by a third investigator for adjudication. The professional backgrounds of the investigators included occupational therapy and podiatry. Results More than 100 distinct ICF categories were linked to the interview concepts. The most represented ICF category was body functions (35%), followed by environmental factors (31%), activities and participation (19%) and body structure (15%). Concepts that could not be linked to the ICF were related to coping, aspects of time and knowledge. Health professionals identified a greater proportion of body functions and fewer activity and participation categories compared with patients, indicating a possible mismatch of key concerns. Interdisciplinary group analysis demonstrated merit. Conclusion A list of ICF categories was generated, defining aspects of functioning important and relevant to the impact of PsA-related foot involvement. Despite the localized anatomical focus of this study, the effect of foot problems in PsA was linked to all components of the ICF, confirming the profound impact on functioning and daily life.

Can the International Classification of Functioning, Disability and Health (ICF) be used in a prosthetics and orthotics outpatient clinic?

2011 ◽  
Vol 35 (3) ◽  
pp. 302-309 ◽  
Author(s):  
Helena Burger
Keyword(s):  
Clinical Practice ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Prospective Clinical Study ◽  
Disability And Health ◽  
Medical Problems ◽  
Additional Information ◽  
Human Functioning ◽  
The Impact

Background: The International Classification of Functioning, Disability and Health (ICF) covers all aspects and levels of human functioning. Objectives: The aim of the study was to find out whether the ICF can be used in everyday prosthetics and orthotics (P&O) clinical practice for description of human functioning, and whether it can demonstrate the influence of a prosthesis or an orthosis on a person's functioning. Study Design: Prospective clinical study. Methods: A short list of ICF codes was compiled from Annex 9 and used for one month for all patients seen at the author's P&O outpatient clinics. Results: One hundred patients (59 men, average age 58 years) with different medical problems were included in the study. From 6 to 27 (14 on average) ICF categories from all four components of ICF were used in these patients. The most frequently used category for body functions was mobility of joint functions, for body structures it was structure of the skin and for activities and participation it was walking. Public and private buildings were the only barriers identified. Conclusions: It can be concluded that the ICF can be used in everyday P&O clinical practice. An ICF list of categories provides quick additional information. To be able to demonstrate the influence of P&O devices on person's functioning, at least for activities and participation, one has to use qualifiers. Clinical relevance For clinicians it is important to know that it is possible to use the ICF in clinical practice and that it can demonstrate the impact of P&O devices on a person's functioning.

scholarly journals Factors impacting employment for people with autism spectrum disorder: A scoping review

Autism ◽  
2018 ◽  
Vol 23 (4) ◽  
pp. 869-901 ◽  
Author(s):  
Melissa Scott ◽  
Ben Milbourn ◽  
Marita Falkmer ◽  
Melissa Black ◽  
Sven Bӧlte ◽  
...  
Keyword(s):  
Autism Spectrum Disorder ◽  
Contextual Factors ◽  
Autism Spectrum ◽  
International Classification ◽  
Spectrum Disorder ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Core Sets ◽  
The Impact

The aim of this study is to holistically synthesise the extent and range of literature relating to the employment of individuals with autism spectrum disorder. Database searches of Medline, CINAHL, PsychINFO, Scopus, ERIC, Web of Science and EMBASE were conducted. Studies describing adults with autism spectrum disorder employed in competitive, supported or sheltered employment were included. Content analysis was used to identify the strengths and abilities in the workplace of employees with autism spectrum disorder. Finally, meaningful concepts relating to employment interventions were extracted and linked to the International Classification of Functioning, Disability and Health Core Sets for autism spectrum disorder. The search identified 134 studies for inclusion with methodological quality ranging from limited to strong. Of these studies, only 36 evaluated employment interventions that were coded and linked to the International Classification of Functioning, Disability and Health, primarily focusing on modifying autism spectrum disorder characteristics for improved job performance, with little consideration of the impact of contextual factors on work participation. The International Classification of Functioning, Disability and Health Core Sets for autism spectrum disorder are a useful tool in holistically examining the employment literature for individuals with autism spectrum disorder. This review highlighted the key role that environmental factors play as barriers and facilitators in the employment of people with autism spectrum disorder and the critical need for interventions which target contextual factors if employment outcomes are to be improved.

Assessing the impact of musculoskeletal health conditions using the International Classification of Functioning, Disability and Health

2011 ◽  
Vol 33 (13-14) ◽  
pp. 1281-1297 ◽  
Author(s):  
Nenad Kostanjsek ◽  
Reuben Escorpizo ◽  
Annelies Boonen ◽  
Nicolas E. Walsh ◽  
T. Bedirhan Üstün ◽  
...  
Keyword(s):  
International Classification ◽  
Health Conditions ◽  
International Classification Of Functioning ◽  
Musculoskeletal Health ◽  
Disability And Health ◽  
The Impact

scholarly journals A review on the role of functional limitations on evacuation performance using the International Classification of Functioning, Disability and Health

2020 ◽  
Author(s):  
Olivera Bukvic ◽  
Gunilla Carlsson ◽  
Giedre Gefenaite ◽  
Björn Slaug ◽  
Steven M. Schmidt ◽  
...  
Keyword(s):  
Functional Limitations ◽  
International Classification ◽  
Health Science ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Public Buildings ◽  
Cognitive Limitations ◽  
The Impact

Abstract This scoping review addresses the role of functional limitations on evacuation performance of adults in public buildings. Although this topic has been addressed in evacuation research, no linkage is currently available between functional limitations, the predominant activities affected by them and evacuation performance. This review strives to open a debate on the need to classify the impact of disability in terms of functional limitations on evacuation performance according to methods adopted in health science. This paper reviews literature concerning evacuation from public buildings with adults aged ≥ 60 years and/or adults aged ≥ 18 years with functional limitations. The International Classification of Functioning, Disability and Health has been used to identify predominant activities during an evacuation and to perform a structured classification at different levels of resolution to address self-evacuation possibilities. Results of the review are presented in a tabular form linking predominant activities in terms of the International Classification of Functioning, Disability and Health and six categories of functional limitations with the engineering evacuation time-line. The suggested classification can facilitate the assessment of the evacuation-related issues in buildings in relation to the population under consideration. The main research gaps identified include the lack of studies concerning the impact of cognitive limitations on egress, and the need to add the temporal dimension to the methods adopted in accessibility research to allow for their use in the egress field.

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