Issue 6-20, 2021

Review article

https://doi.org/10.38025/2078-1962-2021-20-6-4-33

Application of the International Classification of Functioning, Disabilities and Health in the Rehabilitation Process

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1,2 ORCIDGalina E. Ivanova, 1 ORCIDMaria A. Bulatova, 1,2 ORCIDBoris B. Polyaev, 1 ORCIDAlexandra K. Trofimova

1 Federal Center of Brain Research and Neurotechnologies, Moscow, Russian Federation
2 Pirogov Russian National Research Medical University, Moscow, Russian Federation


ABSTRACT

With the development of high technologies in medicine, the diagnostic process is improving, the methods of treating patients are refining, the percentage of patients who survived after serious injuries, diseases and/or conditions is increasing. The issue of the patients` quality of life that received primary medical, specialized, including high-tech medical care is becoming a priority for health care. Rehabilitation is defined as one of the critical interventions “enabling people with disabilities to achieve and maintain maximum independence, full physical, mental, social and professional ability and full inclusion and participation in all aspects of life”. The problems and prospects of rehabilitation medicine for the future arise due to critical changes in demographics, life expectancy, a variation in approaches to assessing disability, an increase in the prevalence of long-term health disorders, especially in connection with the new coronavirus infection, technological progress, as well as changes in health care costs and changes in society’s requirements for well-being and quality of life, including health.

The object of the study is the process of organizing medical rehabilitation of patients with cerebral stroke at the second phase of rehabilitation process in a 24-hour inpatient medical rehabilitation department for patients with impaired function, structures, limited activity and participation due to damage to the central nervous system based on the application of the International Classification of Functioning, Disabilities and Health (ICF) for the rehabilitation diagnosis description (the degree of disturbance of structure, function, limitation of activity and participation, the degree of influence of environmental factors) and the formation of the medical rehabilitation program on its basis.


KEYWORDS: stroke, neurorehabilitation, organization of medical rehabilitation, rehabilitation diagnosis, medical rehabilitation program, medical rehabilitation process management, multidisciplinary model of medical rehabilitation

FUNDING: The study had no sponsorship

CONFLICT OF INTEREST: The authors declare no apparent or potential conflicts of interest related to the publication of this article.

FOR CITATION: Ivanova G.E., Bulatova M.A., Polyaev B.B., Trofimova A.K. Application of the International Classification of Functioning, Disabilities and Health in the Rehabilitation Process, Bulletin of Rehabilitation Medicine. 2021; 20 (6): 4-33. https://doi.org/10.38025/2078-1962-2021-20-6-4-33

FOR CORRESPONDENCE:

Galina E. Ivanova, e-mail: reabilivanova@mail.ru


References:

  1. Stucki G., Bickenbach J. Functioning: the third health indicator in the health system and the key indicator for rehabilitation. European Journal Physical and Rehabilitation Medicine. 2017; (53): 134-138. https://doi.org/10.23736/S1973-9087.17.04565-8
  2. Declaration of Alma-Ata. International Conference on Primary Health Care. 1978. Available at: http://www.who.int/publications/almaata_declaration_en.pdf
  3. Stucki G., Prodinger B., Bickenbach J. Four steps to follow when documenting functioning with the International Classification of Functioning, Disability and Health. European Journal of Physical and Rehabilitation Medicine. 2017; 53(1): 144-149. https://doi.org/10.23736/S1973-9087.17.04569-5
  4. International Classification of Functioning, Disability and Health (ICF) WHO. Available at: http://www.who.int/classifications/icf/en/ (accessed 14.06.2014)
  5. Stucki G., Cieza A., Melvin J. The international classification of functioning, disability and health: A unifying model for the conceptual description of the rehabilitation strategy. Journal of Rehabilitation Medicine. 2007; 39(4): 279-285. https://doi.org/10.2340/16501977-0041
  6. ICF Based Documentation Form. World Health Organisation and ICF Research Branch. Available at: http://www.icf-core-sets.org/ (accessed 23.08.2016)
  7. Constitution of the World Health Organisation. 2006. Available at: http://www.who.int/governance/eb/who_constitution_en.pdf
  8. World Health Organization International Classification of Diseases. Version 10. 1992.
  9. Selb M., Kohler F., Robinson M.M., Riberto M., Stucki G., Kennedy C., Üstün B. ICD-11: A Comprehensive Picture of Health, an Update on the ICD–ICF Joint Use Initiative. Journal of Rehabilitation Medicine. 2015; 47(1): 2-8. https://doi.org/10.2340/16501977-1928
  10. Stucki G., Zampolini M., Juocevicius A. et al. Practice, science and governance in interaction: European effort for the system-wide implementation of the International Classification of Functioning, Disability and Health (ICF) in Physical and Rehabilitation Medicine. European Journal of Physical and Rehabilitation Medicine. 2017; 53(2): 299-307. https://doi.org/10.23736/S1973-9087.16.04436-1
  11. Geyh S., Peter C., Müller R., Bickenbach J.E., Kostanjsek N., Ustün B.T., Stucki G., Cieza A. The personal factors of the International Classification of Functioning, Disability and Health in the literature–a systematic review and content analysis. Disability and Rehabilitation. 2011; 33(13): 1089-1102. https://doi.org/10.3109/09638288.2010.523104
  12. Müller R., Geyh S. Lessons learned from different approaches towards classifying personal factors. Disability and Rehabilitation. 2015; 37(5): 430-438. https://doi.org/10.3109/09638288.2014.923527
  13. Melnikova E.V., Builova T.V., Bodrova R.A., Shmonin A.A., Maltseva M.N., Ivanova G.E. Ispol`zovanie mezhdunarodnoj klassifikaczii funkczionirovaniya (MKF) v ambulatornoj i staczionarnoj mediczinskoj reabilitaczii: instrukcziya dlya speczialistov [Use of the International Classification of Functioning (Icf) in Outpatient and Inpatient Medical Rehabilitation: Instruction for Specialists]. Bulletin of Rehabilitation Medicine. 2017; 6(82): 7-20 (In Russ.).
  14. Gutenbrunner C., Meyern T., Melvin J., Stucki G. Towards a conceptual description of Physical and Rehabilitation Medicine. Journal of Rehabilitation Medicine. 2011; 43(9): 760-764. https://doi.org/10.2340/16501977-0866
  15. Meyer T., Gutenbrunner C., Bickenbach J., Cieza A., Melvin J., Stucki G. Towards a conceptual description of rehabilitation as a health strategy. Journal of Rehabilitation Medicine. 2011; 43(9): 765-769. https://doi.org/10.2340/16501977-0865
  16. Dorjbal D., Cieza A., Gmünder H.P., Scheel-Sailer A., Stucki G., Üstün T.B., Prodinger B. Strengthening quality of care through standardized re- porting based on the World Health Organization’s reference classifications. International Journal Quality in Health Care. 2016; 28(5): 626-633. https://doi.org/10.1093/intqhc/mzw078
  17. Li J., Prodinger B., Reinhardt J.D., Stucki G. Tоwards the system-wide implementation of the international classification of functioning, disability and health in routine practice: Lessons from a pilot study in China. Journal of Rehabilitation Medicine. 2016; 48(6): 502-507. https://doi.org/10.2340/16501977-2067
  18. Prikaz Ministerstva zdravookhraneniya RF ot 13 oktyabrya 2017 g. N 804n «Ob utverzhdenii nomenklatury` mediczinskikh uslug» (Zaregistrirovano v Minyuste Rossii 07.11.2017 N48808) [The Order of the Ministry of Health of the Russian Federation of October 13, 2017. N 804n “On approval of the nomenclature of medical services”. (Registered with the Russian Ministry of Justice on 07.11.2017 N 48808)] (In Russ.).
  19. Prikaz Ministerstva zdravookhraneniya RF ot 31 iyulya 2020 g. N 788n “Ob utverzhdenii Poryadka organizaczii mediczinskoj reabilitaczii vzrosly`kh» (Zaregistrirovano v Minyuste Rossii 25.09.2020 N60039) [The Order of the Ministry of Health of the Russian Federation from July 31, 2020 № 788n “On approval of the Order of the organization of medical rehabilitation of adults” (Registered with the Ministry of Justice of Russia on September 25, 2020 N60039)] (In Russ.).



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This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.