Experience of Implementing WHO-International Classification of Functioning, Disability and Health (ICF) in Disability Welfare Policy in Taiwan

貢獻的翻譯標題: 應用世界衛生組織-國際健康功能與身心障礙分類系統(WHO-ICF)作為台灣身心障礙者鑑定初探研究

Chia-Feng Yen, Chia-Chin Lin, Hua-Fang Liao, Shih-Ching Chen, Ching-Ying Lin, Hung-Yi Chiu, Tsan-Hon Liou

研究成果: 雜誌貢獻文章

摘要

目的:本研究旨在說明如何應用「國際健康功能與身心障礙(ICF)分類」系統設計出台灣身心障礙鑑定工具及需求評估制度。研究方法:本研究以專家決策過程(decision-making process)為主要研究方式,資料收集期間為2008-2010年。參與專家共計199位,根據其專長並依ICF架構分成16組,各組以焦點團體及德菲法,針對未來評估方法、標準及評估人員資格等進行研議及決策。結果:(一)以ICF 整合模式取代長久以來身心障礙者鑑定之醫療模式,並設計兩階段鑑定評估來界定身心障礙者;(二)階段性完成身心障礙者鑑定之流程、標準及工具,並初步決議從ICF 2480位碼中,挑選出137個做為台灣障礙者鑑定核心碼;(三)本研究從研議過程中歸納出對醫療體系、中央、地方政府與身心障礙者及其家屬四方面的衝擊。結論:WHO已針對許多疾病發展出核心編碼,但皆無法應用於身心障礙者鑑定,所以如何從ICF分類系統或架構中發展適合台灣障礙者鑑定之用的題項是格外重要與創新,惟本研究結果還需要鑑定實驗計畫來驗證工具的可行性。
原文英語
頁(從 - 到)2-19
頁數18
期刊身心障礙研究季刊
10
發行號1
出版狀態已發佈 - 2012

指紋

International Classification of Functioning, Disability and Health
Disabled Persons
Taiwan
Local Government
Politics
Focus Groups
Caregivers
Decision Making

引用此文

@article{663358e321114dc3abad0c17edfa4244,
title = "Experience of Implementing WHO-International Classification of Functioning, Disability and Health (ICF) in Disability Welfare Policy in Taiwan",
abstract = "Objectives: The objective of this study is to demonstrate the process of applying WHO-ICF in Taiwan. Methods: We initiated a national decision-making process involving members of Taiwan's ICF Project Team. A total of 199 professionals participated in one of 16 groups which were according to the ICF framework. In each group, one member led the discussion in the form of a focus group session, using voting to reach agreement. These groups were asked to develop evaluation methods and standards, and to formulate related courses to train disability assessment workers. Each group discussed and drafted related regulations. Results: We completed the phased to replace the integration model for medical model to define people with disability using WHO-ICF in Taiwan and design two stages for definition of people with disability during 2008-2010. The project has now completed several parts of the standards, tools, and practice manuals based on the ICF. We selected a total of 137 out of all ICF codes for disability assessment from total 2480 codes. Lastly, we found dilemmas and impacts in four aspects which are hospitals, local and central government, people with disabilities and the main caregiver. Conclusions: Several core sets developed by WHO are mainly for diseases and not applicable to disability assessment. Therefore it is vitally important to select more applicable items from ICF related categories targeted at determining disability eligibility, but the new assessment protocols and tools need to be tested and observed in the future.",
keywords = "世界衛生組織, 身心障礙者, 身心障礙者鑑定, 國際健康功能及身心障礙分類系統, Disability, disability welfare policy, International Classification of Functioning, Disability and Health (ICF), World Health Organization",
author = "Chia-Feng Yen and Chia-Chin Lin and Hua-Fang Liao and Shih-Ching Chen and Ching-Ying Lin and Hung-Yi Chiu and Tsan-Hon Liou",
year = "2012",
language = "English",
volume = "10",
pages = "2--19",
journal = "身心障礙研究季刊",
issn = "1729-2832",
publisher = "中華啟能基金會附設臺灣智能障礙研究中心",
number = "1",

}

TY - JOUR

T1 - Experience of Implementing WHO-International Classification of Functioning, Disability and Health (ICF) in Disability Welfare Policy in Taiwan

AU - Yen, Chia-Feng

AU - Lin, Chia-Chin

AU - Liao, Hua-Fang

AU - Chen, Shih-Ching

AU - Lin, Ching-Ying

AU - Chiu, Hung-Yi

AU - Liou, Tsan-Hon

PY - 2012

Y1 - 2012

N2 - Objectives: The objective of this study is to demonstrate the process of applying WHO-ICF in Taiwan. Methods: We initiated a national decision-making process involving members of Taiwan's ICF Project Team. A total of 199 professionals participated in one of 16 groups which were according to the ICF framework. In each group, one member led the discussion in the form of a focus group session, using voting to reach agreement. These groups were asked to develop evaluation methods and standards, and to formulate related courses to train disability assessment workers. Each group discussed and drafted related regulations. Results: We completed the phased to replace the integration model for medical model to define people with disability using WHO-ICF in Taiwan and design two stages for definition of people with disability during 2008-2010. The project has now completed several parts of the standards, tools, and practice manuals based on the ICF. We selected a total of 137 out of all ICF codes for disability assessment from total 2480 codes. Lastly, we found dilemmas and impacts in four aspects which are hospitals, local and central government, people with disabilities and the main caregiver. Conclusions: Several core sets developed by WHO are mainly for diseases and not applicable to disability assessment. Therefore it is vitally important to select more applicable items from ICF related categories targeted at determining disability eligibility, but the new assessment protocols and tools need to be tested and observed in the future.

AB - Objectives: The objective of this study is to demonstrate the process of applying WHO-ICF in Taiwan. Methods: We initiated a national decision-making process involving members of Taiwan's ICF Project Team. A total of 199 professionals participated in one of 16 groups which were according to the ICF framework. In each group, one member led the discussion in the form of a focus group session, using voting to reach agreement. These groups were asked to develop evaluation methods and standards, and to formulate related courses to train disability assessment workers. Each group discussed and drafted related regulations. Results: We completed the phased to replace the integration model for medical model to define people with disability using WHO-ICF in Taiwan and design two stages for definition of people with disability during 2008-2010. The project has now completed several parts of the standards, tools, and practice manuals based on the ICF. We selected a total of 137 out of all ICF codes for disability assessment from total 2480 codes. Lastly, we found dilemmas and impacts in four aspects which are hospitals, local and central government, people with disabilities and the main caregiver. Conclusions: Several core sets developed by WHO are mainly for diseases and not applicable to disability assessment. Therefore it is vitally important to select more applicable items from ICF related categories targeted at determining disability eligibility, but the new assessment protocols and tools need to be tested and observed in the future.

KW - 世界衛生組織

KW - 身心障礙者

KW - 身心障礙者鑑定

KW - 國際健康功能及身心障礙分類系統

KW - Disability

KW - disability welfare policy

KW - International Classification of Functioning

KW - Disability and Health (ICF)

KW - World Health Organization

M3 - Article

VL - 10

SP - 2

EP - 19

JO - 身心障礙研究季刊

JF - 身心障礙研究季刊

SN - 1729-2832

IS - 1

ER -