Article information
Resumo
O objectivo principal do presente artigo é apresentar a Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF), que faz parte da “família” de classificações desenvolvidas pela Organização Mundial de Saúde.
A CIF oferece uma linguagem unificada e normalizada, bem como um marco conceptual para descrever a saúde e os estados relacionados com a saúde, constituindo um valioso instrumento de utilidade prática em Saúde Pública.
O modelo estabelece-se em duas grandes partes: a primeira que agrupa a Funcionalidade e a Incapacidade com duas componentes: a) Funções e Estruturas Corporais e b) Actividades e Participação. Uma segunda parte que engloba os Factores Contextuais, também com duas componentes: c) Factores Ambientais e d) Factores Pessoais. As componentes estão classificadas mediante categorias, organizadas numa estrutura hierárquica de 4 níveis.
Neste trabalho analisamos o marco conceptual e a estrutura da CIF e descrevemos as linhas de acção relativamente à sua difusão e implementação.
Keywords:
International Classification of Functioning
Disability
Health
Palavras-chave:
Classificação Internacional de Funcionalidade
Incapacidade
Saúde
Abstract
The aim of this article is to present the International Classification of Functioning, Disability and Health (ICF), which comprises the “family” of classifications of the World Health Organization (WHO).
This classification offers a unified and standardized language, as well as a conceptual framework for describing the health and the health related states, setting out a valuable instrument of practical use in public health.
The model is established with two main parts: the first part includes the Functioning and Disability with two components: a) Body Structures and Function and b) Activities and Participation. The second part includes the Contextual Factors with two components: c) Environmental Factors and d) Personal Factors. The components are classified by categories, organized in a hierarchical structure of four levels.
In this paper we analyze the conceptual framework and the structure of the ICF, and we also describe the action lines for its dissemination and implementation.
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Bibliografia
[1.]
WHO.
The international classification of functioning, disability and health.
World Health Organization, (2001),
[2.]
A. Cieza, G. Stucki.
Content comparison of health-related quality of life (HRQOL) instruments based on the international classification of functioning, disability and health (ICF).
Qual Life Res., 14 (2005), pp. 1225-1237
[3.]
D.T. Wade, P. Halligan.
New wine in old bottles: the WHO ICF as an explanatory model of human behaviour.
Clin Rehabil., 17 (2003), pp. 349-354
[4.]
L. Allet, E. Burge, D. Monnin.
ICF: clinical relevance for physiotherapy? A critical review.
Adv Physiother., 10 (2008), pp. 127-137
[5.]
M. Schneidert, R. Hurst, J. Miller, B. Ustün.
The role of environment in the international classification of functioning, disability and health (ICF).
Disabil Rehabil., 25 (2003), pp. 588-595
[6.]
J.L. Ayuso-Mateos, M. Nieto-Moreno, J. Sánchez-Moreno, J.L. Vázquez-Barquero.
Clasificación Internacional del Funcionamiento, la Discapacidad y la Salud (CIF): aplicabilidad y utilidad en la práctica clínica.
Med Clin (Barc)., 126 (2006), pp. 461-466
[7.]
J.L. Thonnard, M. Penta.
Functional assessment in physiotherapy. A literature review.
Eur Medicophys., 43 (2007), pp. 525-541
[8.]
L. van de Ven, M. Post, L. de Witte, W. van den Heuvel.
It takes two to tango: the integration of people with disabilities into society.
Disabil Soc., 20 (2005), pp. 311-332
[9.]
J.F. Duchan.
Commentary: Where is the person in the ICF?.
Advances in Speech-Language Pathology., 6 (2004), pp. 63-65
[10.]
B. Ustun, S. Chatterji, N. Kostanjsek.
Comments from WHO for the Journal of Rehabilitation Medicine Special Supplement on ICF Core Sets.
J Rehabil Med., 44 (2004), pp. 7-8
[11.]
T. Ewert, M. Fuessl, A. Cieza, C. Andersen, S. Chatterji, N. Kostanjsek, et al.
Identification of the most common patient problems in patients with chronic conditions using the ICF checklist.
J Rehabil Med., 44 (2004), pp. 22-29
[12.]
M. Nieto-Moreno.
Aplicación de la CIF para el estudio y evaluación del funcionamiento y la discapacidad en depresión unipolar en el ámbito de atención primaria.
Actas Esp Psiquiat., 34 (2006), pp. 393-396
[13.]
WHO.
Measuring health and disability: manual for WHO disability assessment schedule: WHOADAS 2. 0.
World Health Organization, (2010),
[14.]
A. van Tubergen, R. Landewé, L. Heuft-Dorenbosch, A. Spoorenberg, D. van der Heijde, H. van der Tempel, et al.
Assessment of disability with the World Health Organization Disability Assessment Schedule II in patients with ankylosing spondylitis.
Ann Rheum Dis., 62 (2003), pp. 140-145
[15.]
A. Schlote, M. Richter, M.T. Wunderlich, U. Poppendick, C. Möller, K. Schwelm, et al.
WHODAS II with people after stroke and their relatives.
Disabil Rehabil., 31 (2009), pp. 855-864
[16.]
J.J. Meesters, J. Verhoef, I.S. Liem, H. Putter, T.P. Vliet Vlieland.
Validity and responsiveness of the World Health Organization Disability Assessment Schedule II to assess disability in rheumatoid arthritis patients.
Rheumatology (Oxford)., 49 (2010), pp. 326-333
[17.]
M. Weigl, A. Cieza, C. Andersen, B. Kollerits, E. Amann, G. Stucki.
Identification of relevant ICF categories in patients with chronic health conditions: a Delphi exercise.
J Rehabil Med., 44 (2004), pp. 12-21
[18.]
A. Cieza, T. Ewert, T.B. Ustün, S. Chatterji, N. Kostanjsek, G. Stucki.
Development of ICF Core Sets for patients with chronic conditions.
J Rehabil Med., 44 (2004), pp. 9-11
[19.]
E. Grill, T. Ewert, S. Chatterji, N. Kostanjsek, G. Stucki.
ICF Core Sets development for the acute hospital and early post-acute rehabilitation facilities.
Disabil Rehabil., 27 (2005), pp. 361-366
[20.]
G. Stucki, T.B. Ustun, J. Melvin.
Applying the ICF for the acute hospital and early post-acute rehabilitation facilities.
Disabil Rehabil., 27 (2005), pp. 349-352
[21.]
G. Stucki, G. Grimby.
Applying the ICF in medicine.
J Rehabil Med., 44 (2004), pp. 5-6
[22.]
D. McAnaney.
O contributo da CIF-CJ para as necessidades educativas especiais: modelação das políticas e das práticas de inclusão social das pessoas com deficiências em Portugal.
Arcozelo: Centro de Reabilitação Profissional de Gaia,
[23.]
R.J. Simeonsson.
ICF-CY: a universal tool for documentation of disability.
Journal of Policy and Practice in Intellectual Disabilities., 6 (2009), pp. 70-72
[24.]
Centro Brasileiro de Classificação de Doenças. Classificação Internacional da Funcionalidade Incapacidade e Saúde: versão para crianças e jovens, actividades e participação, factores ambientais. [Em linha]. São Paulo: CBCD. Faculdade de Saúde Pública. Universidade de São Paulo. [Consult. 20-01-2010]. Disponível em http://hygeia.fsp.usp.br/∼cbcd/.
[25.]
J.A. Fernández-López, M. Fernandez-Fidalgo, R. Geoffrey, G. Stucki, A. Cieza.
Funcionamiento y discapacidad: la clasificacion internacional del funcionamiento (CIF).
Rev Esp Salud Publica., 83 (2009), pp. 775-783
[26.]
S. Bruyère, S. van Looy, D. Peterson.
The International Classification of Functioning, Disability and Health: contemporary literature overview.
Rehabil Psychol., 50 (2005), pp. 113-121
[27.]
G. Stucki, A. Cieza.
The International Classification of Functioning Disability and Health in physical and rehabilitation medicine.
Eur J Phys Rehabil Med., 44 (2008), pp. 299-302
[28.]
J. Jelsma.
Use of the International Classification of Functioning, Disability and Health: a literature survey.
J Rehabil Med., 41 (2009), pp. 1-12
[29.]
W.A. Steiner, L. Ryser, E. Huber, D. Uebelhart, A. Aeschlimann, G. Stucki.
Use of the ICF model as a clinical problem-solving tool in physical therapy and rehabilitation medicine.
Phys Ther., 82 (2002), pp. 1098-1107
[30.]
A. Cieza, G. Stucki.
The International Classification of Functioning Disability and Health: its development process and content validity.
Eur J Phys Rehabil Med., 44 (2008), pp. 303-313
[31.]
W.J. Rejeski, E.H. Ip, A.P. Marsh, M.E. Miller, D.F. Farmer.
Measuring disability in older adults: the International Classification System of Functioning, Disability and Health (ICF) framework.
Geriatr Gerontol Int., 8 (2008), pp. 48-54
[32.]
V.K. Noonan, J.A. Kopec, L. Noreau, J. Singer, M.F. Dvorak.
A review of participation instruments based on the International Classification of Functioning, Disability and Health.
Disabil Rehabil., 31 (2009), pp. 1883-1901
[33.]
H.P. Rentsch, P. Bucher, I. Dommen Nyffeler, C. Wolf, H. Hefti, E. Fluri, et al.
The implementation of the “International Classification of Functioning, Disability and Health” (ICF) in daily practice of neurorehabilitation: an interdisciplinary project at the Kantonsspital of Lucerne, Switzerland.
Disabil Rehabil., 25 (2003), pp. 411-421
[34.]
A. Rauch, A. Cieza, G. Stucki.
How to apply the International Classification of Functioning, Disability and Health (ICF) for the rehabilitation management in clinical practice.
Eur J Phys Rehabil Med., 44 (2008), pp. 329-342
[35.]
G.M. Reed, M. Leonardi, J.L. Ayuso-Mateos, A. Materzanini, D. Castronuovo, A. Manara, et al.
Implementing the ICF in a psychiatric rehabilitation setting for people with serious mental illness in the Lombardy region of Italy.
Disabil Rehabil., 31 (2009), pp. S170-S173
[36.]
M.F. Schuntermann.
The implementation of the International Classification of Functioning, Disability and Health in Germany: experiences and problems.
Int J Rehabil Res., 28 (2005), pp. 93-102
[37.]
A. Perry, M. Morris, C. Unsworth, S. Duckett, J. Skeat, K. Dodd, et al.
Therapy outcome measures for allied health practitioners in Australia: the AusTOMs.
Int J Qual Health Care., 16 (2004), pp. 285-291
[38.]
G.M. Reed, K. Dilfer, L.F. Bufka, M.J. Scherer, P. Klotz, M. Tsivhase, et al.
Operationalizing the International Classification of Functioning, Disability and Health in clinical settings.
Rehab Psychol., 50 (2005), pp. 122-131
[39.]
O’donovan Ma, A. Doyle, P. Gallangher.
Barriers, activities and participation: incorporating ICF into service planning datasets.
Disabil Rehabil., 31 (2009), pp. 2073-2080
[40.]
Y. Okawa, S. Ueda, K. Shuto, T. Mizoguchi.
Development of criteria for the qualifiers of activity and participation in the “International Classification of Functioning, Disability and Health” based on the accumulated data of population surveys.
Int J Rehabil Res., 31 (2008), pp. 97-103
[41.]
C. Broberg, M. Aars, K. Beckmann, R. Vandenberghe, N. Emaus, P. Lehto, et al.
A conceptual framework for curriculum design in physiotherapy education: an international perspective.
Adv Physiother., 5 (2003), pp. 161-168
[42.]
C.M. Allan, W.N. Campbell, C.A. Guptill, F.F. Stephenson, K.E. Campbell.
A conceptual model for interprofessional education: the international classification of functioning, disability and health (ICF).
J Interprof Care., 20 (2006), pp. 235-245
[43.]
J. Darrah, J. Loomis, P. Manns, B. Norton, L. May.
Role of conceptual models in a physical therapy curriculum: application of an integrated model of theory, research, and clinical practice.
Physiother Theory Pract., 22 (2005), pp. 239-250
[44.]
R.J. Simeousson.
Classification of communication disabilities in children: contribution of the International Classification on Functioning, Disability and Health.
Int J Audiol., 42 (2003), pp. S2-8
[45.]
W.N. Campbell, E. Skarakis-Doyle.
School-aged children with SLI: the ICF as a framework for collaborative service delivery.
J Commun Disord., 40 (2007), pp. 513-535
[46.]
N. Thomas-Stonel, B. Oddson, B. Robertson, P. Rosenbaum.
Predicted and observed outcomes in preschool children following speech and language treatment: parent and clinician perspectives.
J Commun Disord., 42 (2009), pp. 29-42
[47.]
A. Meester-Delver, A. Beelen, R. Hennekam, F. Nollet, M. Hadders-Algra.
The capacity profile: a method to classify additional care needs in children with neurodevelopmental disabilities.
Dev Med Child Neurol., 49 (2007), pp. 355-360
[48.]
A. Meester-Delver, A. Beelen, M. Ketelaar, M. Hadders-Algra, F. Nollet, J.W. Gorter.
Construct validity of the capacity profile in preschool children with cerebral palsy.
Dev Med Child Neurol., 51 (2009), pp. 446-453
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