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ICF Core Set for patients with cardiopulmonary conditions in early post-acute rehabilitation facilities
Manfred Wildner1, Michael Quittan, Lucien Portenier
1Bavarian Health and Food Safety Authority, Oberschleissheim, Germany.
Insights
A consensus process established the first International Classification of Functioning, Disability and Health (ICF) Core Set for cardiopulmonary conditions in post-acute rehabilitation. This framework aids comprehensive patient assessment in early rehabilitation settings.
Area of Science:
- Rehabilitation Medicine
- Health Services Research
- Clinical Assessment
Background:
- Cardiopulmonary conditions require comprehensive assessment in post-acute rehabilitation.
- Existing assessment tools may not fully capture patient functioning in this context.
- Early post-acute rehabilitation is crucial for functional recovery.
Framework:
- The International Classification of Functioning, Disability and Health (ICF) Core Set provides a standardized framework.
- This ICF Core Set was developed through a rigorous consensus process.
- It includes 84 second-level ICF categories, emphasizing Body Functions, Activities and Participation, and Environmental Factors.
Implementation:
- The development involved expert consensus, literature review, and patient data.
- Focus groups with health professionals informed the selection process.
- The ICF Core Set is designed for use in early post-acute rehabilitation facilities.
Implications:
- The Post-acute ICF Core Set offers a clinical framework for interdisciplinary patient assessment.
- It facilitates a comprehensive understanding of patient functioning.
- Further empirical studies are planned for validation in German-speaking countries and internationally.
Purpose:
The aim of this consensus process was to decide on a first version of the ICF Core Set for patients with cardiopulmonary conditions in early post-acute rehabilitation facilities.
Methods:
The ICF Core Set development involved a formal decision-making and consensus process integrating evidence gathered from preliminary studies including focus groups of health professionals, a systematic review of the literature and empiric data collection from patients.
Results:
Seventeen experts selected a total of 84 second-level categories. The largest number of categories was selected from the ICF component Body Functions (33 categories or 39% of all ICF Core Set categories). Four (5%) of the categories were selected from the component Body Structures, 23 (27%) from the component Activities and Participation, and 24 (29%) from the component Environmental Factors.
Conclusions:
The Post-acute ICF Core Set for patients with cardiopulmonary conditions is a clinical framework to comprehensively assess patients in early post-acute rehabilitation facilities, particularly in an interdisciplinary setting. This first ICF Core Set will be further tested through empiric studies in German-speaking countries and internationally.
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