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An Integrated Work-Oriented Care Model Using Key Elements of the International Classification of Functioning and the
Desiree J S Dona1, Suzanne E J Kaal2, Bart P A Thoonen1
1Department of Primary and Community Care, Radboud university medical center, Geert Grooteplein 21, 6525 EZ Nijmegen, The Netherlands.
International Journal of Integrated Care
|June 29, 2026
Summary
Chronic conditions impact work participation. An integrated Work-oriented Care Model (WoCM) uses a biopsychosocial approach, aligning function with goals and context for better work outcomes.
Area of Science:
- Rehabilitation Medicine
- Occupational Health
- Health Services Research
Background:
- Chronic conditions significantly affect individuals' ability to participate in work.
- Current care models often fail to integrate work-related goals early in the management of chronic conditions.
- A need exists for a holistic approach addressing the interplay between health, function, and work.
Purpose of the Study:
- To introduce and describe the Work-oriented Care Model (WoCM) as an integrated care framework.
- To highlight the alignment of the WoCM with the Capability Approach (CA) and the International Classification of Functioning, Disability and Health (ICF).
- To illustrate the practical application and challenges of implementing a work-oriented care approach.
Main Methods:
- The study proposes the Work-oriented Care Model (WoCM), integrating biopsychosocial and patient-centered principles.
- It incorporates theoretical frameworks from the Capability Approach (CA) and the International Classification of Functioning (ICF).
- A case study methodology is employed to demonstrate the model's application and identify implementation factors.
Main Results:
- The WoCM facilitates aligning functional performance with individual work goals and contextual factors.
- Continuous, multidisciplinary work-oriented assessment is crucial for effective management.
- Case study findings highlight the necessity of involving both healthcare and occupational professionals.
Conclusions:
- An integrated care model embedding work-related goals from diagnosis is essential for managing chronic conditions' impact on work participation.
- Successful implementation of work-oriented care requires structural integration and improved coordination between healthcare and occupational systems.
- The WoCM provides a framework for a patient-centered, biopsychosocial approach to support sustained work participation.
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