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Der Patient als Experte

Dubs

    Forschende Komplementarmedizin
    |January 20, 1999
    PubMed
    Summary
    This summary is machine-generated.

    The International Classification of Impairments, Disabilities, and Handicaps (ICIDH) empowers patients as experts to assess their health benefits. This patient-centered approach, using the MARA model, enhances chronic disease management and evidence-based medicine.

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    Area of Science:

    • Health Economics
    • Quality Management
    • Rehabilitation Medicine

    Background:

    • Current health economy and quality management lack robust methods for assessing cost-benefit relationships.
    • Traditional models focus on pathogenesis and organ-level descriptions (ICD), failing to capture individual benefit.
    • The International Classification of Impairments, Disabilities, and Handicaps (ICIDH) offers a framework for assessing illness manifestations at individual and societal levels.

    Purpose of the Study:

    • To highlight the crucial role of patients as experts in determining health benefits.
    • To introduce the ICIDH as a key tool for managing chronic diseases.
    • To present the MARA model as a pragmatic approach for assessing intervention benefits.

    Main Methods:

    • Utilizing the International Classification of Impairments, Disabilities, and Handicaps (ICIDH) for benefit assessment.

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  • Integrating salutogenesis and hierarchy of needs principles for chronic illness management.
  • Employing the developed MARA model and MARA curve for describing intervention outcomes and ethical guidance.

    • Main Results:

    • The ICIDH enables patients to evaluate their loss of capability on an individual level.
    • The MARA model, grounded in ICIDH, hierarchy of needs, and salutogenesis, provides a patient-oriented basis for benefit discussions.
    • Shifting focus from organ-level to individual-level ability assessment fosters consensus among healthcare stakeholders.

    Conclusions:

    • The ICIDH is essential for patient-centered benefit assessment in healthcare.
    • The MARA model facilitates the integration of evidence-based medicine and improves chronic disease management.
    • Adopting an individual-level perspective on abilities enhances consensus and collaboration in health services.