专家和个人对全球北方与全球南方的实践经验进行比较:ICF对聋盲的核心套件
Walter Wittich1, Shirley Dumassais2, Maya Saini3
1School of Optometry, Université de Montreal, Montreal, Quebec, Canada. walter.wittich@umontreal.ca.
Population health metrics
|January 25, 2026
概括
全球卫生公平需要多元化的声音. 对全球北方和南方的聋盲数据进行比较,发现了环境因素和参与度的显著区域差异,影响了核心集的发展.
科学领域:
- 全球健康 全球健康
- 关于残疾人的研究.
- 康复科学 康复科学 康复科学
背景情况:
- 公平的全球卫生框架需要整合多样化的专业和生活经验.
- 使用国际功能,残疾和健康分类 (ICF) 的核心集开发通常缺乏来自全球北方 (GN) 和全球南方 (GS) 的平等数据表示.
- 这项研究利用来自聋盲核心集开发的数据来比较GN和GS之间的ICF类别频率.
研究的目的:
- 为了比较全球北方和全球南方之间的ICF类别的频率,使用来自聋盲核心集发展的数据.
- 探索身体结构,身体功能,活动和参与以及环境因素的地理差异.
- 为了确定未来的核心集开发的专家观点中生活现实的潜在不足.
主要方法:
- 来自专家调查 (n=105) 和采访聋盲个体 (n=72) 的数据根据布兰特线分为GN和GS.
- 使用国际功能,残疾和健康分类 (ICF) 编码系统来识别感知到的功能类别.
- 在ICF组件和章节中使用千平方统计数据比较了独特的ICF类别的汇总频率.
主要成果:
- 调查数据显示,在活动/参与或环境因素方面,没有显著的地理差异.
- 定性访谈显示出显著的偏差:GN强调社交和人权,而GS强调家庭关系.
- 环境因素的差异包括GN专注于卫生服务和适应,而GS强调协会,家庭和社区支持.
结论:
- 聋盲患者活动和参与的区域差异反映了环境因素的差异,受文化和资源差异的影响.
- 地理区域是影响功能和残疾的重要环境因素.
- 未来的核心集开发应该纳入更多多样化的数据源,以更好地代表生活的环境现实.
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