Reconstruction of comprehensive vocational rehabilitation service process based on ICF:conceptual framework and approaches
Objective To reconstruct the vocational rehabilitation service process based on the framework and tools of the Interna-tional Classification of Functioning,Disability and Health(ICF),to establish a systematic and standardized voca-tional rehabilitation service system to achieve the integrated development of vocational rehabilitation and other rehabilitation services,and to improve the overall rehabilitation effect and quality of life of people with disabili-ties.By establishing a systematic and standardized vocational rehabilitation service system,it provides function-oriented,holistic rehabilitation services for the whole person.Methods This study adopted the ICF framework and tools to conduct a systematic analysis of the vocational rehabilita-tion process.Based on this,according to the functional characteristics and systematic application of ICF-based tools,a vocational rehabilitation process was constructed,including functional assessment and rehabilitation goal setting,rehabilitation plan formulation,implementation of multidisciplinary intervention,outcome evaluation and quality of life assessment,and long-term follow-up and support.Results Based on the ICF framework and the application of ICF tools,according to the characteristics and nature of work of vocational rehabilitation institutions for persons with disabilities,a five-step vocational rehabilitation process was constructed.The main activity content of each process was defined in detail,and the ICF tools used and the methods of application were determined.The reengineering of the vocational rehabilitation process signif-icantly improved the efficiency and quality of multidisciplinary comprehensive rehabilitation.The ICF frame-work and tools were the conceptual framework and platform for communication and collaboration among multi-disciplinary teams.According to different vocational rehabilitation processes,the normative application of ICF-based tools ensured the development and implementation of scientific and effective rehabilitation intervention programs.The use of ICF-based tools also integrated vocational rehabilitation with other rehabilitation services,and achieved synergy among different rehabilitation services and different rehabilitation institutions.Conclusion This study reengineered the vocational rehabilitation process based on the ICF framework,and constructed an ICF-based vocational rehabilitation process including the following five key processes,namely functional as-sessment and rehabilitation goal setting,formulating personalized and holistic rehabilitation plan,multidisci-plinary team implementing comprehensive intervention strategies,evaluations of outcome and quality of life,and long-term follow-up and support services.Using the ICF framework and tools,the vocational rehabilitation ser-vice process of rehabilitation institutions has been reengineered,and an integrated rehabilitation service system has been constructed to provide a function-oriented comprehensive rehabilitation model,so that people with dis-abilities could receive whole-person rehabilitation services throughout their life cycle.Establishing a common language and tools based on ICF can effectively improve communication and collaboration among professionals,and also provide standardized tools for cross-institutional service integration,which is conducive to achieve smooth collaboration and information sharing among different rehabilitation institutions,ensuring the smooth transition of people with disabilities between different rehabilitation stages and institutions,and ensuring the co-herence and integrity of the rehabilitation process.
International Classification of Functioning,Disability and Healthvocational rehabilitationholistic rehabilitationprocess reengineering
万方数据
维普
