The WHO construct of health-related functioning (HrF) and its implications for health policy
2011

Understanding Health-Related Functioning and Its Policy Implications

publication Evidence: moderate

Author Information

Author(s): Salvador-Carulla Luis, Garcia-Gutierrez Carlos

Primary Institution: Research Unit, Fundació Villablanca. Grup pere Mata, Reus, Spain

Hypothesis

How does the International Classification of Functioning (ICF) framework influence health policy and legislation?

Conclusion

The ICF model of functioning is more comprehensive and usable than previous alternatives, but a full taxonomy of the HrF construct is needed to avoid further confusions in this field.

Supporting Evidence

  • The ICF has been adopted by many countries as a reference framework for classification and policy on disabilities.
  • ICF is both a coding system and a conceptual framework of health-related functioning.
  • Critics highlight usability and taxonomy problems within the ICF framework.

Takeaway

This study looks at how a system called ICF helps us understand health and disability, and why we need to make it clearer for better health policies.

Methodology

Narrative review based on scientific literature and prior expert knowledge.

Potential Biases

Confusion between the ICF and other health functioning models may lead to misinterpretation and misapplication in policy.

Limitations

The ICF framework has been loosely used in policy and legislation, leading to significant implications for assessment and disability policy.

Digital Object Identifier (DOI)

10.1186/1471-2458-11-S4-S9

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