?????????????????????(ICF)???????????????????????????? ?

1
I.
ICF??????????

• ?????????????????????(ICF)????????????????????????
  ???? ?
• ???????????????????????????
• 201008??

1
2
????? (Chia-Feng Yen)
2010.8?? ??????????????
2009.92010.7 ???????????????? ????????????
2008.72009.6 ??????????????(20090601) ??????????_ICF?????? ??????????????
2006.92008.7 ??????????????? ???????2020????????????????? ??????????????
2003.12006.8 ?????????????????????? ?????????? ?????????????????? ???????????????????
2001.22002.12 ????????????
2001.1 ???????????????
3
????????

• ??????????????????????????????
• ?????????????????????????

4
??ICF????

• ??????????
• ???????
• ICF????????
• ????
• ICF???????
• ???????????????,????ICIDH ?ICF???????WHO???????
• ?????ICF??????????

• ??????????
• ????
• ????
• ???????
• ???????????
• ????
• ????????,
• ICF???????????????,???????????????????????????
• ????
• ICF?????????????????(Core sets)???,
• ?????????????

4
5
???????

• ?????????
• ????
• ??????????ICF????
• ICF?????????
• ????
• ?????????
• ????
• ?????

5
6

• ????
• ???????????
• ?ICF??

6
7
???????????

• (?)????????

8
?????????????????????????

• The distribution dilemma (?????) (Stone, 1984)
• work-based distribution system and
  need-based?????????,????????
• ???????????????????????????????????
• ????????????????????????????

8
9
International Comparison of Percentages of
Persons with Disabilities in 33 Countries

• More than 100 times difference between
• Austria (20.9) and
• Peru (0.2)!

Disability Statistics Compendium (United
Nations, 1990)
9
10
???????

• ???????????????????
• ????????,?????????????????
• ???????????????????
• (?????????????)
• ???????????????????
• (????)
• ???????????,??????????????????????????????

11

• ?????????????,
• ?????????????????,
• ????????????????????
• ???????????????,????????????

12

• ??
• ??????,?????????????????????
• ??????????,??????????
• ICF?????????,???????????????????????????????????

13

• ???????????

?????ICF?
(?)??????????????
13
14
?????????????
1980???????

• ???????????

1981??????????????????????

• 7 ?????,??????3 ?

1990???????,???????????????

• ??????????????????(???,1994)????????????????????

• ????2007????????
• ??????????????
• ???????????????????,
• ???????????????????????????

1997??????????
2007????????????
ICF?????
14
15
2007???????????????

• ? ? ? ?????(?)????????????????,??????????????????
  ???????,????????????????
• ??????,??????????????????????????????????????????,
  ????????????????????(?)???????
• ??????????????????????????????????????????????????
  ???????????????????????,????????????
• ???????????????,??????(?)?????????????

15
16
2007???????????(?)

• ? ? ? ?????(?)???????????????????????????,???????
  ??????
• ??????,???????????????????????????????????????????
  ?????
• ?????(?)??????????????????????,?????????,?????????
  ????
• ??????????????????,???????????????????????????????
  ????????????????????,????????????????????

16
17
?????????????

• ?????????????????????
• ???????,???????
• ????? vs ????(????)
• ??????????????????????
• ????????????????????

???????????,????ICF?????????????,????ICF??????????
????????
18
18
19
????????? ...
19
20
???? ...
??
20
21
???? ...
ICF-10
??
ICF _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
OT ?? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
PT?? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
21
22
(?)ICF??????????????????
22
23
????????????

• ????
• ????????????,????????
• ??????????????????
• ??,?????????????(??)
• ????
• ????????????,?????????????????????????????????????
  ??????????????????????????????????????????
• ????
• ?????????????????????????????????????
• ????
• ???????????????,????????????????

24
???????
?? ???? ???? ???? ????
???? ????? ????!????????????????????????????????? ?!????????????????,?????????????????????????? ???????????,??????????????? ??????,?????????????????????
???? ????? ?????????????????????????????????,?????? ????????????????????? ??????????????????????????????(or ????)? ?????,???????!
???????? ?????????????????????????? ?????????????????????????? ?????????????????????????????????? ??????????????,??????(????????????)?
25
???????(?)

• ??????????????????????????????
• ????????,?????????,?????????????????,?????????????
  ?????
• ICF????????????????

26
?????????????

• ????
• ????????????
• ??????
• ??????,??????????
• ??????????????????????????????????????????????????
  ?
• ????
• ?????,???????(?????????)
• ?????????????????????,????????,???????????????
• ???????????????????????????????????????????

27
??????(Model of Disablement Process )
??????????????,???????????????????????????????????

• ????????????
• Body system ????
• Health Condition ????
• Functioning ??
• ?????????????????????????????
• ???????????????????,????????
• ????????,?????????,?????????????????,?????????????
  ?????,?????????????????????

27
28
International Classification of Functioning,
Disability and Health (ICF) ????
???????
ICD (International Classification of Diseases and
Related Health Problem )
???? Medical Model
ICIDH (International Classification of
Impairments, Disabilities, and Handicaps )
(WHO, 1980)
??????????????????????,??????????ICD?????ICIDH
ICF (International Classification of Functioning,
Disability and Health )
(WHO, 2001)
???????????????????????
29
?????????

• ??????????(ICIDH?ICF)
• ?????,????????????????????
• ??????
• ??????

29
30
???????????

• ??????
• ??,???????,??????????????????????,??????????
• Impairment(????)??
• ?????????????????????????????
• Disability??
• ?????????????????????

30
31
??????????????

• ????????????????????,?????????,???????????????????
  ????????
• WHO(2001?)???????
• ????????????????
• ??????
• ????,????????????????????????

31
32
???????????

• ???????????,???????,????????Nagi??????? Nagi
  1960????????????????????

Pathology ????
impairment ??
Role ??
Disability (behavior) ??(??)
Functional limitation ????
(Altman, 2001)

• Nagi??????????
• ??????????????????????,????????????,??????????????
  ??
• ??????????????,???????????????,???????????????????
  ???(role theory)????????????
• ?????,?????????????????????????,?????????,????????
  ??????,????????????????,?????????????

32
33
ICF (International Classification of Functioning,
Disability and Health

• ??????????????
• ???????functioning limitation?????
• ???????????????
• ????????????????????????
• ???????????????????????

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34
ICF???????????????? ICF the Integrative Model
that dialectically overcomes the barrier
Confrontation of Medical Model and Social
Model
Wider Environmental Factors And Personal Factors
(Ueda, 2008)