Original Articles
19 February 2025
Vol. 40 No. 1 (2018)
https://doi.org/10.4081/gimle.527

[ICF, digitalisation and clinical care pathways in rehabilitation medicine: a possible integration from the goal-planning and the rehabilitation programme design to the evaluation of clinical outcomes]

Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
48
Views
39
Downloads

Authors

Anna Giardini
anna.giardini@icsmaugeri.it
Servizio di Psicologia, Istituti Clinici Scientifici Maugeri, Montescano (PV), Italy.
Silvia Traversoni
Servizio di Psicologia, Istituti Clinici Scientifici Maugeri, Montescano (PV), Italy.
Claudio Garbelli
Istituti Clinici Scientifici Maugeri, Pavia, Italy.
Anna Lodigiani
Istituti Clinici Scientifici Maugeri, Pavia, Italy.

In the light of the growing complexity featuring the contemporary world, a future challenge is represented by the maintenance of the humanization of healthcare, along with the necessity of a highspecificity personalized treatment, in a growing emergency of lack of resources. Furthermore, the ongoing digital revolution spreading in every productive sector involves the health-care system as well, playing a crucial role for the goals of the specialized care-related prevention-treatment-rehabilitation approach of the Rehabilitation Medicine. However, the digitalization of clinical data is not to be considered as a mere tout-court necessity, but it deserves to be planned and carried out with consistent awareness: the digital transformation calls for a theoretical paradigm which, together with a shared language, will be able to embrace its multilevel complexity, taking into account the patient needs, the clinical care pathways and the administrative requests. In the present work the potentialities of the WHO ICF model (International Classification of Functioning, Disability and Health) will be described. In particular, will be discussed the role of the ICF in representing the keystone able to connect the ICD-9-CM classification, the clinical care pathways, the individualized rehabilitation project and program and their digital implementation. Hence, each step of the process that led the implementation of the biopsychosocial model in the ICF Maugeri workflows will be presented, as well as the critical issues related to the digitalisation process and the strengths in safeguarding the patients' wellbeing.

Altmetrics

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC
1) ICD-9-CM, International Classification of Diseases, 9th Revision, Clinical Modification. 2007. https://www.cdc.gov/nchs/icd/icd9cm.htm, consultato il 27 dicembre 2017.
2) World Health Organization. ICIDH International Classification of Impairments Disabilities and Handicaps, 1980.
3) Schianchi M. Storia della disabilità, dal castigo degli dei alla crisi del welfare. Carocci Editore; 2012.
4) Ferrucci F. La disabilità come relazione sociale, gli approcci sociologici tra natura e cultura. Rubbettino Editore; 2004.
5) World Health Organization. ICF, International Classification of Functioning, Disability and Health, 2001.
6) Bejor M, Marazzi M. ICF e riabilitazione. In: Belelli G, Trabucchi M, ed. Riabilitare l'anziano, Teoria e strumenti di lavoro. Carocci Editore; 2009: 328.
7) Stucki G, Bickenbach J. Functioning: the third health indicator in the health system and the key indicator for rehabilitation. Eur J Phys Rehabil Med 2017: 134-138.
8) Grill E, Stucki G. Criteria for validating comprehensive ICF core sets and developing brief ICF core set versions. J Rehabil Med 2011; 43: 87-91.
9) Selb M, Escorpizo R, Kostanjsek N, et al. A guide on how to develop an International Classification of Functioning, Disability and Health Core Set. Eur J Phys Rehabil Med 2015; 51: 12-19 10) Cieza A, Oberhauser C, Bickenbach J, et al. Towards a minimal generic set of domains of functioning and health. BMC Public Health 2014; 14: 218.
11) ICF Research Branch. ICF Core Sets. 2012. http://www.icf-core-sets.org/, consultato il 20 dicembre, 2017.
12) Leonardi M. ICF: La Classificazione del Funzionamento della Disabilità e della Salute dell'Organizzazione Mondiale della Sanità. Proposte di lavoro e di discussione per l'Italia. Giornale Italiano di Medicina Riabilitativa 2003; 17(1).
13) Cerniauskaite M, Quintas R, Boldt C, et al. Systematic literature review on ICF from 2001 to 2009: its use, implementation and operationalisation. Disabil Rehabil 2011; 33: 281-309.
14) Liu S, Zhang X, Cai W. The construct validity of ICF generic set as a measure of functioning in clinical practice of China. 2017; 32: 994-999.
15) Prodinger B, Reinhardt J, Selb M, et al. Towards system-wide implementation of the International Classification of Functioning, Disability and Health (ICF) in routine practice: Developing simple, intuitive descriptions of ICF categories in the ICF Generic and Rehabilitation Set. J Rehabil Med 2016; 48: 508-514.
16) Reinhardt J, Zhang X, Prodinger B, et al. Towards the system-wide implementation of the International Classification of Functioning, Disability, and Health in routine clinical practice: Empirical findings of a pilot study from Mainland China. J Rehabil Med 2016; 48: 515-521.
17) Li J, Prodinger B, Reinhardt J, et al. Towards the system-wide implementation of the International Classification of Functioning, Disability and Health in routine practice: Lessons from a pilot study in China. J Rehabil Med 2016; 48: 502-507.
18) EPA. Percorsi diagnostici terapeutici e assistenziali (PDTA), http://e-p-a.org/sito-internet-e-p-a/percorsi-diagnostici-terapeuticie-assistenziali-pdta/, consultato il 21 dicembre 2017.
19) Lega F. Management e leadership dell'azienda sanitaria. Conoscere il settore e il sistema, organizzare i servizi, dirigere i professionisti. Milano: Egea; 2016.
20) Sermeus W, De Bleser L, Depreitere R, et al. An introduction to clinical pathways. In: Devriese S, Lambert ML, Eyssen M, et al., ed. The use of clinical pathways and guidelines to determine physicians' hospital fees prospectively: easier said than done. Brussel: Belgian Healthcare Knowledge Centre (KCE). KCE Reports; 2005, 18A. 21) Vanhaecht K, De Witte K, Panella M, et al. Do pathways lead to better organized care processes? J Eval Clin Pract 2009; 15: 782-788. 22) Barbieri A, Vanhaecht K, Van Herck P, et al. Effects of clinical pathways in the joint replacement: a meta-analysis. BMC Med 2009; 7: 32.
23) Seys D, Bruyneel L, Deneckere S, et al. Better organized care via care pathways: A multicenter study. PLoS One 2017; 12.
24) Vanhaecht K, Lodewijckx C, Sermeus W, et al. Impact of a care pathway for COPD on adherence to guidelines and hospital readmission: A cluster randomized trial. Int J COPD 2016; 11: 28972908.
25) Leigheb F, Vanhaecht K, Sermeus W, et al. The effect of care pathways for hip fractures: A systematic overview of secondary studies. Eur J Orthop Surg Traumatol 2013; 23: 737-745.
26) Kul S, Barbieri A, Milan E, et al. Effects of care pathways on the inhospital treatment of heart failure: a systematic review. BMC Cardiovasc Disord 2012; 12.
27) Istruzione operativa ICSM, Nomenclatore delle Prestazioni Specialistiche Maugeri, 10 ICSM NPA 1-2.
28) Levack W, Dean SG. Processes in rehabilitation. In: Dean SG, Siegert RJ, Taylor WJ, ed. Interprofessional Rehabilitation, A person-centred approach. Wiley-Blackwell; 2013: 79-108.
29) Rauch A, Cieza A, Stucki G. How to apply the International Classification of Functioning, Disability and Health (ICF) for rehabilitation management in clinical practice. Eur J Phys Rehabil Med 2008; 44: 329-342.
30) Steiner WA, Ryser L, Huber E, et al. Use of the ICF model as a clinical problem-solving tool in physical therapy and rehabilitation medicine. 2002; 82: 1098-1107.
31) Stucki G, Bickenbach J, Negrini S. Methodological notes on applying the International Classification of Functioning, Disability and Health in rehabilitation. 2017; 53: 132-133.
32) Meyer T, Gutenbrunner C, Bickenbach J, et al. Towards a conceptual description of rehabilitation as a health strategy. J Rehabil Med 2011; 43: 765-769.
33) Taylor WJ, Geyh S. A Rehabilitation Framework: The International Classification of Functioning, Disability and Health. In: Sarah G. Dean, Richard J. Siegert WJT, ed. Interprofessional Rehabilitation, A person-centred approach. Wiley-Blackwell; 2013: 9-44.
34) Stucki G, Cieza A, Melvin J. The international classification of functioning, disability and health: A unifying model for the conceptual description of the rehabilitation strategy. J Rehabil Med 2007; 39: 279-285.
35) Stucki G, Grimby G. Foreword: Applying the ICF in medicine. J Rehabil Med Suppl 2004: 5-6.
36) Stucki G, Ewert T, Cieza A. Value and application of the ICF in rehabilitation medicine. Disabil Rehabil 2002; 24: 932-938.
37) Harari YN. Sapiens: A Brief History of Humankind. Vintage Books, London; 2014.
38) Kannampallil TG, Schauer GF, Cohen T, et al. Considering complexity in healthcare systems. J Biomed Inform 2011; 44: 94339) Moor JH. Why We Need Better Ethics for Emerging Technologies. Ethics Inf Technol 2005; 7: 111-119.
40) CERGAS-SDA Bocconi (ed.), Rapporto OASI 2017, Osservatorio sulle aziende e sul sistema sanitario italiano, EGEA, Milano, 2017.

How to Cite



[ICF, digitalisation and clinical care pathways in rehabilitation medicine: a possible integration from the goal-planning and the rehabilitation programme design to the evaluation of clinical outcomes]. (2025). Giornale Italiano Di Medicina Del Lavoro Ed Ergonomia, 40(1), 22-29. https://doi.org/10.4081/gimle.527
Copyright (c) 2018 The Author(s) Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.