PERSONAL FACTORS AND THEIR PERSPECTIVE IN SOCIAL MEDICINE AND REHABILITATION

Authors

  • Wolfgang Seger Health Advisory Board of Social Health and Long-Term-Care Insurances in Lower Saxony (MDKN), Hannover, Germany, Medical Expert Advisory Board of the Federal Rehabilitation Council, Frankfurt, Germany, German Society for Social Medicine and Prevention (DGSMP), Hannover, Germany
  • Sabine Grotkamp Health Advisory Board of Social Health and Long-Term-Care Insurances in Lower Saxony (MDKN), Hannover, Germany, Medical Expert Advisory Board of the Federal Rehabilitation Council, Frankfurt, Germany, German Society for Social Medicine and Prevention (DGSMP), Hannover, Germany
  • Wolfgang Cibis Health Advisory Board of Social Health and Long-Term-Care Insurances in Lower Saxony (MDKN), Hannover, Germany, Medical Expert Advisory Board of the Federal Rehabilitation Council, Frankfurt, Germany, German Society for Social Medicine and Prevention (DGSMP), Hannover, Germany

DOI:

https://doi.org/10.29121/granthaalayah.v5.i7.2017.2144

Keywords:

Functioning, ICF, Personal Factors, Insurance Medicine, Social Medicine, Social Benefits, Participation

Abstract [English]

Motivation / Background: A broad and common understanding of the nature of Personal Factors is deemed to be necessary to gain and assess a comprehensive perspective regarding an individual’s health condition and accurately allocate social and medical benefits and interventions. Personal Factors have an impact on the functioning of individuals as facilitators or barriers. They play an essential role in the International Classification of Functioning, Disability and Health (ICF). To date, the World Health Organisation has not classified Personal Factors for global use.


Method: A consensus group representing a broad spectrum of medical and social security professionals, research societies together with representatives of self-help organisations developed and published a proposal to classify relevant Personal Factors.


Results: To face ongoing discussions misunderstandings are addressed, critics and suggestions balanced and positions created with pointed explanations and supplemented literature. Core messages summarise each position in a condensed form.


Conclusions: Personal Factors may exert a powerful influence on the goal definition, goal achievement and type, complexity and length of necessary medical, social or rehabilitation benefits. Transparency, explicitness, fairness (standardisation) and the possibility for well-founded claims comprise additional arguments for reporting Personal Factors. They may be crucial to reach the goal of the highest degree of participation considering individual resources.

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References

World Health Organization. The International Classification of Functioning, Dis-ability and Health (ICF). WHO 2001. Geneva. Available from: http://www.who.int/classifications/icf/en/

Antonovsky A. Health, Stress and Coping, Jossey-Bass. San Francisco: 1979.

Grotkamp S, Cibis W, Nüchtern E et al. Personal Factors in the International Classification of Functioning, Disability and Health: Prospective Evidence. Aus-tralian Journal of Rehabilitation Counselling 2012; 18 (1): 1–24. DOI: https://doi.org/10.1017/jrc.2012.4

Grotkamp S, Cibis W, Nüchtern E et al. 2012. Personbezogene Faktoren der ICF - Beispiele zum Entwurf der AG „ICF“ des Fachbereichs II der Deutschen Gesellschaft für Sozialmedizin und Prävention (DGSMP). Gesundheitswesen 2012; 74: 449–458.

Simeonsson R J, Lollar D, Björck-Akesson E, Granlund M, Brown S C, Zhuoying Q, Gray D and Pan Y. (2014) ICF and ICF-CY lessons learned: Pandory`s box of personal factors, 36 (25),2187-94 DOI: https://doi.org/10.3109/09638288.2014.892638

Müller R and Geyh S. (2015 Lessons learned from different approaches towards classifying personal factor. Disab and Rehabil, 2015; 37 (5):430-8 DOI: https://doi.org/10.3109/09638288.2014.923527

Leonardi M, Sykes C R, Madden RC, Ten Napel H, Hollenweger J, Snyman St, Madden R H, De Camargo O K, Raggi A, Van Gool C H, Martinuzzi A and on behalf of the Functioning and Disability Reference Group of the WHO-FIC. Do we really need to open a classification box on personal factors in ICF? Disab and Rehabil 2016 ; 38 (13): 1327-8 DOI: https://doi.org/10.3109/09638288.2015.1089604

Dür M, Coenen M, Stoffer M A, Fialka-Moser V, Kautzky-Willer A, Kjeken I, Dragoi R G, Mattson M, Boström C, Smolen J and Stamm T A 2015. Do patient-reported outcome measures cover personal factors important to people with rheumatoid arthritis? A mixed methods design using the International Classification of Functioning, Disability and Health as frame of reference. Health and Quality of Life Outcomes 2015: 1-13 DOI: https://doi.org/10.1186/s12955-015-0214-8

Hoefsmit N, Houkes I and Nijhuis F. Environmental and personal factors that support early return-to-work: A qualitative study using the ICF as a framework. Work 2014; 48: 203-215 DOI: https://doi.org/10.3233/WOR-131657

Rapp RS and Queri S. Validierung der Personbezogenen Faktoren im Bereich der onkologischen Brustkrebsrehabilitation – eine Delphi-Befragung auf ationaler Ebene. Gesundheitswesen 2016; eFirst DOI: https://doi.org/10.1055/s-0042-100616

Stoop N. Registration of personal factors of patients in the general practice: which are important to register according to general practitioners? Radboud University Medical Center, RUMC, Department of Primary and Community Care 2014: 1-36

Schwegler U, Peter C, Trezzini B, Anner J, Geyh S. Toward transparent documen-tation in medical work capacity evaluations: identifying personal factors in medical reports on Swiss disability claimants with chronic widespread pain. International Journal of Rehabilitation Research, 2013; 36 (4): 298-307. DOI: https://doi.org/10.1097/MRR.0b013e3283618d48

Schwegler U, Anner J, Glässel A, Brach M, De Boer W, Cieza A and Trezzini B. Towards comprehensive and transparent reporting: centext-specific additions to the ICF taxonomy for medical evaluations of work capacity involving claimants with chronic widespread pain and low back pain. BMC Health Services Research 2014; 14, 361: 1-13 DOI: https://doi.org/10.1186/1472-6963-14-361

Schwegler U, Peter C, Anner J, and Trezzini B. Toward standardised documenta-tion in psychiatric evaluations: Identifying functioning aspects and contextual fac-tors in psychiatric reports of Swiss disability claimants with chronic widespread pain. Swiss Med Wkly. 2014; 144: w14008. DOI: https://doi.org/10.4414/smw.2014.14008

Offenbächer M, Sauer S, Hieblinger R, Hufford D J, Walach and Kohls. Spirituality and the International Classification of Functioning, Disability and Health: content comparison of questionnaires measuring mindfulness based on the International Classification of Functioning. J Disabil Rehabil 2011; 33 (25-26):2434-45 DOI: https://doi.org/10.3109/09638288.2011.573902

Hamed R, Abu Tariah H and Hawamdeh Z M. Personal Factors Affecting the Daily Functioning and Well-Being of Patients with Multiple Sclerosis Using the International Classifcation of Functioning Model. International Journal of Mental Health 2013; 41 (4): 47-61 DOI: https://doi.org/10.2753/IMH0020-7411410404

Howe T J.The ICF Contextual Factors related to speech-language pathology. In-ternational Journal of Speech-Language Pathology 2008; Vol. 10 (1-2): 27-37 DOI: https://doi.org/10.1080/14417040701774824

Heerkens Y, Engels J, Kuipers Ch, Van der Gulden J and Oostendorp R. The use of the ICF to describe work related factors influencing the health of employees. Disability and Rehabilitation 2004; 26 (17): 1060-1066 DOI: https://doi.org/10.1080/09638280410001703530

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Published

2017-07-31

How to Cite

Seger, W., Grotkamp, S., & Cibis, W. (2017). PERSONAL FACTORS AND THEIR PERSPECTIVE IN SOCIAL MEDICINE AND REHABILITATION. International Journal of Research -GRANTHAALAYAH, 5(7), 374–389. https://doi.org/10.29121/granthaalayah.v5.i7.2017.2144