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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
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SPECIAL ARTICLE  EUROPEAN EFFORT FOR THE SYSTEM-WIDE IMPLEMENTATION OF THE INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY AND HEALTH (ICF) IN PHYSICAL AND REHABILITATION MEDICINEFREEfree


European Journal of Physical and Rehabilitation Medicine 2017 April;53(2):319-32

DOI: 10.23736/S1973-9087.16.04438-5

Copyright © 2015 EDIZIONI MINERVA MEDICA

language: English

European initiative for the application of the International Classification of Functioning, Disability and Health: development of Clinical Assessment Schedules for specified rehabilitation services

Birgit PRODINGER 1, 2, 3, Anke SCHEEL-SAILER 4, Reuben ESCORPIZO 1, 5, Gerold STUCKI 1, 2, 3 , UEMS PRM ICF workshop moderators and rapporteurs 

1 Swiss Paraplegic Research (SPF), Nottwil, Switzerland; 2 ICF Research Branch, a Cooperation Partner within the WHO Collaborating Centre for the Family of International Classifications in Germany (at DIMDI), Nottwil, Switzerland, 3 Department of Health Sciences and Health Policy, Faculty of Humanities and Social Sciences, University of Lucerne, Lucerne, Switzerland; 4 Swiss Paraplegic Centre (SPZ), Nottwil, Switzerland; 5 Department of Rehabilitation and Movement Science, University of Vermont, Burlington, VT, USA


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BACKGROUND: Clinical assessment schedule (CLAS) is a core part of the ICF-based implementation of functioning reporting across health conditions and along the continuum of care.
AIM: The Physical and Rehabilitation Medicine Section and Board of the European Union of Medical Specialists (UEMS PRM) workshop held in January 2016 aimed to develop and specify a CLAS within the context of rehabilitation services.
SETTING: UEMS PRM Workshop in Nottwil, Switzerland, January 2016.
POPULATION: PRM physicians representatives from 12 European countries, as well as Israel and Japan, mostly delegates of UEMS PRM Section and Board, and experts with other rehabilitation professional backgrounds.
METHODS: Participants were divided into 6 working groups and asked to specify what functioning aspects would be essential to document using the available ICF sets for the identified rehabilitation services contained in the newly developed service classification (ICSO-R): acute, post-acute and long-term rehabilitation services.
RESULTS: The 7 ICF Generic and 23 Rehabilitation Set categories were confirmed as well as specific health condition categories for acute rehabilitation services (mobile team), for postacute rehabilitation services (general outpatient rehabilitation, musculoskeletal and neurological rehabilitation, as well as specialized SCI rehabilitation), and for long-term rehabilitation services (day clinic and rehabilitation provided in the community). While general principles of the CLAS were defined, the need to align the CLAS for a specific service, as well as across services along the continuum of care was highlighted. All groups deliberated on this topic; however, no conclusive statement was presented yet.
CONCLUSIONS: The groups recognized a need for a systematic effort to identify data collection tools currently used.
CLINICAL REHABILITATION IMPACT: CLASs will serve in the future to ensure that functioning information is systematically and consistently collected across services, and thus respond also to various global reports and initiatives which stress the need for improving data collection on people’s functioning.


KEY WORDS: Outcome assessment, health care - Rehabilitation - Health information systems

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Publication History

Issue published online: May 4, 2017
Article first published online: November 24, 2016

Cite this article as

Prodinger B, Scheel-Sailer A, Escorpizo R, Stucki G; UEMS PRM ICF Workshop moderators and rapporteurs. European initiative for the application of the International Classification of Functioning, Disability and Health: development of Clinical Assessment Schedules for specified rehabilitation services. Eur J Phys Rehabil Med 2017;53:319-32. DOI: 10.23736/S1973-9087.16.04438-5

UEMS PRM ICF workshop moderators and rapporteurs

Stefano NEGRINI (University of Brescia, IRCCS Fondazione Don Gnocchi, Milan, Italy), Henk STAM (Department of Rehabilitation Medicine & Physical Therapy, Erasmus MC, University Medical Center, Rotterdam, the Netherlands), Aydan ORAL (Department of Physical Medicine and Rehabilitation, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey), Mauro ZAMPOLINI (Department of Rehabilitation, USL Umbria 2, Foligno Hospital, Foligno, Italy), Andreas WINKELMANN (Klinik und Poliklinik für Physikalische Medizin und Rehabilitation, Klinikum der Universität München, München, Deutschland), Cecilie RØE (Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Faculty of Medicine, University of Oslo, Norway), Enrique VARELA DONOSO (Department of Physical Medicine and Rehabilitation Complutense University School of Medicine, Madrid, Spain), Michel BAUMBERGER (Swiss Paraplegic Center SPZ, Nottwil, Switzerland), Rolf FRISCHKNECHT (Department of Clinical Neurosciences, University Hospital of Lausanne (CHUV), Lausanne, Switzerland)

Corresponding author e-mail

birgit.prodinger@paraplegie.ch