The International Classification of Functioning, Disability and Health (ICF) and rheumatic diseases

Ocjena utjecaja reumatske bolesti na bolesnika je nužna u cilju evaluacije ishoda intervencije usmjerene kako na proces bolesti tako i na obnavljanje funkcioniranja. Međunarodna klasifikacija funkcioniranja, nesposobnosti i zdravlja (engl. skr. ICF) je sveobuhvatno oruđe osmišljen sa ciljem bilježenja i organiziranja širokog spektra informacija o zdravlju i stanjima povezanim sa zdravljem, utemeljenima na biopsihosocijalnom principu. Sastavnice ICF-a, Tjelesne funkcije, Tjelesne strukture i Aktivnost i sudjelovanje upotpunjene su kontekstualnim sastavnicama, Okolinskim i Osobnim čimbenicima, koji su svi u interakciji. ICF sadrži listu ICF kategorija, koji opisuju sastavnice integrativnog modela Svjetske zdravstvene organizacije. Koristi alfanumerički sustav, gdje su pojedine kategorije određene potkategorijama. Tako organizirane više od 1400 kategorija virtualno obuhvaćaju sav spektar problema koje susreću bolesnici s mišićnokoštanim stanjima. Glavna praktična oruđa za korištenje ICF-a su: ICF provjerne liste, ICF sržni setovi, ICF kategorijski profil i ICF listovi. ICF postaje opće prihvaćeni konceptualni okvir, koji će se u kliničkoj praksi naširoko primjenjivati za klasifikaciju i opisivanje problema bolesnika, poglavito kroz multidisciplinarnu skrb i u tijeku rehabilitacije.Assessment of the impact of the rheumatic disease on the individual patient is necessary to evaluate the outcome of an intervention targeted at the disease process as well as at the restoration of the patient’s functioning. The International Classification of Functioning Disability and Health (ICF) is a comprehensive tool designed to record and organise a wide range of information about health and health related states, based on bio-psycho-social perspective. The ICF components, namely, body functions, body structures, and activities and participation are complemented by the contextual components, environmental factors and personal factors. All of them are in mutual interactions. The ICF contains lists of so-called ICF categories that describe the components of the integrative World Health Organisation model. It uses an alphanumerical model where categories are ‘nested’ so that broader categories are defined to include more detailed subcategories of the parent categories. Organized in such a way and with more than 1400 categories ICF covers virtually all the spectrum of problems encountered in patients with musculoskeletal conditions. The main practical tools of the ICF include ICF check lists, ICF core sets, ICF categorical profile and ICF assessment sheet. The ICF is likely to become the generally accepted conceptual framework and will be increasingly used in clinical practice to structure patient problems, particularly in multidisciplinary care and for rehabilitation purposes