ICF in Sweden Country report

1
ICF in Sweden Country report
Presentation at ICF Applied 4th Nordic-Baltic
Conference on ICF, Tallinn 19-20 May 2005

• Lars Berg, M.D.Medical Director/Head Unit for
  Classifications and Terminology Centre for
  Epidemiology National Board of Health and
  WelfareSweden lars.berg_at_socialstyrelsen.se

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Translation

• Translation?

Yes !
Short or full version?
Both !
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Publishing
Full August 2003

• Publication, when?

Short November 2003
Publications available?
Printed books
Internet Electronic books (pdf)Database
(Access)
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Implementation- status ?

• ICF is an official Classification in Sweden

but the use is not manadatory !
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Settings to be used in intended or expected?

• Clinical health care (e.g. rehabilitation,
  habilitation, physical medicine, occupational
  health care)
• Social work
• Education (e.g. professional, vocational,
  workplace)
• Electronic health records, health information
  systems (e.g health/social insurance)
• Research
• Health/disability surveys
• Legislation and social policy
• Other

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Settings to be used in intended or expected?

• Clinical health care (e.g. rehabilitation,
  habilitation, physical medicine, occupational
  health care)
• Social work
• Education (e.g. professional, vocational,
  workplace)
• Electronic health records, health information
  systems (e.g health/social insurance)
• Research
• Health/disability surveys
• Legislation and social policy
• Other

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ICF what about use ?

• Three weeks ago and we did not know !

Then ask the population, it is only about 9
millions !
So, we did it !
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ICF what about use ?
Automatic decision support says DO YOU REALLY
BELIEVE THIS ????

• Three weeks ago and we did not know !

Then ask the population, it is only about 9
millions !
So, we did it !
9
No, we conducted a simple study

• Three weeks ago
• we asked the participants in our introduction
  conference in 2003 and members of the translation
  groups !
• Simple questions to 300 participants

And we got 60 answers !
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Results

• The 60 answers could be divided in 119 different
  parts/aspects

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Type of use (N119)

• Clinical 30
• Education 43
• Projects 40
• No use 6

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Professionals involved (N119)

• Different staff 57
• Occ.therapist 16
• Physiotherapist 18
• Physicians 14
• Others 13
• No use 6

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Type of care (N119)

• Habilitation 34
• Rehabilitation 19
• Universities 24
• Others 36
• No use 6

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Some general findings

• Those involved in translating process or in field
  testing important (key persons)
• Some County Councils very active
• Habilitation, rehabilitation, children
• Many clinical and research projects
• Several thesis, books, papers to come
• Education of students, professionals

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Examples clinical use

• Search words in EHR (electronic health records),
  create a common language
• some County Councils, EHR vendors
• ICF included in the EHR
• some hospitals, health care centres
• Coding of cases
• habilitation, rehabilitation
• Clinical guidelines
• support

16
Examples education

• Students on basic level
• OT, PH, MD, nurses, psychologists etc.
• Master programmes (education)
• 3-point course, medical informatics, child health
  etc.
• Professionals
• Seminars, workshops, networks

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Examples projects

• Theses
• deafblindness, traumatic brain injuries among
  children etc.
• Care plans
• habilitation, work rehabilitation, etc.
• ICF as structure
• for interventions/procedures (nurses, OT, PH)
• Participation
• children, developmental disorders
• ICF in EHR (wordlist english-swedish)
• to support the clinical use,
• possibilities to construct applications

18
Development work needed national or
international ?

• National
• A national ICF network, exchanging good
  examples
• User guide(s) for different purposes
• International
• Data applications to support use
• Updating process for ICF