Perceptions and attitudes towards the implementation of a disability evaluation system based on the international classification of functioning,disability, and health among people with disabilities in Taiwan期刊界 All Journals 搜尽天下杂志传播学术成果专业期刊搜索期刊信息化学术搜索

Perceptions and attitudes towards the implementation of a disability evaluation system based on the international classification of functioning,disability, and health among people with disabilities in Taiwan

Authors:	Kwang-Hwa Chang Wen-Chou Chi Shih-Wei Huang Feng-Hang Chang Hua-Fang Liao Reuben Escorpizo

Affiliation:	1. Graduate Institute of Injury Prevention and Control, College of Public Health, Taipei Medical University, Taipei, Taiwan;2. Department of Physical Medicine and Rehabilitation, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan;3. Department of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan;4. Department of Occupational Therapy, Chung Shan Medical University, Taichung, Taiwan;5. Department of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan;6. Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan;7. School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan;8. Department of Rehabilitation and Movement Science, College of Nursing and Health Sciences, University of Vermont, Burlington, VT, USA;9. Swiss Paraplegic Research, Nottwil, Switzerland

Abstract:	Purpose: To explore the perceptions and attitudes among people with disabilities towards the newly implemented International Classification of Functioning, Disability and Health-based disability evaluation system (the new system) in Taiwan. Method: Using a self-administered questionnaire, we conducted a nationwide survey. The questionnaire focused on the domains of quality, satisfaction, and revision of the new system. In total, 1073 persons (age,?≥18?years) with disabilities or their primary caregivers, who experienced both the old and the new system, responded to the questionnaire. Results: Most participants were satisfied with the new system overall (58.7%) and the subscale of quality of structure (91.3%) and quality of outcome (63.6%). However, only 20.5% of the participants were favourable to the quality of process. The probability of being satisfied with the system overall was low for the quality of process subscale (adjusted odds ratio range, 0.3?～?0.4) and its item of long interval (0.2?～?0.6). Contrariwise, the probability was high for the other subscales (3.9?～?13.7) and the item of identifying needs (21.9?～?23.4). Conclusions: Persons with disabilities and their primary caregivers have positive attitudes towards the new system. It is important to simplify the assessment tools and procedures to improve the system’s quality of process and facilitate its usability. IMPLICATIONS FOR REHABILITATION Persons with disabilities have positive attitudes towards the newly implemented International Classification of Functioning, Disability, and Health-based disability evaluation system in Taiwan. The system that provides comprehensive information about functioning and disability of persons with disabilities is able to capture the difficulties and needs of those individuals in their daily lives. The system hence helps people to mitigate the effects of disability and guide rehabilitation. The assessment items and processes of the system, however, were perceived to be complicated, time-consuming, and inconvenient. Simplifying the assessment items and processes, such as developing a short form version of the assessment tool and increasing the service time, may facilitate the usability of the system.

Keywords:	International classification of functioning, disability and health disability perceptions and attitudes quality satisfaction

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