Family of International Classifications WHO FIC 20201122 2

世界衛生組織 Family of International Classifications (WHO- FIC) 是世衛組織分類系統家族內最新的一個分類系統 2020/11/22 2

ICF 不同概念之互動 (Interaction of Concepts) Health Condition (disorder/disease) 健康狀態 Body function & structure (Impairment) 身體功能、構造（損傷） Activities (Limitation) 活動 Environmental Factors 環境 2020/11/22 Participation (Restriction) 參與（限制） Personal Factors 個人 7

參與 or 殘廢? 中性語言 n “政治正確” (political correctness / politically correct )” n 正確用法 n 干預或介入 n 機會 n 正向 2020/11/22 8 8

架構(STRUCTURE) Classification 分類 ICF Part 1: Functioning and Disability Body Functions and Structures Change in Body Functions Item levels: 1 st 2 nd 3 rd 4 th 2020/11/22 Part 2: Contextual Factors Activities and Participation Environmental Factors Change in Body Capacity Performance Facilitator/ Structures Barrier Item levels: 1 st 2 nd 3 rd 4 th Personal Factors Parts部分 Components 組成要素 Constructs/ Qualifiers 結構或限定值 Domains and categories at different levels 不同層次的分類 23

架構(STRUCTURE) Classification 分類 ICF Part 1: Functioning and Disability 身體功能與構造 Body Functions and Structures Change in Body Functions Item levels: 1 st 2 nd 3 rd 4 th 2020/11/22 Change in Body Structures Item levels: 1 st 2 nd 3 rd 4 th Part 2: Contextual Factors 身體功能與構造 Parts部分 • 身體功能是指身體系 活動與參與 統的生理功能，包括 心理功能 Components Activities and Environmental Personal Participation Factors 組成要素 • Factors 身體構造是指解剖學 所指的身體器官、肢 體與它們的組成。 Constructs/ Capacity Performance Facilitator/ Qualifiers 活動與參與 Barrier 結構或限定值 • 以能力(capacity)與表 現(performance)來衡 Item Domains and 量個體的限制 levels: 1 st 2 nd 3 rd 4 th categories at different levels 不同層次的分類 25

架構(STRUCTURE) 情境因素 ICF Part 1: Functioning and Disability Body Functions and Structures Change in Body Functions Part 2: Contextual Factors Activities and Participation Environmental Factors Change in Body Capacity Performance Facilitator/ Structures Barrier Personal Factors Classification 分類 Parts部分 Components 組成要素 Constructs/ Qualifiers 情境因素 結構或限定值 • 外在環境(包括物理環境、制度、政策、人們態度) Item Item Domains and • 協助與支持障礙者(或是限制障礙者發揮能力) levels: levels: categories 1 1 • 外在環境因素成為ICF未來做跨國跨區域比較的參考 1 2 2 2 at different levels 2 2 3 3 • 個人內在條件(動機、個性、基因等) 3 不同層次的分類 4 4 4 st st st nd nd nd rd rd rd 4 th 2020/11/22 th 4 th th th 26

架構(STRUCTURE) Classification 分類 ICF Part 1: Functioning and Disability Part 2: Contextual Factors Parts部分 環境因素 Body Functions and Structures Activities and Environmental 環境因素 Participation Factors n 外在環境對個體是促進 或製造阻礙其發展機會 Change in n 身心障礙者的發展條件 Body Capacity Performance Facilitator/ 與機會要看外在社會環 Functions Structures Barrier 境對身心障礙者的協助 與態度而定 Item Item levels: 1 st 2 nd 3 rd 4 th 2020/11/22 levels: 1 st 2 nd 3 rd 4 th Personal Factors Components 組成要素 Constructs/ Qualifiers 結構或限定值 Domains and categories at different levels 不同層次的分類 27

補充 International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY) ICF-兒童及青少年版本

WHO Family of International Classifications 1. ICD-10 International Classification of Diseases 2. ICF- Main volume with glossary - Full version 9999 cat. - Short version 99 cat. (Published 2001) 3. ICF-Children & Youth (Approved, October 2006)

身體功能 (body function) 27

身體構造 (body Structures) 28

Hierarchical Structure of Functioning角色功能的層級結構 社會層次Societal level 個人層次Person level The highest (most complex) level 最高層次 參與 環境Environmental Factors 活動 Chap. 5: Self-care / Chap. 6: Domestic life / 第五章 自我照顧、第 六章家庭生活 Chap. 7: Interrelationships人際關係 / Chap. 8: Major life areas主 要生活領域 / Chap. 9: Community life etc. 社區生活等 Chap. 3: Communication溝通/ Chap. 4: Mobility 行動力 Middle level 中層 Chap. 1: Learning 學習等等 etc. Chap. 2: General tasks一般事務 Lowest 環境 Environmental Factors The (most basic) Biological level 生物層次 level 低層 Body Functions / Structure 功能構造 2020/11/22 (Ueda, 2008) 38