Article

We follow-up on the experience started 3 years ago with the introduction
in a pediatric neurorehabilitation hospital of an ICF-CY based form for
rehabilitation projecting/programming, by probing the impact that this process
had on stakeholders to establish its long term cost/benefit ratio. METHODS: Two
hundred and two rehabilitation projects/programs forms for children with various
health conditions admitted for intensive rehabilitation were completed in 36
months. Assessment was carried out by (i) evaluating the compliance with the new
process design, (ii) assessing the resource consumption and (iii) appraising the
perceived change in terms of added quality. A structured questionnaire built by
clustering statements about added quality determinants in rehabilitation
expressed by team members and families, explored the perceived change in the
rehabilitation process associated with the introduced form with a 0-5 Likert-type
scaling. RESULTS: (i) Most projects/programs forms were filled appropriately,
allowing the link of functional problems, objectives, rehabilitation activities,
and outcome indicators. (ii) No additional resources were needed to implement the
process. (iii) Questionnaire scores were 3.25 SD 0.2 for team members and 4.05 SD
0.2 for families, showing moderate to relevant appreciation in particular by
families. CONCLUSIONS: The results confirmed the feasibility of ICF
implementation in the clinical setting. ICF based project/program was appreciated
by both team members and caregivers as adding quality to the rehabilitation
process. These results further encourage the implementation of ICF based tools in
the clinical sector.

Langue : ANGLAIS