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  4. Implementing disability evaluation and welfare services based on the framework of the international classification of functioning, disability and health: experiences in Taiwan
 
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Implementing disability evaluation and welfare services based on the framework of the international classification of functioning, disability and health: experiences in Taiwan

Resource
BMC Health Serv. Res., 13,
Journal
BMC Health Services Research
Pages
416
Date Issued
2013
Date
2013
Author(s)
Chiu, Wen-Ta
Yen, Chia-Feng
Teng, Sue-Wen
Liao, Hua-Fang
Chang, Kwang-Hwa
Chi, Wen-Chou
Wang, Yen-Ho
Liou, Tsan-Hon
DOI
10.1186/1472-6963-13-416
URI
http://ntur.lib.ntu.edu.tw//handle/246246/280236
Abstract
Background: Before 2007, the disability evaluation was based on the medical model in Taiwan. According to the People with Disabilities Rights Protection Act, from 2012 the assessment of a person's eligibility for disability benefits has to be determined based on the International Classification of Functioning, Disability, and Health (ICF) framework nationwide. The purposes of this study were to: 1) design the evaluation tools for disability eligibility system based on the ICF/ICF-Children and Youth; 2) compare the differences of grades of disability between the old and new evaluation systems; 3) analyse the outcome of the new disability evaluation system. ;Methods: To develop evaluation tools and procedure for disability determination, we formed an implementation taskforce, including 199 professional experts, and conducted a small-scale field trial to examine the feasibility of evaluation tools in Phase I. To refine the evaluation tools and process and to compare the difference of the grades of disability between new and old systems, 7,329 persons with disabilities were randomly recruited in a national population-based study in Phase II. To implement the new system smoothly and understand the impact of the new system, the collaboration mechanism was established and data of 168,052 persons who applied for the disability benefits was extracted from the information system and analysed in Phase III. ;Results: The measures of the 43 categories for body function/structure components, the Functioning Scale of Disability Evaluation System for activities/participation components, and the needs assessment have been developed and used in the field after several revisions. In Phase II, there was 49.7% agreement of disability grades between the old and new systems. In Phase III, 110,667 persons with a disability received their welfare services through the new system. Among them, 77% received basic social welfare support, 89% financial support, 24% allowance for assistive technology, 7% caregiver support, 8% nursing care and rehabilitation services at home, and 47% were issued parking permits for persons with disability. ;Conclusion: This study demonstrated that disability evaluation system based on the ICF could provide a common language between disability assessment, needs assessment and welfare services. However, the proposed assessment protocol and tools require additional testing and validation.
Subjects
International classification of functioning
Disability and health (ICF)
Disability evaluation
World Health Organization (WHO)
SDGs

[SDGs]SDG3

Other Subjects
article; classification; daily life activity; disability; disabled person; human; International Classification of Functioning, Disability and Health; male; methodology; middle aged; organization and management; program development; social welfare; standard; statistics; Taiwan; Activities of Daily Living; Disability Evaluation; Disabled Persons; Eligibility Determination; Humans; International Classification of Functioning, Disability and Health; Male; Middle Aged; Program Development; Social Welfare; Taiwan

臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of “NTU Repository” with “Academic Hub” to form NTU Scholars.

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開放取用是從使用者角度提升資訊取用性的社會運動,應用在學術研究上是透過將研究著作公開供使用者自由取閱,以促進學術傳播及因應期刊訂購費用逐年攀升。同時可加速研究發展、提升研究影響力,NTU Scholars即為本校的開放取用典藏(OA Archive)平台。(點選深入了解OA)

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