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Assessment of disability 

Assessment of disability
Chapter:
Assessment of disability
Author(s):

Anthony B. Ward

, Michael P. Barnes

, Sandra C. Stark

, and Sarah Ryan

DOI:
10.1093/med/9780199550524.003.0005
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date: 16 September 2019

Why is disability assessment necessary? 72

Measurement 74

Examples 80

Rehabilitation is a very complex activity and is difficult to quantify. Outcome measurement lacks the specificity seen in the treatment of pathology, but the World Health Organization’s International Classification of Functioning, Disability and Health (ICF) has brought new ways of thinking. Rather than measure the activity of a pathology or disease, the focus is on the change in activity and participation as a consequence of the rehabilitation process, i.e. what is the added value of the rehabilitation given to a patient over and above a spontaneous recovery or improvement following an acute single injury or illness? Rehabilitation may slow down the deterioration and improve quality of life in patients with progressive disability, for which the measures used for static or improving conditions will not be appropriate. There are essentially five categories of patients (...

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