c522 emmen et al a desired icd item set for multimorbid patients in general practice

WHO-FIC Network| FDRG Poster

Barcelona, 10-17 Oktober 2014

1 |Dutch WHO-FIC

Collaborating Centre

A desired ICF item set for multimorbid

patients in General Practice

Bob Emmen(a)

Kees van Boven(a)

Huib Ten Napel(b)(a)

(a) Department of Primary and

Community Care, Radboud

university medical centre,

Nijmegen

(b) WHO-FIC Collaborating

Centre, RIVM Bilthoven,

Netherlands

FDRG poster session



2 |Dutch WHO-FIC


In (Dutch) General Practice there is a general ‘intuition’ that

‘something’ is missing, when only medical information is registered.

A diagnosis reveals little about one’s functioning. Diagnoses are

important for defining the cause and prognosis, but identifying

problems in functioning is often the key information that is being used

to plan and implement interventions in General Practice.

The perception is that a ‘health-functioning’ oriented approach might

help GP’s to understand patients’ reactions to complaints and the

treatment they receive.

However, using the complete content of ICF is not feasible for

everyday use.

Introduction and rationale



3 |Dutch WHO-FIC


What do General Practitioners (GPs) want to know about a patient in

terms of functioning?

There is no existing literature describing or exploring the desired

content of such an item-set or core set, to be used in General

Practice.

A number of studies will be undertaken to assess the usability of ICF

for General Practice.

The first of these studies is focused on which ICF items are

considered relevant by GPs’ to be registered in multimorbid patients,

including the willingness to register them.

Introduction and rationale



4 |Dutch WHO-FIC


Method used

2 sources: National GP guidelines

& ICF brief core sets; relevant

items selected through rules

Translated into ICF items by 2

raters (consensus procedure)

Translated back into everyday

questions apt for use in GP

practice (WHODAS / EASYCARE)

56 participating GPs received ICF

video instruction and ½- qualitative

explorative online survey

(ALWAYS/ NEVER/ SOMETIMES)



5 |Dutch WHO-FIC


Items always to have registered(5 out of 10)



6 |Dutch WHO-FIC


Items never to have registered(5 out of 10)



7 |Dutch WHO-FIC


Usefulness of functioning items



8 |Dutch WHO-FIC


Conclusion and acknowledgement

Conclusion I: No 100% concordance, still useful, low response

Conclusion II: Approach is viable, could be used in other GP studies

We would like to express gratitude to all participating GPs’.

For more information:

-Newsletter on the WHO-FIC, Vol 12, 2014 - 1

-Poster # 522

-Full thesis: http://www.icfinternational.info/wp-

content/uploads/2014/02/report_bobemmen_ICF.pdf

-Youtube: http://youtu.be/9FkcHwaO0iY

http://www.icfinternational.info/wp-content/uploads/2014/02/report_bobemmen_ICF.pdf

http://youtu.be/9FkcHwaO0iY



9 |Dutch WHO-FIC


c522 emmen et al a desired icd item set for multimorbid patients in general practice

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