Evolution of system for disability assessment based on the International Classification of Functioning, Disability, and Health: A Taiwanese study

Abstract

Background/purpose: The criteria for disability were mainly based on the medical model, and the candidates for disability benefits were identified by physicians mainly depending on their degree of bodily impairment, but without sufficient evaluation of their activity, participation, and environment in Taiwan. According to the People with Disabilities Rights Protection Act, the assessment of a person's eligibility for disability benefits was required to be based on the International Classification of Functioning, Disability, and Health (ICF) framework since July 11, 2012. This study investigated a proposed system to assess patients' eligibility for disability in Taiwan, based on the ICF.

Methods: We have initiated a national decision-making process involving members of Taiwan's ICF Team. We facilitated 16 group discussions on the ICF coding system, in which 199 professionals participated. In each group, one member led the group discussion until a consensus was reached.

Results: We have developed a process to determine the eligibility of people with disabilities. This study set up the standards, tools, and practice manuals for each category. We have also developed a core set for disability assessment.

Conclusion: We implemented a new system to assess patients' eligibility for disability. The proposed assessment protocol and tools require further validation.

Keywords: Disability; International Classification of Functioning; World Health Organization; and Health; disability.