Exploring the Health and Social Needs of Community Residents Using an Online Community Care Platform: Linkage to the International Classification of Functioning, Disability, and Health
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Objectives: This study aimed to analyze the outcomes of the Comprehensive Health and Social Need Assessment (CHSNA)system, which identifies community residents’ health and social needs, and to link these needs with the International Classificationof Functioning, Disability, and Health (ICF). Methods: Adult community residents in a metropolitan city in Koreawere recruited. They were asked to assess their health and social needs via the CHSNA system, which was integrated into anonline community-care platform. Three assessment steps (basic health assessment, needs for activities of daily living, andin-depth health assessment) associated with five ICF components were used to evaluate physical health impairment, difficultiesin activities and participation, and environmental problems. The final list of health and social needs was systematicallylinked to the domains and categories of the ICF. Only data from participants who completed all three assessment steps wereincluded. Results: Wide ranges of impairments and difficulties regarding the daily living activities, physical health, and environmentalstatus of the community were recorded from 190 people who completed assessments of their health and socialneeds by the CHSNA system. These participants reported various health and social needs for their community life; commonneeds corresponded to the ICF components of body functions and activities/participation. Conclusions: The ICF may besuitable for determining the health-related problems and needs of the general population. Possible improvements to the presentsystem include providing support for completing all assessment steps and developing an ICF core set for an enhancedunderstanding of health and social needs.
Abstract
Objectives: This study aimed to analyze the outcomes of the Comprehensive Health and Social Need Assessment (CHSNA)system, which identifies community residents’ health and social needs, and to link these needs with the International Classificationof Functioning, Disability, and Health (ICF). Methods: Adult community residents in a metropolitan city in Koreawere recruited. They were asked to assess their health and social needs via the CHSNA system, which was integrated into anonline community-care platform. Three assessment steps (basic health assessment, needs for activities of daily living, andin-depth health assessment) associated with five ICF components were used to evaluate physical health impairment, difficultiesin activities and participation, and environmental problems. The final list of health and social needs was systematicallylinked to the domains and categories of the ICF. Only data from participants who completed all three assessment steps wereincluded. Results: Wide ranges of impairments and difficulties regarding the daily living activities, physical health, and environmentalstatus of the community were recorded from 190 people who completed assessments of their health and socialneeds by the CHSNA system. These participants reported various health and social needs for their community life; commonneeds corresponded to the ICF components of body functions and activities/participation. Conclusions: The ICF may besuitable for determining the health-related problems and needs of the general population. Possible improvements to the presentsystem include providing support for completing all assessment steps and developing an ICF core set for an enhancedunderstanding of health and social needs.
참고문헌 (30)
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