mICF

Rationale

Globally, persons with disabilities are the largest minority and chronic health conditions the major drivers of health care expenditures. This group of people often experiences inequities in the management of their ongoing and chronic health needs due to health systems being designed for acute care and lacking integration with the other systems of care. To address the often complex needs and avoid the phenomenon of service disruption and/or the “recycling” of patients with recurrent visits for the same single complaints without addressing their problems as a whole, patients require a platform that allows them to share what matters in their lives and allows professionals to capture these concerns and integrate them in an interdisciplinary and interprofessional approach that can encompass all the systems of care required. Such a common platform would help to eliminate silos between different service providers and systems, contributing to greater equity in health and social care. We chose the World Health Organization’s (WHO) International Classification of Functioning, Disability and Health (ICF) as a framework and classification for information management. The ICF conceptualizes a person’s level of functioning as a dynamic interaction between their health conditions in a broad perspective by including contextual factors (personal and environmental). At its core, ICF offers a new perspective for describing and understanding a person’s lived experience of health (to learn more about ICF go to  www.ICFeducation.org). Our solution integrates this framework in a digitally accessible interface providing users the possibility to share their lived experience, including relevant barriers and facilitators in their own words.