[参与调查和社会报告中的残疾测量]。

IF 1.4 4区 医学 Q3 REHABILITATION
Rehabilitation Pub Date : 2024-10-01 Epub Date: 2024-08-19 DOI:10.1055/a-2366-5317
Markus Schäfers
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引用次数: 0

摘要

德国联邦劳动和社会事务部委托开展的 "残疾人参与情况代表性调查"(参与情况调查)旨在与参与情况报告相结合,评估残疾人的社会参与情况。参与报告和参与调查都声称是根据世界卫生组织(WHO)的《国际功能、残疾和健康分类》(ICF)来操作损伤和残疾的。对测量概念的批判性分析揭示了方法上的问题:1)测量概念没有始终以《国际功能、残疾和健康分类》为导向,因为它没有明确地将损伤概念化,在确定残疾时没有充分考虑环境因素,并将损伤视为残疾的因果关系。2) 对损伤和残疾的区分主要是实用性的,没有任何连贯的概念依据。3) 所选择的操作方法无法确保理想的国际可比性。为了加强《国际功能、残疾和健康分类》的导向性和国际可比性,本研究建议将世界卫生组织和世界银行开发的 "残疾调查模型 "纳入德国参与调查的数据收集工具中。另一个可利用现有数据实施的测量建议是,仅根据损伤的严重程度对群体进行分类,放弃损伤和残疾之间的先验区别。这种方法采纳了《国际功能、残疾和健康分类》的基本思想,将残疾视为一种情境特征而非个人特征。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Measuring Disability in Participation Survey and Social Reporting].

The "Representative Survey on the Participation of People with Disabilities" (Participation Survey), commissioned by the German Federal Ministry of Labour and Social Affairs, aims to work in conjunction with participation reporting to assess the social participation of people with disabilities. Both the participation reporting and the Participation Survey claim to operationalize impairment and disability in accordance with the International Classification of Functioning, Disability and Health (ICF) of the World Health Organization (WHO). A critical analysis of the measurement concept reveals methodological problems: 1) The measurement concept is not consistently ICF-oriented because it does not clearly conceptualize impairments, does not adequately take into consideration environmental factors in the determination of disability and sees impairment as causal for disability. 2) Distinction made between impairment and disability is mainly pragmatic, without any coherent conceptual justification. 3) The chosen operationalization cannot ensure the desired international comparability. In order to achieve a stronger ICF orientation and better international comparability, it is proposed in this study to integrate the "Model Disability Survey", developed by the WHO and the World Bank, into the German Participation Survey's data collection tools. An alternative measurement proposal, which can be implemented with the available data, is to categorize groups solely according to the severity of impairment, forgoing the a priori distinction between impairment and disability. This approach embraces the fundamental idea of the ICF, which views disability as a situational rather than a personal characteristic.

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来源期刊
Rehabilitation
Rehabilitation REHABILITATION-
CiteScore
0.90
自引率
11.10%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Die Zeitschrift Die Rehabilitation richtet sich an Mitarbeiterinnen und Mitarbeiter in Einrichtungen, Forschungsinstitutionen und Trägern der Rehabilitation. Sie berichtet über die medizinischen, gesetzlichen, politischen und gesellschaftlichen Grundlagen und Rahmenbedingungen der Rehabilitation und über internationale Entwicklungen auf diesem Gebiet. Schwerpunkte sind dabei Beiträge zu Rehabilitationspraxis (medizinische, berufliche und soziale Rehabilitation, Qualitätsmanagement, neue Konzepte und Versorgungsmodelle zur Anwendung der ICF, Bewegungstherapie etc.), Rehabilitationsforschung (praxisrelevante Ergebnisse, Methoden und Assessments, Leitlinienentwicklung, sozialmedizinische Fragen), Public Health, Sozialmedizin Gesundheits-System-Forschung sowie die daraus resultierenden Probleme.
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