{"id":4898,"date":"2023-02-16T16:59:42","date_gmt":"2023-02-16T16:59:42","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/applying-the-icf-in-health-policies-and-administration-fr\/"},"modified":"2023-03-17T20:13:27","modified_gmt":"2023-03-17T20:13:27","slug":"applying-the-icf-in-health-policies-and-administration-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/applying-the-icf-in-health-policies-and-administration-fr\/","title":{"rendered":"Application de la CIF aux politiques et \u00e0 l&rsquo;administration de la sant\u00e9"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\">\n<p><b>R\u00e9dacteur original &#8211; <\/b> <a title=\"User:Ewa Jaraczewska\" href=\"\/User:Ewa_Jaraczewska\">Ewa Jaraczewska<\/a> bas\u00e9 sur le cours de <a class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/instructor\/patricia-saleeby\/\" rel=\"nofollow\">Patricia Saleeby<\/a><\/p>\n<p><b>Principaux contributeurs<\/b> &#8211; <a class=\"mw-userlink\" title=\"User:Ewa Jaraczewska\" href=\"\/User:Ewa_Jaraczewska\"><bdi>Ewa Jaraczewska<\/bdi><\/a> et <a class=\"mw-userlink\" title=\"User:Jess Bell\" href=\"\/User:Jess_Bell\"><bdi>Jess Bell<\/bdi><\/a><\/p>\n<\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display: none;\" role=\"button\" type=\"checkbox\"><\/p>\n<div class=\"toctitle\" dir=\"ltr\" lang=\"en\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduction<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#ICF_and_Health_Policy\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">La CIF et les politiques en mati\u00e8re de sant\u00e9<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#ICF_and_Health_Administration\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">La CIF et l&rsquo;administration de la sant\u00e9<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#ICF_and_Electronic_Medical_Record_.28EMR.29.2FElectronic_Health_Record_.28EHR.29\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">LA CIF et les dossiers m\u00e9dicaux \u00e9lectroniques ou dossiers de sant\u00e9 \u00e9lectroniques <\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-5\"><a href=\"#Electronic_Medical_Records_.28EMR.29\"><span class=\"tocnumber\">4.1<\/span> <span class=\"toctext\">Dossiers m\u00e9dicaux \u00e9lectroniques (DME)<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-6\"><a href=\"#Documentation_Template\"><span class=\"tocnumber\">4.1.1<\/span> <span class=\"toctext\">Mod\u00e8le de documentation<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-7\"><a href=\"#Digital_Medical_Records_for_Physiotherapists\"><span class=\"tocnumber\">4.1.2<\/span> <span class=\"toctext\">Dossiers m\u00e9dicaux num\u00e9riques pour les physioth\u00e9rapeutes<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-8\"><a href=\"#Electronic_Health_Records_.28EHR.29\"><span class=\"tocnumber\">4.2<\/span> <span class=\"toctext\">Dossiers de sant\u00e9 \u00e9lectroniques (DSE)<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-9\"><a href=\"#Clinical_Terminology\"><span class=\"tocnumber\">4.3<\/span> <span class=\"toctext\">Terminologie clinique<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-10\"><a href=\"#ICF_Classification_Taxonomy\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Taxonomie de la classification CIF<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-11\"><a href=\"#Resources\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Ressources<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-12\"><a href=\"#References\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"Introduction\" class=\"mw-headline\">Introduction<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\" href=\"\/index.php?title=Applying_the_ICF_in_Health_Policies_and_Administration&amp;veaction=edit&amp;section=1\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Introduction\" href=\"\/index.php?title=Applying_the_ICF_in_Health_Policies_and_Administration&amp;action=edit&amp;section=1\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La <a title=\"Aper\u00e7u de la CIF dans la pratique clinique\" href=\"\/Overview_of_the_ICF_and_Clinical_Practice\">Classification internationale du fonctionnement, du handicap et de la sant\u00e9 (CIF<\/a> ) est un outil utilis\u00e9 dans la pratique clinique, la recherche et l&rsquo;\u00e9laboration de politiques dans le but de comprendre le fonctionnement et le handicap.<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1)<\/a><\/sup> De nombreux pays ont adopt\u00e9 la CIF comme cadre de r\u00e9f\u00e9rence dans l&rsquo;\u00e9laboration de politiques et de l\u00e9gislations sanitaires et sociales sur le <a title=\"Disability, Rehabilitation, Socioeconomics and Health\" href=\"\/Disability,_Rehabilitation,_Socioeconomics_and_Health\">handicap<\/a> et les domaines connexes.<sup id=\"cite_ref-2\" class=\"reference\"><a href=\"#cite_note-2\">(2)<\/a><\/sup> La CIF a une large application au niveau de la population et des services sociaux et de sant\u00e9.<sup id=\"cite_ref-:0_3-0\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup> Cet article examine comment la CIF peut \u00eatre appliqu\u00e9e lors de l&rsquo;\u00e9laboration de politiques de sant\u00e9 et de l&rsquo;administration de la sant\u00e9 au niveau local et mondial.<\/p>\n<h2><span id=\"ICF_and_Health_Policy\" class=\"mw-headline\">La CIF et les politiques en mati\u00e8re de sant\u00e9 <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: ICF and Health Policy\" href=\"\/index.php?title=Applying_the_ICF_in_Health_Policies_and_Administration&amp;veaction=edit&amp;section=2\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: ICF and Health Policy\" href=\"\/index.php?title=Applying_the_ICF_in_Health_Policies_and_Administration&amp;action=edit&amp;section=2\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les prestataires de soins de sant\u00e9 utilisent le cadre de la CIF pour \u00e9valuer la sant\u00e9 et le handicap d&rsquo;un patient. Toutefois, la CIF peut \u00e9galement saisir des donn\u00e9es au niveau de la population.<sup id=\"cite_ref-:1_4-0\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup> Par exemple, les informations de la Classification internationale des maladies (CIM) sur la mortalit\u00e9, combin\u00e9es aux r\u00e9sultats li\u00e9s \u00e0 la sant\u00e9 fournis par la CIF, offrent une mesure approfondie de la sant\u00e9 d&rsquo;une population et fournissent les informations cl\u00e9s n\u00e9cessaires \u00e0 l&rsquo;\u00e9laboration de nouvelles politiques de sant\u00e9 ou au suivi des politiques et pratiques existantes.<sup id=\"cite_ref-:1_4-1\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/p>\n<p>Voici des exemples du cadre de la CIF utilis\u00e9 au <b>niveau de la population <\/b>:<\/p>\n<p><i>Niveau population :<\/i><\/p>\n<ul>\n<li>Collecte de donn\u00e9es sur la sant\u00e9 et le handicap pour les enqu\u00eates sur les populations g\u00e9n\u00e9rales et sp\u00e9cifiques. La CIF \u00ab\u00a0fournit le cadre conceptuel et le pool d&rsquo;items\u00a0\u00bb. <sup id=\"cite_ref-:0_3-1\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup> <i>Exemples <\/i>:\n<ul>\n<li>L&rsquo;\u00e9tude mondiale sur le vieillissement &#8211; SAGE <sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup><\/li>\n<li>Les enqu\u00eates nationales (Premi\u00e8re \u00e9tude nationale sur le handicap au Chili) <sup id=\"cite_ref-:0_3-2\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup><\/li>\n<li>L&rsquo;\u00c9tude d&rsquo;enqu\u00eate multipays sur la sant\u00e9 et la r\u00e9activit\u00e9 (MCSS) de l&rsquo;Organisation mondiale de la sant\u00e9 &#8211; WHO Multi-Country Survey Study on Health and Responsiveness (MCSS) <sup id=\"cite_ref-:2_6-0\" class=\"reference\"><a href=\"#cite_note-:2-6\">(6)<\/a><\/sup><\/li>\n<li>L&rsquo;enqu\u00eate mondiale sur la sant\u00e9 (2002-2004) <sup id=\"cite_ref-:2_6-1\" class=\"reference\"><a href=\"#cite_note-:2-6\">(6)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li>Compilation et analyse des donn\u00e9es. <i>Exemples <\/i>:\n<ul>\n<li>La mesure de la sant\u00e9 et du handicap en Europe &#8211; Measurement of Health and Disability in Europe (MHADIE). <sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup> La CIF a \u00e9t\u00e9 utilis\u00e9e pour analyser les donn\u00e9es sur la sant\u00e9 et le handicap de la population.<\/li>\n<li>Le dictionnaire australien des donn\u00e9es sur la sant\u00e9. La CIF est utilis\u00e9e pour \u00ab\u00a0faciliter l&rsquo;harmonisation et la comparabilit\u00e9 des ensembles de donn\u00e9es\u00a0\u00bb. <sup id=\"cite_ref-:0_3-3\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li>D\u00e9veloppement de modules et d&rsquo;ensembles de questions pour les enqu\u00eates internationales et r\u00e9gionales sur le handicap. <i>Exemples <\/i>:\n<ul>\n<li>Le module d&rsquo;enqu\u00eate d&rsquo;EUROSTAT sur le \u00ab\u00a0Handicap et l&rsquo;int\u00e9gration sociale\u00a0\u00bb. <sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup> La CIF est utilis\u00e9e pour :\n<ul>\n<li>concevoir des questions qui refl\u00e8tent la nature interactive de la d\u00e9finition du handicap de la CIF<\/li>\n<li>la conception d&rsquo;un questionnaire bas\u00e9 sur la classification CIF<\/li>\n<li>obtenir des informations fiables sur les obstacles et les facilitateurs<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li>L&rsquo;\u00e9laboration et le suivi des politiques, ainsi que la fixation d&rsquo;objectifs et d&rsquo;indicateurs pour les politiques sanitaires et sociales nationales. <sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup> <i>Exemples <\/i>:\n<ul>\n<li>La convention des Nations unies relative aux droits des personnes handicap\u00e9es \u00ab\u00a0promouvoir, prot\u00e9ger et assurer la pleine et \u00e9gale jouissance de tous les droits de l&rsquo;homme et de toutes les libert\u00e9s fondamentales par toutes les personnes ayant un handicap, et promouvoir le respect de leur dignit\u00e9 intrins\u00e8que\u00a0\u00bb.<sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Voici quelques exemples de l&rsquo;utilisation de la CIF au <b>niveau des services sociaux et de sant\u00e9 :<\/b><\/p>\n<p><i>Niveau services sociaux et de sant\u00e9 :<\/i><\/p>\n<ul>\n<li>L\u00e9gislation nationale : les l\u00e9gislations relatives \u00e0 la sant\u00e9 et au handicap utilisent le mod\u00e8le de la CIF et la d\u00e9finition du handicap comme r\u00e9f\u00e9rence. <i>Exemples <\/i>:\n<ul>\n<li>La 9e loi sociale fondamentale de l&rsquo;Allemagne (SGB IX). La CIF contribue \u00e0 r\u00e9glementer les droits et la prestation de services aux personnes souffrant de maladies chroniques et de handicaps.<sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup><\/li>\n<li>La loi espagnole pour la promotion de l&rsquo;autonomie personnelle et la prise en charge des personnes d\u00e9pendantes (LPAD). Cette loi \u00ab\u00a0r\u00e9glemente les conditions de base pour la promotion de l&rsquo;autonomie personnelle et les soins aux personnes en situation de d\u00e9pendance\u00a0\u00bb.<sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup><\/li>\n<li>En Su\u00e8de, la CIF documente le processus de gestion des services sociaux pour la population de personnes \u00e2g\u00e9es. <sup id=\"cite_ref-:1_4-2\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4) <\/a><\/sup><sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup><\/li>\n<li>La politique du travail en Italie. Une liste de contr\u00f4le bas\u00e9e sur la CIF permet d&rsquo;\u00e9valuer le profil de fonctionnement des personnes handicap\u00e9es \u00e0 la recherche d&rsquo;un emploi.<sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li>Prestation de services : la CIF permet de documenter l&rsquo;\u00e9valuation des \u00ab\u00a0besoins des patients, la planification des soins de sant\u00e9 et des services sociaux et la mesure des changements apport\u00e9s par les interventions dans de nombreuses dimensions\u00a0\u00bb. <sup id=\"cite_ref-:0_3-4\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup> <i>Exemple <\/i>:\n<ul>\n<li>Le programme d&rsquo;\u00e9valuation des handicaps de l&rsquo;OMS &#8211; Measuring health and disability : manual for WHO Disability Assessment Schedule (\u200eWHODAS 2.0)<\/li>\n<\/ul>\n<\/li>\n<li>Certification du handicap : l&rsquo;\u00e9valuation du statut du handicap \u00e0 l&rsquo;aide de la CIF permet de d\u00e9terminer l&rsquo;\u00e9ligibilit\u00e9 de l&rsquo;individu aux services sanitaires, sociaux ou \u00e9ducatifs. <sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/a><\/sup> <i>Exemple :<\/i>\n<ul>\n<li>La carte de personne avec handicap du Mexique a \u00e9t\u00e9 \u00e9labor\u00e9e pour cr\u00e9er un registre administratif de la population avec un handicap pour le secteur de la sant\u00e9 et identifier les questions pr\u00e9occupantes en mati\u00e8re de pr\u00e9vention et d&rsquo;intervention. <sup id=\"cite_ref-:1_4-3\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4) <\/a><\/sup><sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup><\/li>\n<li>L&rsquo;Italie a utilis\u00e9 la CIF comme cadre de r\u00e9f\u00e9rence pour le processus de certification du handicap.<sup id=\"cite_ref-:1_4-4\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/li>\n<li>L&rsquo;enqu\u00eate nationale irlandaise sur les handicaps. Une enqu\u00eate bas\u00e9e sur la CIF a \u00e9t\u00e9 utilis\u00e9e pour identifier les personnes ayant un handicap qui ne sont pas prises en compte dans le recensement g\u00e9n\u00e9ral.<sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li>Proc\u00e9dure d&rsquo;\u00e9ligibilit\u00e9 \u00e0 l&rsquo;\u00e9ducation : le mod\u00e8le et la classification CIF-EJ (Enfants et Jeunes) peut aider \u00e0 d\u00e9velopper un continuum de services pour les enfants ayant un handicap.<sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span id=\"ICF_and_Health_Administration\" class=\"mw-headline\">La CIF et l&rsquo;administration de la sant\u00e9 <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: ICF and Health Administration\" href=\"\/index.php?title=Applying_the_ICF_in_Health_Policies_and_Administration&amp;veaction=edit&amp;section=3\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: ICF and Health Administration\" href=\"\/index.php?title=Applying_the_ICF_in_Health_Policies_and_Administration&amp;action=edit&amp;section=3\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les administrateurs de soins de sant\u00e9 participent \u00e0 la planification, \u00e0 la direction et \u00e0 la gestion des services m\u00e9dicaux. La CIF peut \u00eatre utile aux administrateurs de la sant\u00e9 car elle fournit des donn\u00e9es sur le fonctionnement. Ces donn\u00e9es permettent \u00e0 leur tour de pr\u00e9voir les besoins en services, la dur\u00e9e de l&rsquo;hospitalisation ou les r\u00e9sultats fonctionnels.<sup id=\"cite_ref-:1_4-5\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/p>\n<p>Exemples du cadre de la CIF utilis\u00e9 et propos\u00e9 pour \u00eatre utilis\u00e9 par les administrateurs de la sant\u00e9 :<\/p>\n<ul>\n<li>Le National Committee on Vital and Health Statistics (un organe consultatif du Department of Health and Human Services aux \u00c9tats-Unis) a recommand\u00e9 d&rsquo;utiliser la CIF pour recueillir des informations sur l&rsquo;\u00e9tat fonctionnel afin de \u00ab\u00a0permettre aux prestataires de soins de sant\u00e9 de communiquer leurs r\u00e9sultats de mani\u00e8re coh\u00e9rente dans tout le continuum de soins \u00e0 des fins cliniques et administratives\u00a0\u00bb.<sup id=\"cite_ref-:1_4-6\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/li>\n<li>L&rsquo;\u00e9valuation des r\u00e9sultats cliniques \u00e0 long terme des \u00e9pid\u00e9mies de coronavirus. Une \u00e9tude de Patel et al. <sup id=\"cite_ref-19\" class=\"reference\"><a href=\"#cite_note-19\">(19)<\/a><\/sup> recommande d&rsquo;utiliser le cadre de la CIF pour les mesures des r\u00e9sultats dans les \u00e9tudes de suivi des survivants de la pand\u00e9mie COVID-19.<\/li>\n<li>Van Leeuwen et al. <sup id=\"cite_ref-20\" class=\"reference\"><a href=\"#cite_note-20\">(20)<\/a><\/sup> ont \u00e9tudi\u00e9 le d\u00e9veloppement d&rsquo;un outil de saisie \u00e9lectronique bas\u00e9 sur la CIF et utilis\u00e9 en pratique clinique en otologie et en audiologie pour aider \u00e0 l&rsquo;orientation des patients et aux arbres d\u00e9cisionnels en mati\u00e8re de traitement.<\/li>\n<li>L&rsquo;utilisation conjointe du cadre de la CIF et de l&rsquo;approche ax\u00e9e sur les capacit\u00e9s (\u00ab\u00a0cadre th\u00e9orique fond\u00e9 sur l&rsquo;hypoth\u00e8se normative selon laquelle les gens devraient avoir la libert\u00e9 de vivre une vie qu&rsquo;ils appr\u00e9cient\u00a0\u00bb <sup id=\"cite_ref-21\" class=\"reference\"><a href=\"#cite_note-21\">(21)<\/a><\/sup>) par le biais d&rsquo;une application de sant\u00e9 en ligne afin de favoriser des soins holistiques et centr\u00e9s sur le patient.<\/li>\n<\/ul>\n<h2><span id=\"ICF_and_Electronic_Medical_Record_(EMR)\/Electronic_Health_Record_(EHR)\"><\/span><span id=\"ICF_and_Electronic_Medical_Record_.28EMR.29.2FElectronic_Health_Record_.28EHR.29\" class=\"mw-headline\">La CIF et les dossiers m\u00e9dicaux \u00e9lectronique ou dossier de sant\u00e9 \u00e9lectronique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: ICF and Electronic Medical Record (EMR)\/Electronic Health Record (EHR)\" href=\"\/index.php?title=Applying_the_ICF_in_Health_Policies_and_Administration&amp;veaction=edit&amp;section=4\">modifier<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: ICF and Electronic Medical Record (EMR)\/Electronic Health Record (EHR)\" href=\"\/index.php?title=Applying_the_ICF_in_Health_Policies_and_Administration&amp;action=edit&amp;section=4\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span id=\"Electronic_Medical_Records_(EMR)\"><\/span><span id=\"Electronic_Medical_Records_.28EMR.29\" class=\"mw-headline\">Dossiers m\u00e9dicaux \u00e9lectroniques (DME) <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Electronic Medical Records (EMR)\" href=\"\/index.php?title=Applying_the_ICF_in_Health_Policies_and_Administration&amp;veaction=edit&amp;section=5\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Electronic Medical Records (EMR)\" href=\"\/index.php?title=Applying_the_ICF_in_Health_Policies_and_Administration&amp;action=edit&amp;section=5\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p><a title=\"Electronic Medical Records\" href=\"\/Electronic_Medical_Records\">Les dossiers m\u00e9dicaux \u00e9lectroniques<\/a> sont des versions num\u00e9riques des documents papier utilis\u00e9s dans les cabinets cliniques. <sup id=\"cite_ref-:1_4-7\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup> Les dossiers m\u00e9dicaux \u00e9lectroniques permettent aux prestataires de surveiller et de suivre leurs donn\u00e9es de sant\u00e9 au fil du temps. Ils guident les d\u00e9cisions cliniques et am\u00e9liorent la qualit\u00e9 des soins. <sup id=\"cite_ref-:1_4-8\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup> Plusieurs pays ont lanc\u00e9 des initiatives visant \u00e0 mettre en \u0153uvre la CIF dans les dossiers m\u00e9dicaux \u00e9lectroniques. Maritz et al. <sup id=\"cite_ref-22\" class=\"reference\"><a href=\"#cite_note-22\">(22)<\/a><\/sup> indiquent que la CIF a surtout \u00e9t\u00e9 mise en \u0153uvre dans la documentation utilis\u00e9e dans les milieux de r\u00e9adaptation. L&rsquo;utilisation de la CIF dans les dossiers m\u00e9dicaux \u00e9lectroniques peut se faire de diff\u00e9rentes mani\u00e8res. Les exemples suivants illustrent l&rsquo;int\u00e9gration de la CIF au niveau des dossiers m\u00e9dicaux \u00e9lectroniques.<\/p>\n<h4><span id=\"Documentation_Template\" class=\"mw-headline\">Mod\u00e8le de documentation <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Documentation Template\" href=\"\/index.php?title=Applying_the_ICF_in_Health_Policies_and_Administration&amp;veaction=edit&amp;section=6\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Documentation Template\" href=\"\/index.php?title=Applying_the_ICF_in_Health_Policies_and_Administration&amp;action=edit&amp;section=6\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Les mod\u00e8les de documentation peuvent am\u00e9liorer la coh\u00e9rence et l&rsquo;exhaustivit\u00e9 de la documentation th\u00e9rapeutique. En outre, un mod\u00e8le bas\u00e9 sur la CIF pourrait aider \u00e0 mettre l&rsquo;accent sur le mod\u00e8le biopsychosocial de la sant\u00e9, <sup id=\"cite_ref-:3_23-0\" class=\"reference\"><a href=\"#cite_note-:3-23\">(23)<\/a><\/sup> qui met l&rsquo;accent sur l&rsquo;interaction entre les facteurs biologiques, psychologiques et socio-environnementaux<b>.<\/b> L&rsquo;int\u00e9gration de la CIF au niveau des dossiers m\u00e9dicaux \u00e9lectroniques peut se faire par : <sup id=\"cite_ref-:3_23-1\" class=\"reference\"><a href=\"#cite_note-:3-23\">(23)<\/a><\/sup><\/p>\n<ul>\n<li>l&rsquo;utilisation des ensembles de base de la CIF pour d\u00e9crire l&rsquo;\u00e9tat fonctionnel et le niveau d&rsquo;activit\u00e9<\/li>\n<li>en utilisant les ensembles de base de la CIF sp\u00e9cifiques \u00e0 une condition<\/li>\n<li>en utilisant les \u00e9l\u00e9ments de la prise en charge des patients tir\u00e9s du Guide de pratique du physioth\u00e9rapeute<\/li>\n<\/ul>\n<p>Cette int\u00e9gration pourrait potentiellement avoir les avantages suivants pour la r\u00e9habilitation : <sup id=\"cite_ref-:3_23-2\" class=\"reference\"><a href=\"#cite_note-:3-23\">(23)<\/a><\/sup><\/p>\n<ul>\n<li>le cadre conceptuel de l&rsquo;OMS sera mis en \u0153uvre<\/li>\n<li>les mesures des r\u00e9sultats seront standardis\u00e9es<\/li>\n<li>Les trousses de base sp\u00e9cifiques \u00e0 la CIF offrent une plus grande souplesse dans l&rsquo;\u00e9valuation des patients.<\/li>\n<li>toutes les donn\u00e9es recueillies peuvent \u00eatre compar\u00e9es entre les contextes de pratique et les pays \u00e0 des fins cliniques et de recherche<\/li>\n<\/ul>\n<h4><span id=\"Digital_Medical_Records_for_Physiotherapists\" class=\"mw-headline\">Dossiers m\u00e9dicaux num\u00e9riques pour les physioth\u00e9rapeutes <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Digital Medical Records for Physiotherapists\" href=\"\/index.php?title=Applying_the_ICF_in_Health_Policies_and_Administration&amp;veaction=edit&amp;section=7\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Digital Medical Records for Physiotherapists\" href=\"\/index.php?title=Applying_the_ICF_in_Health_Policies_and_Administration&amp;action=edit&amp;section=7\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p><a class=\"external text\" href=\"https:\/\/kif.info.pl\/finezjo-digital-medical-records-for-physiotherapists-based-on-icf\/\" rel=\"nofollow\">Finezjo<\/a> est un exemple de dossier m\u00e9dical num\u00e9rique que tous les membres d&rsquo;une \u00e9quipe de r\u00e9adaptation peuvent utiliser. Les physioth\u00e9rapeutes polonais l&rsquo;utilisent depuis janvier 2020. Le syst\u00e8me dispose \u00ab\u00a0d&rsquo;un dictionnaire de la CIF intelligent int\u00e9gr\u00e9, d&rsquo;une base de donn\u00e9es de plus de 70 tests d&rsquo;activit\u00e9 bas\u00e9s sur la CIF, et (&#8230;) du questionnaire WHODAS 2.0\u00a0\u00bb. <sup id=\"cite_ref-24\" class=\"reference\"><a href=\"#cite_note-24\">(24)<\/a><\/sup><\/p>\n<h3><span id=\"Electronic_Health_Records_(EHR)\"><\/span><span id=\"Electronic_Health_Records_.28EHR.29\" class=\"mw-headline\">Dossiers de sant\u00e9 \u00e9lectroniques (DSE) <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Electronic Health Records (EHR)\" href=\"\/index.php?title=Applying_the_ICF_in_Health_Policies_and_Administration&amp;veaction=edit&amp;section=8\">modifier<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Electronic Health Records (EHR)\" href=\"\/index.php?title=Applying_the_ICF_in_Health_Policies_and_Administration&amp;action=edit&amp;section=8\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Les dossiers de sant\u00e9 \u00e9lectroniques se concentrent sur la sant\u00e9 globale et le bien-\u00eatre du patient lorsqu&rsquo;il passe d&rsquo;un milieu clinique \u00e0 un autre. <sup id=\"cite_ref-:1_4-9\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup> Les dossiers de sant\u00e9 \u00e9lectroniques sont utilis\u00e9s pour :<\/p>\n<ul>\n<li>partager des informations cliniques entre prestataires de soins de sant\u00e9<\/li>\n<li>faciliter une communication am\u00e9lior\u00e9e et partag\u00e9e<\/li>\n<li>permettre une prise de d\u00e9cision plus rapide en faveur du patient<\/li>\n<\/ul>\n<p>Pour permettre le partage des donn\u00e9es et des informations, une terminologie clinique standardis\u00e9e doit \u00eatre utilis\u00e9e pour rendre le syst\u00e8me de dossiers de sant\u00e9 \u00e9lectroniques pr\u00e9cis et coh\u00e9rent. <sup id=\"cite_ref-25\" class=\"reference\"><a href=\"#cite_note-25\">(25)<\/a><\/sup> Cette terminologie doit repr\u00e9senter tous les \u00e9nonc\u00e9s diagnostiques pour tous les groupes professionnels qui utilisent le syst\u00e8me. Elle doit \u00e9galement s&rsquo;appuyer sur des normes de donn\u00e9es nationales et internationales, y compris des terminologies de codage.<\/p>\n<h3><span id=\"Clinical_Terminology\" class=\"mw-headline\">Terminologie clinique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinical Terminology\" href=\"\/index.php?title=Applying_the_ICF_in_Health_Policies_and_Administration&amp;veaction=edit&amp;section=9\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Clinical Terminology\" href=\"\/index.php?title=Applying_the_ICF_in_Health_Policies_and_Administration&amp;action=edit&amp;section=9\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Voici des exemples de terminologie clinique li\u00e9e \u00e0 la CIF :<\/p>\n<ul>\n<li>SNOMED-CT &#8211; Norme am\u00e9ricaine pour l&rsquo;\u00e9change d&rsquo;informations \u00e9lectroniques sur la sant\u00e9 <sup id=\"cite_ref-26\" class=\"reference\"><a href=\"#cite_note-26\">(26)<\/a><\/sup><\/li>\n<li>International Classification of Nursing Practise (ICNP) <sup id=\"cite_ref-27\" class=\"reference\"><a href=\"#cite_note-27\">(27)<\/a><\/sup><\/li>\n<li>Nutrition Care Process Terminology (NCPT) <sup id=\"cite_ref-28\" class=\"reference\"><a href=\"#cite_note-28\">(28)<\/a><\/sup><\/li>\n<li>Natural language processing (NLP) technologies <sup id=\"cite_ref-29\" class=\"reference\"><a href=\"#cite_note-29\">(29)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span id=\"ICF_Classification_Taxonomy\" class=\"mw-headline\">Taxonomie de la classification CIF <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: ICF Classification Taxonomy\" href=\"\/index.php?title=Applying_the_ICF_in_Health_Policies_and_Administration&amp;veaction=edit&amp;section=10\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: ICF Classification Taxonomy\" href=\"\/index.php?title=Applying_the_ICF_in_Health_Policies_and_Administration&amp;action=edit&amp;section=10\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La taxonomie consiste \u00e0 \u00ab\u00a0nommer et classer les choses telles que les animaux et les plantes en groupes au sein d&rsquo;un syst\u00e8me plus vaste, en fonction de leurs similitudes et de leurs diff\u00e9rences\u00a0\u00bb. <sup id=\"cite_ref-30\" class=\"reference\"><a href=\"#cite_note-30\">(30)<\/a><\/sup> La CIF regroupe les \u00ab\u00a0domaines\u00a0\u00bb en fonctionnement et handicap, et en facteurs contextuels.<\/p>\n<blockquote><p>\u00ab\u00a0La taxonomie de la CIF est consid\u00e9r\u00e9e comme la norme mondiale pour rendre compte du fonctionnement et du handicap et offre un \u00e9ventail complet de cat\u00e9gories pour documenter toutes les composantes du cadre.<sup id=\"cite_ref-31\" class=\"reference\"><a href=\"#cite_note-31\">(31)<\/a><\/sup><\/p><\/blockquote>\n<p>La taxonomie de la CIF regroupe chaque chapitre dans un syst\u00e8me organis\u00e9 et hi\u00e9rarchis\u00e9. Ainsi, la CIF se pr\u00eate \u00e0 des utilisations multiples \u00e0 diff\u00e9rents niveaux. <sup id=\"cite_ref-:1_4-10\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup> Exemple de regroupement de chapitres :<\/p>\n<ul>\n<li>1er niveau Chapitre 2 FONCTIONS SENSORIELLES ET DOULEUR<\/li>\n<li>2\u00e8me niveau &#8211; b280-b289 Douleur<\/li>\n<li>3\u00e8me niveau &#8211; b2801 Douleur dans une partie du corps<\/li>\n<li>4e niveau &#8211; b28010 Douleur \u00e0 la t\u00eate et au cou ou b28013 Douleur au dos<\/li>\n<\/ul>\n<h2><span id=\"Resources\" class=\"mw-headline\">Ressources<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Resources\" href=\"\/index.php?title=Applying_the_ICF_in_Health_Policies_and_Administration&amp;veaction=edit&amp;section=11\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Resources\" href=\"\/index.php?title=Applying_the_ICF_in_Health_Policies_and_Administration&amp;action=edit&amp;section=11\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>Mayo NE, Poissant L, Ahmed S, Finch L, Higgins J, Salbach NM, Soicher J, Jaglal S. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC524632\/pdf\/514.pdf\" rel=\"nofollow\">Incorporating the International Classification of Functioning, Disability, and Health (ICF) into an electronic health record to create indicators of function: proof of concept using the SF-12.<\/a> J Am Med Inform Assoc. 2004 Nov-Dec;11(6):514-22.<\/li>\n<li>Kostanjsek N. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3104216\/pdf\/1471-2458-11-S4-S3.pdf\" rel=\"nofollow\">Use of The International Classification of Functioning, Disability and Health (ICF) as a conceptual framework and common language for disability statistics and health information systems.<\/a> BMC Public Health. 2011 May 31;11 Suppl 4(Suppl 4):S3.<\/li>\n<li>Madden R, Glozier N, Mpofu E, Llewellyn G. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3104219\/pdf\/1471-2458-11-S4-S6.pdf\" rel=\"nofollow\">Eligibility, the ICF and the UN Convention: Australian perspectives.<\/a> BMC Public Health. 2011 May 31;11 Suppl 4(Suppl 4):S6.<\/li>\n<\/ul>\n<h2><span id=\"References\" class=\"mw-headline\">R\u00e9f\u00e9rences<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: References\" href=\"\/index.php?title=Applying_the_ICF_in_Health_Policies_and_Administration&amp;veaction=edit&amp;section=12\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Applying_the_ICF_in_Health_Policies_and_Administration&amp;action=edit&amp;section=12\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-1\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-1\">\u2191<\/a><\/span> <span class=\"reference-text\">Ust\u00fcn TB, Chatterji S, Bickenbach J, Kostanjsek N, Schneider M. The International Classification of Functioning, Disability and Health: a new tool for understanding disability and health. Disabil Rehabil. 2003 Jun 3-17;25(11-12):565-71. <\/span><\/li>\n<li id=\"cite_note-2\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-2\">\u2191<\/a><\/span> <span class=\"reference-text\">Salvador-Carulla L, Garcia-Gutierrez C. <a class=\"external text\" href=\"https:\/\/link.springer.com\/article\/10.1186\/1471-2458-11-S4-S9\" rel=\"nofollow\">The WHO construct of health-related functioning (HrF) and its implications for health policy.<\/a> BMC Public Health. 2011 Dec;11(4):1-0.<\/span><\/li>\n<li id=\"cite_note-:0-3\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_3-0\">3.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_3-1\">3.1<\/a><\/sup> <sup><a href=\"#cite_ref-:0_3-2\">3.2<\/a><\/sup> <sup><a href=\"#cite_ref-:0_3-3\">3.3<\/a><\/sup> <sup><a href=\"#cite_ref-:0_3-4\">3.4<\/a><\/sup><\/span> <span class=\"reference-text\">Kostanjsek N. <a class=\"external text\" href=\"https:\/\/link.springer.com\/article\/10.1186\/1471-2458-11-S4-S3\" rel=\"nofollow\">Use of The International Classification of Functioning, Disability and Health (ICF) as a conceptual framework and common language for disability statistics and health information systems.<\/a> InBMC public health 2011 Dec (Vol. 11, No. 4, pp. 1-6). 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Plus Course 2023<\/span><\/li>\n<li id=\"cite_note-5\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-5\">\u2191<\/a><\/span> <span class=\"reference-text\">World Health Organization: WHO Study on Global Ageing and Adult Health (SAGE). Wave 1 Individual Questionnaire &#8211; Set A. 2009. Available from <a class=\"external free\" href=\"https:\/\/www.who.int\/data\/data-collection-tools\/study-on-global-ageing-and-adult-health\" rel=\"nofollow\">https:\/\/www.who.int\/data\/data-collection-tools\/study-on-global-ageing-and-adult-health<\/a> (last access 9.01.2023)<\/span><\/li>\n<li id=\"cite_note-:2-6\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_6-0\">6.0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_6-1\">6.1<\/a><\/sup><\/span> <span class=\"reference-text\">WHO Multi-Country Studies Data Archive. 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