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Goal-setting in multidisciplinary team care for patients with rheumatoid arthritis: an international multi-center evaluation of the contents using the International Classification of Functioning, Disability and Health as a reference.
Department of Clinical Sciences in Lund, Orthopaedics, Lund University.
Department of Clinical Sciences in Lund, Orthopaedics, Lund University.
National Resource Centre for Rehabilitation in Rheumatology, Diakonhjemmet Hospital, Oslo, Norway.
University of South Denmark, Graasten, Denmark.
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2013 (English)In: Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine, ISSN 1651-2081, Vol. 45, no 9, 888-899 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To make a cross-cultural comparison of the contents of rehabilitation goals of patients admitted for rehabilitation and to compare the contents with the comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for rheumatoid arthritis, by linking their contents to the ICF. PATIENTS: A random sample of 80 patients with rheumatoid arthritis was retrieved from rehabilitation clinics in 4 countries. METHODS: Rehabilitation goals were extracted from the medical records and linked to the ICF using standardized linking rules. RESULTS: A total of 495 rehabilitation goals were identified and linked to 952 ICF codes, resulting in 151 unique ICF codes. Two-hundred and seventy-five (29%) of the 952 ICF codes were related to "Body Functions" (b-codes), 80 (8%) to "Body Structures" (s-codes), 419 (44%) to "Activities and Participation" (d-codes) and 178 (19%) to "Environmental Factors" (e-codes). Thirty-five of the 151 unique ICF codes (23%) were not in the comprehensive ICF Core Set for RA, whereas 23 of the ICF codes in this Core Set (24%) were not in the rehabilitation goals. CONCLUSION: The goals set in a team rehabilitation setting for patients with rheumatoid arthritis are related to all ICF components, with "Activities and Participation" being the most frequently addressed. The contents of the goals are, to a considerable extent, covered by the comprehensive ICF Core Set for RA, but additional evaluation is required before the ICF Core Set is used as a rehabilitation tool in rheumatoid arthritis.

Place, publisher, year, edition, pages
Uppsala: Stiftelsen Rehabiliteringsinformation , 2013. Vol. 45, no 9, 888-899 p.
Keyword [en]
Patient care planning; Patient care team; Rehabilitation; Rheumatoid arthritis
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Other Health Sciences
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URN: urn:nbn:se:hh:diva-24167DOI: 10.2340/16501977-1191ISI: 000326357600008PubMedID: 23974511Scopus ID: 2-s2.0-84883677295OAI: oai:DiVA.org:hh-24167DiVA: diva2:679120
Available from: 2013-12-13 Created: 2013-12-13 Last updated: 2017-03-30Bibliographically approved

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