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In Search of an Integrative Measure of Functioning

Author

Listed:
  • Rosamond H. Madden

    (Centre for Disability Research and Policy, University of Sydney, P.O. Box 170, NSW 1826, Australia)

  • Nick Glozier

    (Brain & Mind Research Institute, Sydney Medical School, University of Sydney, 94 Mallett St., Camperdown, NSW 2050, Australia)

  • Nicola Fortune

    (Centre for Disability Research and Policy, University of Sydney, P.O. Box 170, NSW 1826, Australia
    National Centre for Classification in Health, University of Sydney, P.O. Box 170, NSW 1826, Australia)

  • Maree Dyson

    (Dyson Consulting Group, 450 Chapel Street, South Yarra, VIC 3141, Australia)

  • John Gilroy

    (Centre for Disability Research and Policy, University of Sydney, P.O. Box 170, NSW 1826, Australia)

  • Anita Bundy

    (Faculty of Health Sciences, University of Sydney, East Street, Lidcombe 2141, Australia)

  • Gwynnyth Llewellyn

    (Centre for Disability Research and Policy, University of Sydney, P.O. Box 170, NSW 1826, Australia)

  • Luis Salvador-Carulla

    (Centre for Disability Research and Policy, University of Sydney, P.O. Box 170, NSW 1826, Australia
    Brain & Mind Research Institute, Sydney Medical School, University of Sydney, 94 Mallett St., Camperdown, NSW 2050, Australia)

  • Sue Lukersmith

    (Centre for Disability Research and Policy, University of Sydney, P.O. Box 170, NSW 1826, Australia)

  • Elias Mpofu

    (Faculty of Health Sciences, University of Sydney, East Street, Lidcombe 2141, Australia)

  • Richard Madden

    (Centre for Disability Research and Policy, University of Sydney, P.O. Box 170, NSW 1826, Australia
    National Centre for Classification in Health, University of Sydney, P.O. Box 170, NSW 1826, Australia)

Abstract

International trends towards people-centred, integrative care and support require any measurement of functioning and disability to meet multiple aims. The information requirements of two major Australian programs for disability and rehabilitation are outlined, and the findings of two searches for suitable measures of functioning and disability are analysed. Over 30 current measures of functioning were evaluated in each search. Neither search found a generic measure of functioning suitable for these multibillion dollar programs, relevant to a wide range of people with a variety of health conditions and functioning experiences, and capable of indicating support needs, associated costs, progress and outcomes. This unsuccessful outcome has implications internationally for policy-relevant information for disability, rehabilitation and related programs. The paper outlines the features of an Integrative Measure of Functioning (IMF) based on the concepts of functioning and environmental factors in the International Classification of Functioning, Disability and Health (ICF). An IMF would be applicable across a variety of health conditions, settings and purposes, ranging from individual assessment to public health. An IMF could deliver person-centred, policy-relevant information for a range of programs, promoting harmonised language and measurement and supporting international trends in human services and public health.

Suggested Citation

  • Rosamond H. Madden & Nick Glozier & Nicola Fortune & Maree Dyson & John Gilroy & Anita Bundy & Gwynnyth Llewellyn & Luis Salvador-Carulla & Sue Lukersmith & Elias Mpofu & Richard Madden, 2015. "In Search of an Integrative Measure of Functioning," IJERPH, MDPI, vol. 12(6), pages 1-18, May.
    • Handle: RePEc:gam:jijerp:v:12:y:2015:i:6:p:5815-5832:d:50134
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    Citations

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    Cited by:

    1. Beth Sprunt & Manjula Marella, 2021. "Combining Child Functioning Data with Learning and Support Needs Data to Create Disability-Identification Algorithms in Fiji’s Education Management Information System," IJERPH, MDPI, vol. 18(17), pages 1-13, September.
    2. Jerome E. Bickenbach & Alarcos Cieza & Carla Sabariego, 2016. "Disability and Public Health," IJERPH, MDPI, vol. 13(1), pages 1-3, January.
    3. Nicola Fortune & Richard Madden & Ann-Helene Almborg, 2018. "Use of a New International Classification of Health Interventions for Capturing Information on Health Interventions Relevant to People with Disabilities," IJERPH, MDPI, vol. 15(1), pages 1-10, January.

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