health expectancies and the icf
DESCRIPTION
Presented at the Meeting of WHO Collaborating Centres for the FIC, Cologne, Germany, October 24, 2003. Health expectancies and the ICF. Health expectancies. Population health status indicators Combining information on: Length of life (mortality) Quality of life (health) - PowerPoint PPT PresentationTRANSCRIPT
RJM Perenboom, senior reseracher
TNO Prevention and Health
Health expectancies and the ICFPresented at the Meeting of WHO Collaborating Centres for the FIC,
Cologne, Germany, October 24, 2003
Leiden, 08 October 2003
Health expectancies and the ICF 2
Health expectancies
• Population health status indicators• Combining information on:
• Length of life (mortality)• Quality of life (health)
• Independent of size and composition of population• Suited for comparison between groups and over time
Leiden, 08 October 2003
Health expectancies and the ICF 3
Tools needed for comparison
• Same concepts of health• Same methods to collect data• Same instruments to measure health (questionnaires,
format, wording, response categories, cut-off points)• Same method of calculation
Leiden, 08 October 2003
Health expectancies and the ICF 4
HE-classification system
Classification system Concept Health expectancy
ICD 10 Disease Disease-free
dementia-free
ICIDH Impairment Impairment-free
Disability Functional limitations-free
Activity restrictions-free
Handicap General handicap-free
Occupational handicap-free
Mobility handicap-free
None Perceived health In good perceived health
Health adjusted Health adjusted LE
Mental health General-mental health
Leiden, 08 October 2003
Health expectancies and the ICF 5
HE according to ICF
ability to read small print in newspapers B210
ability to recognize another person’s face B220
ability to follow a conversation in a group B230
ability to hold a conversation with one other person B230
ability to carry a 5 kg object 10 metres A430
ability to bend and pick something up from the floor A4105
ability to walk 400 meters in one go A450
ability to dress and undress oneself A540
ability to get in and out of bed A4100
ability to move from one room to another (on the same floor) A4600
Leiden, 08 October 2003
Health expectancies and the ICF 6
Trends 1989-2000 for males
60
65
70
75
80
1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001
calendar year
life
expe
ctan
cy
total LE dfle seeing hearing
Leiden, 08 October 2003
Health expectancies and the ICF 7
Trends 1989-2000 for females
60
65
70
75
80
85
1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001
calendar year
life
expe
ctan
cy
total LE dfle seeing hearing
Leiden, 08 October 2003
Health expectancies and the ICF 8
Conclusions
• Classification system needs updating to ICF
• Comparing results on conceptual level • DFLE:
• USA: increase • UK: increase• France: increase• Finland: increase
• Seeing/hearing: international data not available