CJRTP

Chinese Journal of Rehabilitation Theory and Practice

   

Digitally empowered precision rehabilitation services for rural persons with disabilities based on ICF

AN Na1, CHEN Di2,3, YANG Yaru2,4,5, QIU Zhuoying2,5,WANG Zhongyan5,6   

  1. 1. Department of General Education (School of Marxism), University of Health and Rehabilitation Sciences/Qingdao Re‐ search Base for Health Governance and Social Policy, Qingdao, Shandong 266113, China; 2. WHO-FIC Collaborating Center in China, Beijing 100068, China; 3. Department of Rehabilitation Information Research, China Rehabilitation Science Institute, Beijing 100068, China; 4. College of Physical Education and Health, East China Normal University, Shanghai 200241, China; 5. School of Social Development/Research Centre for ICF and Rehabilitation Policy, Universi‐ ty of Health and Rehabilitation Sciences, Qingdao, Shandong 266113, China; 6. Shandong Provincial Soft Science Re‐ search Base for Public Policies on Population Health/Qingdao Research Base for Health Technology and Industrial Poli‐ cy, Qingdao, Shandong 266113, China
  • Supported by:
    Shandong Province Social Science Planning Research Project (No. 20CKSJ01)

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Abstract:

Objective To develop of a novel precision rehabilitation service model for structural problems in rural rehabilitation ser‐ vices for persons with disabilities in China, such as shortages of professional resources, imprecise assessment and lack of service continuity, guided by International Classification of Functioning, Disability and Health (ICF) and supported by digital technologies. 

Methods Using ICF as an analytical tool and rural disability rehabilitation services as the application scenario, this study adopted a problem-oriented approach focused on current service challenges. Through literature review, situation analysis and strategy exploration, elements of body functions and structures, activities and participation, environ‐ mental factors, and digital technologies were organically integrated to form systematic solutions. 

Results A precision rehabilitation service model for rural persons with disabilities was constructed based on ICF and in‐ tegrated with digital technologies such as the Internet of Things, big data and telerehabilitation. The model en‐ compassed three dimensions: precise assessment of body functions, precise matching of intervention modalities and precise adjustment of environmental factors. An implementation pathway for digital technology-empowered precision rehabilitation in rural areas was proposed. 

Conclusion The digitally empowered precision rehabilitation service model based on ICF is helpful for addressing the challenges of equity and precision in rural rehabilitation services in China, promoting access fairer, more accessi‐ ble and systematically continuous rehabilitation services.

Key words: International Classification of Functioning, Disability and Health, digital empowerment, precision rehabilitation, telerehabilitation, primary healthcare, healthy rural development