Healthc Inform Res.  2019 Oct;25(4):338-343. 10.4258/hir.2019.25.4.338.

ICT-Based Comprehensive Health and Social-Needs Assessment System for Supporting Person-Centered Community Care

• Park M
• Choi EJ
• Jeong M
• Lee N
• Kwak M
• Lee M
• Lim EC
• Nam H
• Kim D
• Ku H
• Yang BS
• Na J
• Jang JS
• Kim JY
• Lee W

• KMID: 2462233
• DOI: http://doi.org/10.4258/hir.2019.25.4.338

Abstract

OBJECTIVES
This study developed an information and communication technology (ICT)-based comprehensive health and social-needs assessment (CHSNA) system based on the International Classification of Functioning, Disability, and Health (ICF) with the aim of enhancing person-centered community care for community residents and supporting healthcare professionals and social workers who provide healthcare and social services in the community.
METHODS
Items related to a CHSNA tool were developed and mapped with ICF codes. Experts validated the CHSNA system design and process using the Delphi method, and a pilot test of the initial version of the system was conducted.
RESULTS
The following three steps of CHSNA were embedded in the system, which had a user-friendly screen and images: basic health assessment, life and activity assessment, and in-depth health assessment. The assessment results for the community residents were presented with visualized health profiles, including images, graphs, and an ICF model.
CONCLUSIONS
The developed CHSNA system can be used by healthcare professionals, social workers, and community residents to evaluate the reasoning underlying health and social needs, to facilitate the identification of more appropriate healthcare plans, and to guide community residents to receive the best healthcare services. A CHSNA system can improve the implementation of standardized terminology utilizing the ICF and the accuracy of needs assessments of community residents.

Keyword

Community Health Services; Needs Assessment; Information Technology; Patient-Centered Care; Decision Support Techniques

MeSH Terms

Classification
Community Health Services
Decision Support Techniques
Delivery of Health Care
Methods
Needs Assessment
Patient-Centered Care
Social Work
Social Workers

Figure

• 

  Figure 1 The International Classification of Functioning, Disability, and Health (ICF) model applied to the comprehensive health and social needs assessment system.

• 

  Figure 2 The International Classification of Functioning, Disability, and Health (ICF) model application of the comprehensive health and social needs assessment system in this study.

Reference

1. Organisation for Economic Cooperation and Development. Health at a glance 2011: OECD indicators. Paris, France: OECD Publishing;2011.

2. Willard S, Cremers G, Man YP, van Rossum E, Spreeuwenberg M, de Witte L. Development and testing of an online community care platform for frail older adults in the Netherlands: a user-centred design. BMC Geriatr. 2018; 18(1):87.

3. De Vliegher K, Aertgeerts B, Declercq A, Milisen K, Sermeus W, Moons P. Shifting care from hospital to home: a qualitative study. Primary Health Care. 2015; 25(9):26–33.

4. Ministry of Health and Welfare. Implementation of social services (community care) based on the community [Internet]. Sejong, Korea: Ministry of Health and Welfare;2018. cited at 2019 Oct 15. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=344177&page=1.

5. Vlachantoni A, Shaw R, Willis R, Evandrou M, Falkingham J, Luff R. Measuring unmet need for social care amongst older people. Popul Trends. 2011; (145):56–72.

6. Jung Y, Ko S, Kim EJ. A study on the effective chronic disease management. Seoul: Korea Institute for Health and Social Affairs;2013.

7. World Health Organization. How to use the ICF: a practical manual for using the International Classification of Functioning, Disability and Health (ICF): exposure draft for comment. Geneva, Switzerland: World Health Organization;2013.

8. Smith M, Epping-Jordan J. WHODAS II training manual: a guide to administration. Geneva, Switzerland: World Health Organization;2000.

9. Yun JS, Kim JM, Sin IS, Yang SJ, Jeong TG, Lee HY. Development of Korean version of World Health Organization Disability Assessment Schedule II (WHODAS II-K) in community dwelling elders. J Korean Neuropsychiatr Assoc. 2004; 43(1):86–92.

10. Bedirhan Ustun T, Chatterji S, Villanueva M, Bendib L, Celik C, Sadana R, et al. WHO multi-country survey study on health and responsiveness. Geneva, Switzerland: World Health Organization;2001.

11. Ustun TB, Rehm J, Chatterji S, Saxena S, Trotter R, Room R, et al. Multiple-informant ranking of the disabling effects of different health conditions in 14 countries. Lancet. 1999; 354(9173):111–115.

12. Bedirhan Ustun T, Chatterji S, Mechbal A, Murrey CJ. WHS Collaborating Groups. The world health surveys. In : Murrey CJ, Evans DB, editors. Health systems performance assessment: debates, methods and empiricism. Geneva, Switzerland: World Health Organization;2003. p. 797–808.

13. Dernek B, Esmaeilzadeh S, Oral A. The utility of the International Classification of Functioning, Disability and Health checklist for evaluating disability in a community-dwelling geriatric population sample. Int J Rehabil Res. 2015; 38(2):144–155.

14. World Health Organization. International classification of functioning, disability and health: ICF. Geneva, Switzerland: World Health Organization;2001.