Healthc Inform Res.  2022 Jul;28(3):198-209. 10.4258/hir.2022.28.3.198.

Exploring the Health and Social Needs of Community Residents Using an Online Community Care Platform: Linkage to the International Classification of Functioning, Disability, and Health

• Park M
• Bui LK
• Jeong M
• Choi EJ
• Lee N
• Kwak M
• Kim J
• Kim J
• Jung J
• Shin O
• Na J
• Guk H

• KMID: 2532447
• DOI: http://doi.org/10.4258/hir.2022.28.3.198

Abstract

Objectives
This study aimed to analyze the outcomes of the Comprehensive Health and Social Need Assessment (CHSNA) system, which identifies community residents’ health and social needs, and to link these needs with the International Classification of Functioning, Disability, and Health (ICF).
Methods
Adult community residents in a metropolitan city in Korea were recruited. They were asked to assess their health and social needs via the CHSNA system, which was integrated into an online community-care platform. Three assessment steps (basic health assessment, needs for activities of daily living, and in-depth health assessment) associated with five ICF components were used to evaluate physical health impairment, difficulties in activities and participation, and environmental problems. The final list of health and social needs was systematically linked to the domains and categories of the ICF. Only data from participants who completed all three assessment steps were included.
Results
Wide ranges of impairments and difficulties regarding the daily living activities, physical health, and environmental status of the community were recorded from 190 people who completed assessments of their health and social needs by the CHSNA system. These participants reported various health and social needs for their community life; common needs corresponded to the ICF components of body functions and activities/participation.
Conclusions
The ICF may be suitable for determining the health-related problems and needs of the general population. Possible improvements to the present system include providing support for completing all assessment steps and developing an ICF core set for an enhanced understanding of health and social needs.

Keyword

Activities of Daily Living; Information and Technology; Online Systems; Community Health Services; Needs Assessment

Figure

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  Figure 1 Comprehensive Health and Social Needs Assessment system (CHSNA) on the Online Community Care Platform is mapped to the International Classification of Functioning, Disability, and Health (ICF). Screenshot 1 illustrates the first assessment step in the CHSNA-basic health assessment, which evaluates personal information and health status corresponding to the ICF personal factors component. Screenshot 3.1 shows a summary of physical health impairment mapped to body functions and structures in the ICF. Screenshots 3.2 and 3.3 present difficulties related to activities/participation and environmental problems, which are associated with the ICF components of activities/participation and environmental factors, respectively.

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  Figure 2 Result of the Comprehensive Health and Social Need Assessment system. ICF: International Classification of Functioning, Disability, and Health.

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  Figure 3 Number of users who completed each assessment step of the Comprehensive Health and Social Need Assessment system.

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  Figure 4 Percentage of community residents with needs for daily living activities. The screenshots on the left side are displayed as infographics to evaluate individuals’ needs for five domains of daily living activities (activities of daily living, instrumental activities of daily living, indoor recreational and leisure activities, outdoor recreational and leisure activities, social participation activities). The prevalence of having a need for a particular activity is presented as the corresponding item in the bar charts on the right side.

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  Figure 5 Participants reporting impairments related to physical health in this study.

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  Figure 6 Participants reporting difficulties related to activities and participation in this study.

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  Figure 7 Participants reporting difficulties related to environmental problems in this study.

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  Figure 8 Proportion of ICF second-level domains in each category that were linked to the health and social needs of community residents in this study. ICF: International Classification of Functioning, Disability, and Health.

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  Figure 9 Top frequent health and social needs matching with ICF categories among community residents in the present study. ICF: International Classification of Functioning, Disability, and Health.

Reference

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