References and table

References

Table

Published as supplied by the authors

  1. Piazza D, Foote A. Roy’s adaptation model: a guide for rehabilitation nursing practice. Rehabilitation Nursing 1990;15:254-257
  2. Kielhofner G. General Systems Theory: implications for the theory and action in occupational therapy. American Journal of Occupational Therapy 1978;32:637-645
  3. Hymovich DP, Hagiopian GA. Chronic Illness in Children and Adults. A Psychosocial Approach. W. B. Saunders, Philadelphia 1992
  4. Engel GL. The clinical application of the biopsychosocial model. American Journal of Psychiatry 1980;137:535-544
  5. Zimmermann C, Tansella M. Psychosocial factors and physical illness in primary care: promoting the biopsychosocial model in medical practice. Journal of Psychosomatic Research 1996;40:351-358
  6. Karjalainen K, Malmivaara A, van Tulder M, Roine R, Jauhiainen M, Hurri H, Koes B. Biopsychosocial rehabilitation for upper limb repetitive strain injuries in working age adults (Cochrane Review). In: The Cochrane Library, Issue 1, 2004. Chichester, UK: John Wiley & Sons, Ltd. CD002269
  7. Gabbard GO, Kay J. The fate of integrated treatment: whatever happened to the biopsychosocial psychiatrist? The American Journal of Psychiatry 2001;158:1956-63
  8. de Jonge P, Hoogervorst ELJ, Huyse FJ, Polman CH. INTERMED: a measure of biopsychosocial case complexity: one year stability in Multiple Sclerosis patients. General Hospital Psychiatry 2004:26:147-52
  9. Eriksen HR, Svendsrød R, Ursin G, Ursin H. Chronic diseases. Prevalence of subjective health complaints in the Nordic European countries in 1993. The European Journal of Public Health 1998;8:294-298
  10. Sharpe M, Carson A. "Unexplained" somatic symptoms, functional syndromes, and somatization: do we need a paradigm shift? Annals of Internal Medicine 2001:134:926-30
  11. Wessely S, Nimnuan C, Sharpe M. Functional somatic syndromes: one or many? Lancet 1999;354:936-939
  12. Ladwig KH, Marten-Mittag B, Erazo N, Günel H. Identifying somatisation disorder in a population-based health examination survey. Psychosocial burden and gender differences. Psychosomatics 2001;42:511-518
  13. Mann WC, Ottenbacher KJ, Fraas L, Tomita M, Granger CV. Effectiveness of assistive technology and environmental interventions in maintaining independence and reducing home care costs for the elderly. Archives of Family Medicine 1999;8:210-217.
  14. Audit Commission. Fully Equipped 2002. Assisting Independence. Audit Commission 2002. London
  15. Stroke Unit Trialists’ Collaboration. Organised inpatient (stroke unit) care for stroke (Cochrane Review). In: The Cochrane Library, Issue 1, 2004. Chichester, UK: John Wiley & Sons, Ltd.
  16. Price JR, Couper J. Cognitive behaviour therapy for adults with chronic fatigue syndrome (Cochrane Review). In: The Cochrane Library, Issue 2, 2004. Chichester, UK: John Wiley & Sons, Ltd.
  17. Carson AJ, Ringbauer B, Stone J, McKenzie L, Warlow C, Sharpe M. Neurological disease, emotional disorder, and disability: they are related: a study of 300 consecutive new referrals to a neurology out-patient department. Journal of Neurology, Neurosurgery, and Psychiatry 2000;68:202-206.
  18. Maiden NL, Hurst NP, Lochhead A, Carson AJ, Sharpe M. Quantifying the burden of emotional ill-health among patients referred to a specialist rheumatology service. Rheumatology 2003;42:750-757
  19. World Health Organisation. The International Classification of Impairments, Disabilities, and Handicaps. World Health Organisation, Geneva. 1980
  20. The Intercollegiate Working Party for Stroke. National Clinical Guidelines for Stroke. Clinical Effectiveness and Evaluation Unit. Royal College of Physicians. London 2000
  21. The National Collaborating Centre for Chronic Conditions. Multiple Sclerosis. National clinical guideline for diagnosis and management in primary and secondary care. Royal College of Physicians, London. 2003
  22. Kalra L, Evans A, Perez I, Melbourn A, Patel A, Knapp M, Donaldson N Training carers of stroke patients.: randomised controlled trial. British Medical Journal 2004;328:1099-1101
  23. Patel A, Knapp M, Evans A, Perez I, Kalra L Training care givers of stroke patients: economic evaluation. British Medical Journal 2004;328:1102-1102
  24. Wade DT. Social context as a focus for rehabilitation. Clinical Rehabilitation 2001;15:459-461
  25. Buchbinder R, Jolley D, Wyatt M. Population based intervention to change back pain beliefs and disability: three part evaluation. British Medical Journal 2001;322:1516-1520
  26. Wade DT. Personal context as a focus for rehabilitation. Clinical Rehabilitation 2000;14:115-118

 

  

Table A Some implications of the extended WHO ICF model of illness

Prediction

Comment or example

Implication

Time frames will differ in different systems

Hospitals focus on pathology, which has a short time frame, and cannot cope with patients with activity limitations, when a longer time frame applies

Healthcare systems should have separate systems focused on pathology and activities (acute hospitals, and rehabilitation units)

Relations between different systems will be very variable

Not all disease causes impairment or activity limitation, and two people with apparently similar pathology may have very different changes in activity or participation

Healthcare systems should not base financial or other management solely on pathological diagnosis

Relations between systems will occur in both directions

Changing behaviour may reduce impairment and even reduce (risk of) pathology

Some common disorders, such as back pain, may best be reduced through changing social context (such as.sickness benefit rules or employment setting)

Illness may arise without pathology

All the functional illnesses

Treatments should focus on altering beliefs and expectations and the behaviour of healthcare professions.

Normal will have different comparators in different systems

Normal performance at the level of activities varies greatly—for example, many men do not iron clothes. Normal appearance and function of cells varies little

The past performance and current wishes of patients should be used to set outcome goals

Context will have a major effect on illness

Ability to work may be determined by the ability of a person to access their workplace

Organisations, such as employers, social services and housing agencies need integrating with (healthcare) systems to reduce illness. More treatments aimed at contextual factors, not at disease, should be developed

Successful treatment of an illness may require multiple interventions

Reduced mobility after stroke may require alleviation of osteoarthric hip pain, practice at walking, an ankle foot orthosis, and adapting the home

Multiprofessional specialist teams should be developed for common problems to deliver multifocal treatments over time; payment should not be tied to individual treatments