{"id":130,"date":"2013-09-23T09:17:10","date_gmt":"2013-09-23T00:17:10","guid":{"rendered":"http:\/\/shuwa-tkgb-syuwa.com\/?p=130"},"modified":"2013-09-23T09:17:44","modified_gmt":"2013-09-23T00:17:44","slug":"%e5%9b%bd%e9%9a%9b%e7%94%9f%e6%b4%bb%e6%a9%9f%e8%83%bd%e5%88%86%e9%a1%9eicf","status":"publish","type":"post","link":"http:\/\/shuwa-tkgb-syuwa.com\/?p=130","title":{"rendered":"\u56fd\u969b\u751f\u6d3b\u6a5f\u80fd\u5206\u985e(ICF)"},"content":{"rendered":"

\u969c\u5bb3\u3068\u306f\u4f55\u304b\u3092\u8003\u3048\u308b\u6642\u30011980\u5e74\u306b\u4e16\u754c\u4fdd\u5065\u6a5f\u69cb(WHO)\u304c\u516c\u8868\u3057\u305f\u300c\u56fd\u969b\u969c\u5bb3\u5206\u985e(ICHDH)\u300d\u306f\u969c\u5bb3\u306e\u554f\u984c\u3092\u3001\u5e83\u304f\u793e\u4f1a\u306e\u554f\u984c\u3068\u3057\u3066\u8003\u3048\u308b\u306e\u306b\u5927\u304d\u306a\u5f71\u97ff\u3092\u4e0e\u3048\u305f\u3002<\/p>\n

1980(\u662d\u548c55)\u5e74\u306bWHO(\u4e16\u754c\u4fdd\u5065\u6a5f\u69cb)\u306f\u300c\u56fd\u969b\u969c\u5bb3\u5206\u985e\u8a66\u6848\u300d(ICIDH)\u3092\u767a\u8868\u3057\u3001\u969c\u5bb3\u306b\u3064\u3044\u3066\u306e\u5206\u985e\u30fb\u5b9a\u7fa9\u30fb\u7d30\u76ee\u306b\u95a2\u3059\u308b\u8003\u3048\u65b9\u3092\u793a\u3057\u305f\u3002\u969c\u5bb3\u30923\u3064\u306e\u30ec\u30d9\u30eb\u3001\u3059\u306a\u308f\u3061\u3001\u300c\u75c5\u6c17\u30fb\u5909\u8abf\u300d\u306b\u3088\u308a\u3001\u8eab\u4f53\u7684\u30fb\u7cbe\u795e\u7684\u306a\u55aa\u5931\u3092\u3059\u308b\u300c\u6a5f\u80fd\u969c\u5bb3(impairment)\u300d\u304c\u751f\u3058\u3001\u305d\u308c\u306b\u3088\u308a\u751f\u6d3b\u4e0a\u306e\u80fd\u529b\u304c\u5236\u7d04\u3055\u308c\u3066\u3044\u308b\u300c\u80fd\u529b\u969c\u5bb3(disability)\u300d\u304c\u751f\u3058\u3001\u6700\u7d42\u7684\u306b\u306f\u3001\u305d\u308c\u306b\u3088\u308a\u793e\u4f1a\u7684\u306a\u5f79\u5272\u3092\u679c\u305f\u3059\u3053\u3068\u304c\u5236\u9650\u3055\u308c\u3001\u793e\u4f1a\u7684\u306a\u4e0d\u5229\u76ca\u3092\u88ab\u308b\u300c\u793e\u4f1a\u7684\u4e0d\u5229(handicap)\u300d\u3064\u306a\u304c\u308b\u3053\u3068\u3092\u660e\u3089\u304b\u306b\u3057\u305f\u3088\u3046\u306b\u968e\u5c64\u7684\u306b\u3068\u3089\u3048\u308b\u3053\u3068\u306e\u610f\u5473\u306f\u3001\u305d\u308c\u305e\u308c\u306e\u6bb5\u968e\u306b\u304a\u3051\u308b\u554f\u984c\u306e\u6240\u5728\u3092\u5c02\u9580\u6280\u8853\u306e\u7acb\u5834\u304b\u3089\u307e\u305f\u306f\u65bd\u7b56\u5b9f\u65bd\u306e\u7acb\u5834\u304b\u3089\u660e\u3089\u304b\u306b\u3057\u3001\u9069\u5207\u306a\u5bfe\u5fdc\u3092\u3067\u304d\u308b\u3088\u3046\u306b\u3059\u308b\u3053\u3068\u306b\u3042\u3063\u305f\u3002<\/p>\n

\u4f8b\u3048\u3070\u3001\u8074\u899a\u969c\u5bb3\u306e\u5834\u5408\u3067\u3042\u308c\u3070\u3001\u8074\u899a\u304c\u306a\u3044\u300c\u6a5f\u80fd\u969c\u5bb3\u300d\u3001\u305d\u308c\u306b\u3088\u308a\u805e\u304f\u3053\u3068\u304c\u3067\u304d\u306a\u3044\u3068\u3044\u3046\u300c\u80fd\u529b\u969c\u5bb3\u300d\u3001\u305d\u308c\u306b\u3088\u308a\u3001\u8cb7\u3044\u7269\u306e\u6642\u306b\u5546\u54c1\u306e\u8aac\u660e\u3092\u3057\u3066\u3082\u3089\u3048\u306a\u3044\u3068\u3044\u3046\u300c\u793e\u4f1a\u7684\u4e0d\u5229\u300d\u304c\u751f\u3058\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u308b\u3002\u3053\u3046\u3057\u3066\u969c\u5bb3\u306b\u3088\u308b\u554f\u984c\u304c3\u5c64\u306b\u306a\u3063\u3066\u304a\u308a\u3001\u305d\u308c\u305e\u308c\u306e\u554f\u984c\u306b\u5bfe\u5fdc\u3057\u3066\u3044\u304f\u5fc5\u8981\u6027\u304c\u8a8d\u8b58\u3055\u308c\u308b\u3088\u3046\u306b\u306a\u3063\u305f\u306e\u3067\u3042\u308b\u3002<\/p>\n

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1980(\u662d\u548c55)\u5e74\u306b\u307e\u3068\u3081\u3089\u308c\u305fICIDH\u304b\u3089\u307b\u307c20\u5e74\u8fd1\u304f\u7d4c\u904e\u3057\u3001ICIDH\u304c\u5404\u56fd\u3067\u5229\u7528\u3055\u308c\u308b\u306b\u3064\u308c\u554f\u984c\u70b9\u3082\u6307\u6458\u3055\u308c\u3001\u6539\u5b9a\u3078\u306e\u8981\u671b\u3082\u9ad8\u307e\u3063\u305f\u3002\u56fd\u969b\u7684\u306a\u691c\u8a0e\u4f5c\u696d\u306e\u7d50\u679c\u30012001(\u5e73\u621013)\u5e745\u6708\u306b\u3001\u5065\u5eb7\u5206\u985e\u304a\u3088\u3073\u5065\u5eb7\u95a2\u9023\u5206\u985e\u3068\u3057\u3066\u4f5c\u6210\u3055\u308c\u3001(\u969c\u5bb3\u3092\u542b\u3080)\u5065\u5eb7\u304c\u3069\u306e\u3088\u3046\u306b\u5f71\u97ff\u3092\u53d7\u3051\u3066\u3044\u308b\u304b\u3092\u660e\u3089\u304b\u306b\u3057\u305f\u65b0\u305f\u306a\u56fd\u969b\u969c\u5bb3\u5206\u985e(International Classification of Functioning,Disability and Health,\u3000\u7565\u79f0ICF)\u304c\u793a\u3055\u308c\u305f\u3002\u540d\u79f0\u304b\u3089\u3082\u308f\u304b\u308b\u3088\u3046\u306b\u300c\u969c\u5bb3\u5206\u985e\u300d\u3067\u306f\u306a\u304f\u300c\u751f\u6d3b\u6a5f\u80fd\u5206\u985e\u300d\u3068\u3057\u3066\u3001\u969c\u5bb3\u8005\u306b\u304b\u304b\u308f\u3089\u305a\u3001\u3059\u3079\u3066\u306e\u4eba\u306b\u304b\u304b\u308f\u308b\u5206\u985e\u3068\u306a\u3063\u3066\u3044\u308b\u3002\u305d\u306e\u305f\u3081\u306b\u3001\u8868\u73fe\u3082\u4e2d\u7acb\u7684\u306b\u306a\u308a\u3001\u6a5f\u80fd\u969c\u5bb3\u306f\u300c\u5fc3\u8eab\u6a5f\u80fd\/\u8eab\u4f53\u69cb\u9020\u300d\u3001\u80fd\u529b\u969c\u5bb3\u306f\u300c\u6d3b\u52d5\u300d\u3001\u793e\u4f1a\u7684\u4e0d\u5229\u306f\u300c\u53c2\u52a0\u300d\u3068\u5909\u66f4\u3055\u308c\u305f\u3002\u307e\u305f\u3001\u3053\u308c\u3089\u306f\u300c\u74b0\u5883\u56e0\u5b50\u300d\u3068\u6027\u5225\u3084\u5e74\u9f62\u7b49\u306e\u300c\u500b\u4eba\u56e0\u5b50\u300d\u306b\u3088\u3063\u3066\u5f71\u97ff\u3092\u53d7\u3051\u308b\u3068\u3055\u308c\u308b\u3002\u3053\u3053\u3067\u3044\u3046\u74b0\u5883\u56e0\u5b50\u3068\u306f\u3001\u300c\u7269\u7684\u74b0\u5883\u3084\u793e\u4f1a\u7684\u74b0\u5883\u3001\u4eba\u3005\u306e\u793e\u4f1a\u7684\u306a\u614b\u5ea6\u306b\u3088\u308b\u74b0\u5883\u306e\u7279\u5fb4\u304c\u3082\u3064\u4fc3\u9032\u7684\u3042\u308b\u3044\u306f\u963b\u5bb3\u7684\u306a\u5f71\u97ff\u529b\u300d\u3068\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n

\u4ee5\u4e0a\u306e\u3053\u3068\u304b\u3089\u308f\u304b\u308b\u3088\u3046\u306b\u3001\u969c\u5bb3\u304c\u75c5\u6c17\u30fb\u5916\u50b7\u305d\u306e\u4ed6\u5065\u5eb7\u72b6\u614b\u304b\u3089\u76f4\u63a5\u7684\u306b\u969c\u5bb3\u304c\u751f\u3058\u3001\u5c02\u9580\u8077\u306e\u500b\u5225\u7684\u6cbb\u7642\u3092\u5fc5\u8981\u3068\u3059\u308b\u300c\u533b\u5b66\u30e2\u30c7\u30eb\u300d\u3068\u3001\u969c\u5bb3\u304c\u793e\u4f1a\u74b0\u5883\u306b\u3088\u3063\u3066\u4f5c\u308a\u51fa\u3055\u308c\u3066\u304a\u308a\u3001\u793e\u4f1a\u7684\u6d3b\u52d5\u306b\u3088\u3063\u3066\u53d6\u308a\u7d44\u307e\u308c\u308b\u3068\u3059\u308b\u300c\u793e\u4f1a\u30e2\u30c7\u30eb\u300d\u306e\u4e21\u65b9\u306e\u5074\u9762\u3092\u7d71\u5408\u3059\u308b\u5f62\u3067ICF\u306f\u69cb\u6210\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n

ICF\u306f\u969c\u5bb3\u30923\u3064\u306e\u30ec\u30d9\u30eb\u3067\u6349\u3048\u308b\u9762\u3067\u306f\u5927\u304d\u306a\u9055\u3044\u306f\u306a\u3044\u3002\u3053\u308c\u307e\u3067\u306eICIDH\u304c\u75c5\u6c17\u3084\u5909\u8abf\u306e\u5e30\u7d50\u3068\u3057\u3066\u6a5f\u80fd\u969c\u5bb3\u3001\u80fd\u529b\u969c\u5bb3\u3001\u793e\u4f1a\u7684\u4e0d\u5229\u3068\u3001\u4e00\u65b9\u5411\u306e\u6d41\u308c\u3068\u3057\u3066\u6574\u7406\u3055\u308c\u3066\u3044\u305f\u304c\u3001ICF\u306f\u5065\u5eb7\u72b6\u614b\u3001\u6a5f\u80fd\u969c\u5bb3\u3001\u6d3b\u52d5\u3001\u53c2\u52a0\u3001\u80cc\u666f\u56e0\u5b50(\u74b0\u5883\u9762\u3068\u500b\u4eba)\u306e\u53cc\u65b9\u5411\u306e\u95a2\u4fc2\u6982\u5ff5\u3068\u3057\u3066\u6574\u7406\u3055\u308c\u305f\u3002\u3053\u308c\u307e\u3067\u306e\u5426\u5b9a\u7684\u3001\u30de\u30a4\u30ca\u30b9\u7684\u306a\u8868\u73fe\u304b\u3089\u3001\u4e2d\u7acb\u7684\u3001\u80af\u5b9a\u7684\u306a\u8868\u73fe\u306b\u5909\u66f4\u3055\u308c\u3001\u300c\u6a5f\u80fd\u969c\u5bb3\u300d\u306f\u300c\u5fc3\u8eab\u6a5f\u80fd\u30fb\u8eab\u4f53\u69cb\u9020(body functions and structure)\u300d\u306b\u3001\u300c\u80fd\u529b\u969c\u5bb3\u300d\u306f\u300c\u6d3b\u52d5(activity)\u300d\u306b\u3001\u300c\u793e\u4f1a\u7684\u4e0d\u5229\u300d\u306f\u300c\u53c2\u52a0(participation)\u300d\u306b\u7f6e\u304d\u63db\u3048\u3089\u308c\u305f\u3002<\/p>\n

\u307e\u305f\u3001\u305d\u308c\u305e\u308c\u306e\u80cc\u666f\u56e0\u5b50\u3068\u3057\u3066\u5730\u57df\u3084\u5bb6\u306e\u3064\u304f\u308a\u7b49\u300c\u74b0\u5883\u56e0\u5b50\u300d\u3068\u6027\u5225\u3084\u5e74\u9f62\u7b49
\n\u500b\u4eba\u56e0\u5b50\u300d\u306b\u3088\u3063\u3066\u5f71\u97ff\u3092\u53d7\u3051\u308b\u3068\u3055\u308c\u3066\u3044\u308b\u3002\u306a\u304a\u3001\u5206\u985e\u9805\u76ee\u3068\u3057\u3066\u306f\u3001\u300c\u5fc3\u8eab\u6a5f\u80fd\u300d\u3001\u300c\u8eab\u4f53\u69cb\u9020\u300d\u3001\u300c\u6d3b\u52d5\u3068\u53c2\u52a0\u300d\u3001\u300c\u74b0\u5883\u56e0\u5b50\u300d\u3068\u306b\u5206\u985e\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n

\u3053\u3046\u3057\u3066\u3001ICF\u3067\u306f\u3001\u5358\u306b\u969c\u5bb3\u306b\u3088\u308b\u5236\u7d04\u306e\u307f\u3092\u554f\u984c\u306b\u3059\u308b\u306e\u3067\u306f\u306a\u304f\u3001\u5e38\u306b\u74b0\u5883\u3068\u306e\u95a2\u308f\u308a\u306e\u306a\u304b\u3067\u969c\u5bb3\u3092\u898b\u3066\u4ee5\u964d\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u3063\u305f\u306e\u3067\u3042\u308b\u3002\u4f8b\u3048\u3070\u3001\u8996\u529b\u304c\u975e\u5e38\u306b\u4f4e\u3044\u4eba\u304c\u30c6\u30ec\u30d3\u4f1a\u793e\u306b\u52e4\u3081\u308b\u306e\u3068\u3001\u30e9\u30b8\u30aa\u4f1a\u793e\u306b\u52e4\u3081\u308b\u306e\u3068\u3067\u306f\u3001\u305d\u306e\u969c\u5bb3\u306b\u3088\u308b\u554f\u984c\u306e\u73fe\u308c\u65b9\u306e\u5ea6\u5408\u3044\u3001\u4ed5\u4e8b\u306e\u652f\u969c\u3092\u8003\u3048\u308b\u3068\u5927\u304d\u306a\u9055\u3044\u304c\u751f\u3058\u308b\u3053\u3068\u306f\u5bb9\u6613\u306b\u60f3\u50cf\u3055\u308c\u3088\u3046\u3002<\/p>\n

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