Slide
1 Using the
ICF to combine multiple data sources: a study
of unmet need
Nicola Fortune
Australian Institute of Health and Welfare
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2 Using the ICF
to relate different data sources
- The use of international
and national standards in data collections
helps us compile meaningful data across sectors
and collections
- ICF concepts (e.g. impairment,
activity limitation, participation restriction)
can be identified in data collections
- Data items from different
data collections can be mapped to ICF components
and domains
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3 An example:
estimating unmet need for disability services
- Study of unmet needs for
disability support services conducted in 2001–02
- Two main sources of data:
- CSTDA NMDS data
on services and consumers— provided
information on supply of services
- Disability population
survey data — information on unmet
need for services
- ICF provides:
- A standard language
- A standard grouping
of activities
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4 The study of
unmet need
- $519 million new funding
over 2 years, 2000–01 and 2001–02
- Objectives of study:
- how effective was
the new funding?
- remaining shortfalls
for accommodation, in-home support, respite,
employment?
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5 ICF concepts
in the disability services collection
- Specific impairments
- Need for assistance with
activities
- Self-care
- Mobility
- Communication
- Other activities
- General notion of participation
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6 Key concepts
in the disability survey
- Need for assistance
- Self-care
- Mobility
- Communication
- Other activities
- A standard ‘indicator’
of disability: need for assistance
- Relates to core
purpose of a range of community services,
including disability services
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7 Study method
- Statistics from:
- jurisdictions
(special survey and registers)
- CSDA MDS
- ABS population
survey
- Qualitative information—discussions
with peak groups
- Literature search
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8 Outline of
analysis
- Identify people who need
help with activities of daily living
- Apply filters:
- People living
in households
- People with unmet
need for formal help, and the reason for
this
- Frequency of need
for assistance
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9 Estimated unmet
need for specific services
- Conservative estimates:
- 12,500 people
needing accommodation and respite services
- 8,200 places needed
for community access
- 5,400 people needing
employment support
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10 Conclusion
- What enabled this analysis
to be done?
- Common language
in service definition and population survey
- Standard groupings
of activities used in administrative collections
and population survey
- Mapping within
the ICF framework
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