[Quality of life, health and well-being conceptualizations from the perspective of the International Classification of Functioning, disability and health (ICF)].
The World Health Organization's International Classification of Functioning, Disability and Health (ICF) has provided a new foundation for our understanding of health, functioning, and disability. As a content-valid, comprehensive and universally applicable health classification, it serves as a platform to clarify and specify health-related concepts that are frequently used in the medical literature as well-being, health state, health status, quality of life (QoL) and health-related quality of life (HRQoL). The ICF entities health and health-related domains and functioning will be used as starting point to reach the objective of the paper. Health domains refer to domains intrinsic to the person as a physiological and psychological entity. Health-related domains are not part of a person's health but are so closely related that a description of a person's lived experience of health would be incomplete without them. Functioning refers to all health and health-related domains within the ICF. Well-being is made up of health, health-related, and non-health-related domains, such as autonomy and integrity. QoL is the individual's perceptions of how the life is going in health, health-related, and non-health domains. HRQoL is the individual's perceptions of how the life is going in health and health-related domains. "HRQoL is to QoL as functioning is to well-being". The ICF represents a standardized and international basis for the operationalization of health based on its health domains, and is also the basis for the operationalization of functioning based on all health and health-related domains contained therein. The authors argue that functioning is an operationalization of health from a broader perspective that consider the individual person not only as a biological but also as a social entity.
Fernández-López
Juan Antonio
JA
Centro de Salud de Riosa, Servicio de Salud del Principado de Asturias (SESPA), Riosa, España. juanantonio.fernandez@sespa.princast.es
Fernández-Fidalgo
María
M
Cieza
Alarcos
A
D006233:Persons with Disabilities / Q000145:classification; D006304:Health Status; D006801:Humans; D038801:International Classification of Diseases; D008962:Models, Theoretical; D011788:Quality of Life