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Document Typology: Newspaper / Magazine article
Methodology addressed by the publication:International Classification of Functioning, Disability and Health
Title of document: The concepts of quality of life, health and well-being analyzed from the perspective of the international classification of functioning (CIF)
Name of author(s): Juan Antonio Fernández-López , María Fernández-Fidalgo y Alarcos Cieza
Name of publisher: Rev. Española de Salud Pública /Ministerio de Sanidad, Política Social e Igualdad
Language of the publication: Spanish
Language of the review: English
"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 healthrelated 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-healthrelated 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."
Reviewer's comments on the document:
This article makes a revision and show how does the CIF works while dealing with the classification of functioning as a result of differente causes.
It is relevant because this article uses different concepts that are vital in the area that we are studying. Talks about quality of life that it is related, in accordance with the article, with the way that the patient lives individually his/her state of health. So this concept includes aspects related to health itself and related to other questions not directly related to health. On the other hand states that there is a quality of life directly and only related to health issues.
In any case the important thing is that the article consider the patients as social entities and their functioning as part of their general wellbeing determined both by health state and social enviroment.
Where to find it:

Rev Esp Salud Pública 2010; 84: 169-184 N.º 2 - Marzo-Abril 2010

Printed Version ISSN 1135 - 5727

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