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Ying-Chieh Lai

Ying-Chieh Lai

Department of Healthcare Administration, Asia University, Taiwan, China

Title: Discussion on accessibility to mental and behavioral disorders in Taiwan in parallel with ICD-10 and ICF systems

Biography

Biography: Ying-Chieh Lai

Abstract

         Taiwan promoted the ICF system in 2012 and ICD-10 system in 2016 as the national health insurance coverage for medical expenses. ICD-10 A system of diseases categorized according to the rules and expressed in a coded way. The ICF classification system provides a unified framework for classifying the functional states and disability that make up the health component. The ICF describes the etiology of medicine as a neutral word, focusing on the functional status of an individual rather than a disorder or condition. In addition, the ICF is a health classification tool that considers cross-cultural, age-and-gender variables, which makes the ICF classification system suitable for operation in different demographic contexts. The ICF classification system complements the WHO's (ICD-10) deficiencies because the ICD contains only information on disease diagnosis and health conditions, but no functional status description. The ICD and ICF are currently the core classification system in the World Health Organization's International Classification Family (WHO-FIC). This article explores the accessibility, convenience and safety of patients with mental and behavioral problems through the promotion of two systems and from 2008 to 2016 statistics. Our study found that the number of mental hospitals increased by 122%, the number of psychiatrists increased by 250% and the number of nursing staff increased by 248% between 2008 and 2016. These data show that the Taiwanese government needs more resources to promote long-term care policy and pay attention to the medical needs of potential patients with mental and behavioral disorders.