Iezzoni Lisa I, Greenberg Marjorie S
Health Care Financ Rev. 2003 Spring;24(3):61-76.
The health care delivery system aims to improve the functioning of Americans, but little information exists to judge progress toward meeting this goal. Administrative data generated through running and overseeing health care delivery offer considerable information about diagnoses and procedures in coded formats comparable across settings of care. This article explores the issues raised when considering adding coded information about functional status to administrative databases throughout the health care system. The National Committee on Vital and Health Statistics (NCVHS) identified the International Classification of Functioning, Disability and Health (ICF) as the only viable code set for consistently reporting functional status.
医疗保健提供系统旨在改善美国人的身体机能，但几乎没有信息可用于判断在实现这一目标方面的进展。通过运行和监督医疗保健提供而生成的行政数据，以编码格式提供了有关诊断和程序的大量信息，这些信息在不同的医疗环境中具有可比性。本文探讨了在考虑将有关功能状态的编码信息添加到整个医疗保健系统的行政数据库时所引发的问题。国家生命统计和健康统计委员会（NCVHS）将《国际功能、残疾和健康分类》（ICF）确定为唯一可行的用于持续报告功能状态的编码集。
