Ustün T Bedirhan, Chatterji Somnath, Kostansjek Nenad, Bickenbach Jerome
WHO, Geneva, Switzerland.
Health Care Financ Rev. 2003 Spring;24(3):77-88.
A common framework for describing functional status information (FSI) in health records is needed in order to make this information comparable and of value. The World Health Organization's (WHO's) International Classification of Functioning, Disability and Health (ICF), which has been approved by all its member States, provides this common language and framework. The biopsychosocial model of functioning and disability embodied in the ICF goes beyond disease and conceptualizes functioning from the individual's body, person, and lived experience vantage points, thereby allowing for planning interventions targeted at the individual's body, the individual as a whole or toward the environment. This framework then permits the evaluation of both the effectiveness and cost effectiveness of these different interventions in devising programs at the personal or societal level.
为了使健康记录中的功能状态信息(FSI)具有可比性和价值,需要一个描述该信息的通用框架。世界卫生组织(WHO)的《国际功能、残疾和健康分类》(ICF)已得到其所有成员国的批准,提供了这种通用语言和框架。ICF中所体现的功能和残疾的生物心理社会模型超越了疾病范畴,从个体的身体、个人及生活经历的角度对功能进行概念化,从而能够规划针对个体身体、个体整体或环境的干预措施。然后,这个框架允许在个人或社会层面设计项目时评估这些不同干预措施的有效性和成本效益。