School of Health Sciences, Research School Health and Wellfare, Jönköping, Sweden.
Scand J Public Health. 2011 Feb;39(1):51-7. doi: 10.1177/1403494810378918. Epub 2010 Aug 5.
The aim of this study was to investigate if essential health and development data of all children in Sweden in the Child Health Service (CHS) and School Health Service (SHS) can be linked to the classification system International Classification of Functioning, Disability and Health--Children and Youth (ICF-CY).
Lists of essential health terms, compiled by professionals from CHS and SHS, expected to be used in the national standardised records form the basis for the analysis in this study. The essential health terms have been linked to the codes of ICF-CY by using linking rules and a verification procedure.
After exclusion of terms not directly describing children's health, a majority of the health terms could be linked into the ICF-CY with a high proportion of terms in body functions and a lower proportion in activity/participation and environment respectively. Some health terms had broad description and were linked to several ICF-CY codes. The precision of the health terms was at a medium level of detail.
ICF-CY can be useful as a tool for documenting child health. It provides not only a code useful for statistical purposes but also a language useful for the CHS and SHS in their work on individual as well as population levels. It was noted that the health terms used by services mainly focused on health related to body function. This indicates that more focus is needed on health data related to child's functioning in everyday life situations.
本研究旨在探讨瑞典儿童保健服务(CHS)和学校卫生服务(SHS)中所有儿童的基本健康和发展数据是否可以与国际功能、残疾和健康分类-儿童和青少年(ICF-CY)分类系统相关联。
由 CHS 和 SHS 的专业人员编制的基本健康术语清单是本研究分析的基础。这些基本健康术语通过使用链接规则和验证程序与 ICF-CY 的代码相关联。
在排除不直接描述儿童健康的术语后,大多数健康术语可以与 ICF-CY 进行链接,其中身体功能的术语比例较高,活动/参与和环境的比例较低。一些健康术语具有广泛的描述,与多个 ICF-CY 代码相关联。健康术语的精度处于中等详细程度。
ICF-CY 可作为记录儿童健康的有用工具。它不仅提供了一个有用的统计目的代码,而且还为 CHS 和 SHS 在个体和人群层面的工作提供了一种有用的语言。值得注意的是,服务机构使用的健康术语主要集中在与身体功能相关的健康方面。这表明需要更加关注与儿童日常生活中功能相关的健康数据。