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使用国际功能、残疾和健康分类评估健康状况的影响。

Assessing the impact of health conditions using the ICF.

机构信息

World Health Organization, Classification, Terminology and Standards, Geneva, Switzerland.

出版信息

Disabil Rehabil. 2011;33(15-16):1475-82. doi: 10.3109/09638288.2010.527032. Epub 2010 Oct 14.

DOI:10.3109/09638288.2010.527032
PMID:20946009
Abstract

PURPOSE

People may suffer from diseases and a variety of health conditions, but a full understanding of the experience of their health condition also requires comprehensive information about the impact of the disease or the health condition on the person. This article operationalises the impacts of health conditions as classified in the International Classification of Diseases (ICD) in terms of the concept of functioning as found in the International Classification of Functioning, Disability and Health (ICF). It identifies a set of ICF categories as the functioning properties - to describe the impact of health conditions generically across health conditions to be jointly used with the ICD.

METHOD

The ICF categories to characterise the functioning properties of any health condition have been selected from three main generic health profile instruments: The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0), the World Health Survey (WHS) Questionnaire and a list of candidate categories of the generic ICF core set.

RESULTS

A set of ICF categories to describe the impact of a health condition is presented according to specific functioning domains.

CONCLUSIONS

The joint use of the ICD and the ICF through the list of functioning properties and in the context of ICD-11 development captures the valuable synergy of the two classifications. It enhances patient management, intervention design and the reporting of health. It also enables us to distinguish severity of disease from its impacts. The ICD-ICF joint use creates a shared formal representation across the continuum of care for health information system implementation.

摘要

目的

人们可能患有各种疾病和健康问题,但要全面了解其健康状况,还需要全面了解疾病或健康状况对个人的影响。本文将国际疾病分类(ICD)中分类的健康状况影响,按照国际功能、残疾和健康分类(ICF)中的功能概念来操作化。它确定了一组 ICF 类别作为功能属性 - 用于描述跨健康状况的通用健康状况影响,与 ICD 一起共同使用。

方法

用于描述任何健康状况的功能属性的 ICF 类别是从三个主要的通用健康状况评估工具中选择的:世界卫生组织残疾评估表 2.0(WHODAS 2.0)、世界卫生调查(WHS)问卷和通用 ICF 核心集的候选类别列表。

结果

根据特定的功能领域,提出了一组用于描述健康状况影响的 ICF 类别。

结论

通过功能属性列表并在 ICD-11 发展的背景下联合使用 ICD 和 ICF,可以利用这两种分类的宝贵协同作用。它增强了患者管理、干预设计和健康报告。它还使我们能够区分疾病的严重程度与其影响。ICD-ICF 的联合使用为健康信息系统实施的护理连续体创建了一个共享的正式表示。

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