Department of Rehabilitation Medicine, The First Affiliated Hospital of Nanjing Medical University, No. 300 Guangzhou Road, Nanjing, 210029, China.
J Rehabil Med. 2016 Jun 13;48(6):502-7. doi: 10.2340/16501977-2067.
In 2011 the Chinese leadership in rehabilitation, in collaboration with the International Classification of Functioning, Disability and Health (ICF) Research Branch, embarked on an effort towards the system-wide implementation of the ICF in the healthcare system in China. We report here on the lessons learned from the pilot phase of testing the ICF Generic Set, a parsimonious set of 7 ICF categories, which have been shown to best describe functioning across the general population and people with various health conditions, for use in routine clinical practice in China. The paper discusses whether classification and measurement are compatible, what number of ICF categories should be included in data collection in routine practice, and the usefulness of a functioning profile and functioning score in clinical practice and health research planning. In addition, the paper reflects on the use of ICF qualifiers in a rating scale and the particularities of certain ICF categories contained in the ICF Generic Set when used as items in the context of Chinese rehabilitation and healthcare. Finally, the steps required to enhance the utility of system-wide implementation of the ICF in rehabilitation and healthcare services are set out.
2011 年，中国康复领域的领导层与国际功能、残疾和健康分类（ICF）研究部合作，开始努力在中国医疗保健系统中全面实施 ICF。我们在此报告在试点阶段测试 ICF 通用分类的经验教训，该分类是一套简洁的 7 个 ICF 类别，已被证明最适合描述普通人群和各种健康状况人群的功能，可用于中国常规临床实践。本文讨论了分类和测量是否兼容、在常规实践中数据收集应包含多少个 ICF 类别、以及功能概况和功能评分在临床实践和健康研究规划中的有用性。此外，本文还反思了在评分量表中使用 ICF 限定词以及当作为中国康复和医疗保健背景下的项目包含在 ICF 通用分类中的某些 ICF 类别时的特殊性。最后，提出了增强 ICF 在康复和医疗保健服务中全面实施的效用所需的步骤。
