Thuriaux M C
Division de la surveillance épidémiologique et appréciation de la situation sanitaire et de ses tendances, Organisation mondiale de la Santé, Genève.
World Health Stat Q. 1989;42(3):110-4.
The measurement of the long-term consequences of disease, which are said to affect 7-10% of the world population in both developing and developed areas, presents both technical and conceptual problems. The development of classification schemes, foremost among which is the International Classification of Impairments, Disabilities, and Handicaps (ICIDH), has considerably changed our perception of these consequences, and has influenced the areas of rehabilitation, social insurance and legislation, disability surveys and health planning. More indirect applications have been the use of classifications in identifying, at local level, disadvantages in everyday life and ways to mitigate these disadvantages; at the macroplanning level, the concept of disability-free life expectancy is gaining increasing recognition. There is an increasing call for revising and updating ICIDH, particularly in the area of handicap, where societal and environmental factors have to be more explicitly taken into account. The operationalization of proposed modifications will require considerable thought and discussion in which persons with disabilities and their representatives will have an important role to play.
疾病长期后果的衡量存在技术和概念上的问题，据说在发展中地区和发达地区，这类后果影响着世界7%至10%的人口。分类方案的发展，其中最重要的是《国际损伤、残疾和残障分类》（ICIDH），极大地改变了我们对这些后果的认识，并影响了康复、社会保险和立法、残疾调查以及卫生规划等领域。更间接的应用包括在地方层面使用分类来识别日常生活中的不利因素以及减轻这些不利因素的方法；在宏观规划层面，无残疾预期寿命的概念越来越受到认可。越来越多的人呼吁修订和更新ICIDH，特别是在残障领域，其中社会和环境因素必须得到更明确的考虑。拟议修改的实施将需要大量的思考和讨论，在这方面，残疾人士及其代表将发挥重要作用。
