a Faculty of Health Sciences , University of Sydney , Sydney , Australia.
b Department of Occupational Therapy , Colorado State University , Fort Collins , CO , USA.
Disabil Rehabil. 2019 Jun;41(12):1450-1462. doi: 10.1080/09638288.2018.1431812. Epub 2018 Feb 12.
Fifteen years after the publication of the International Classification of Functioning, Disability and Health (ICF), we investigated: How ICF applications align with ICF aims, contents and principles, and how the ICF has been used to improve measurement of functioning and related statistics.
In a scoping review, we investigated research published 2001-2015 relating to measurement and statistics for evidence of: a change in thinking; alignment of applications with ICF specifications and philosophy; and the emergence of new knowledge.
The ICF is used in diverse applications, settings and countries, with processes largely aligned with the ICF and intended to improve measurement and statistics: new national surveys, information systems and ICF-based instruments; and international efforts to improve disability data. Knowledge is growing about the components and interactions of the ICF model, the diverse effects of the environment on functioning, and the meaning and measurement of participation.
The ICF provides specificity and a common language in the complex world of functioning and disability and is stimulating new thinking, new applications in measurement and statistics, and the assembling of new knowledge. Nevertheless, the field needs to mature. Identified gaps suggest ways to improve measurement and statistics to underpin policies, services and outcomes. Implications for Rehabilitation The ICF offers a conceptualization of functioning and disability that can underpin assessment and documentation in rehabilitation, with a growing body of experience to draw on for guidance. Experience with the ICF reminds practitioners to consider all the domains of participation, the effect of the environment on participation and the importance of involving clients/patients in assessment and service planning. Understanding the variability of functioning within everyday environments and designing interventions for removing barriers in various environments is a vital part of rehabilitation planning.
《国际功能、残疾和健康分类》（ICF）发布 15 年后，我们调查了：ICF 的应用如何与 ICF 的目标、内容和原则保持一致，以及 ICF 如何用于改善功能和相关统计数据的测量。
在一项范围综述中，我们调查了 2001 年至 2015 年间与测量和统计相关的研究，以证明以下方面的证据：思维的变化；应用与 ICF 规范和理念的一致性；以及新知识的出现。
ICF 被广泛应用于不同的应用、环境和国家，其过程在很大程度上与 ICF 保持一致，旨在改善测量和统计：新的国家调查、信息系统和基于 ICF 的工具；以及改善残疾数据的国际努力。关于 ICF 模型的组成部分和相互作用、环境对功能的多样化影响以及参与的意义和测量的知识正在不断增加。
ICF 在功能和残疾的复杂世界中提供了特异性和共同语言，激发了新的思维、测量和统计方面的新应用，并汇集了新知识。然而，该领域需要成熟。已确定的差距表明，需要改进测量和统计以支持政策、服务和结果。
ICF 提供了一种功能和残疾的概念化，可以为康复中的评估和记录提供基础，并且有越来越多的经验可供借鉴。对 ICF 的经验提醒从业者考虑所有参与领域、环境对参与的影响以及让客户/患者参与评估和服务规划的重要性。了解日常生活环境中功能的可变性以及为在各种环境中消除障碍而设计干预措施是康复计划的重要组成部分。
