Anderson J E
Int J Epidemiol. 1979 Sep;8(3):257-63. doi: 10.1093/ije/8.3.257.
After an extensive field trial, the International Classification of Health Problems in Primary Care (ICHPPC) was published in 1975 to meet the unique coding requirements of Family (General) Practitioners. Its employment has become widespread, but some difficulties persist. ICHPPC was developed principally by and for peripheral coders. Its application in a centralized coding scheme is not entirely satisfactory because of the difficulties of coding vague or inconsistent reports. These problems are illustrated and caution is recommended in the interpretation of morbidity rates reported from such systems. Suggestions are presented for revisions to ICHPPC that, along with modifications to data management system, could help alleviate the difficulties.
经过广泛的现场试验，《初级保健中的健康问题国际分类》（ICHPPC）于1975年出版，以满足家庭（全科）医生独特的编码要求。它的使用已经很广泛，但仍存在一些困难。ICHPPC主要由基层编码人员开发并为其所用。由于对模糊或不一致的报告进行编码存在困难，其在集中式编码方案中的应用并不完全令人满意。文中说明了这些问题，并建议在解释此类系统报告的发病率时谨慎行事。还提出了对ICHPPC进行修订的建议，这些建议与对数据管理系统的修改一起，可能有助于缓解这些困难。
