Mahomed-Asmail Faheema, Oosthuizen Ilze, Sykes Catherine, Maart Soraya, Madden Richard, Swanepoel De Wet, Manchaiah Vinaya
Department of Speech-Language Pathology and Audiology, University of Pretoria, Gauteng, 0028, South Africa.
Virtual Hearing Lab, Collaborative Initiative between University of Colorado and the University of Pretoria, Aurora, CO, 80045, United States.
JAMIA Open. 2025 Jun 27;8(3):ooaf063. doi: 10.1093/jamiaopen/ooaf063. eCollection 2025 Jun.
The International Classification of Health Interventions (ICHI), currently being developed, seeks to span all sectors of the health system. Our objective was to determine the coverage of the ICHI for hearing interventions commonly delivered to adults with sensorineural hearing loss (SNHL).
A 3-phase content mapping method was used, which included (1) identification of source terms with an expert panel in audiology rehabilitation; (2) 3 coders independently applied the classification to the source terms; and (3) the coders reached a consensus for each intervention and identified reasons for initial discrepancies with options not linked to a specific code were identified.
Nineteen different ICHI Target categories were identified, with 23 different ICHI Action categories and 82% of the means being "Other and unspecified." There was consensus in codes for 54.3% of source terms, with no ICHI code found for 8.5% of source terms. The greatest number of discrepancies arose from the action, followed by the target. Coding discrepancies occurred as a result of misunderstanding of source terms, the clinical use thereof, and difficulty determining the type of Target.
Despite its broad scope, ICHI's current framework has gaps in its coverage of audiological interventions, particularly those related to sensorineural hearing loss. Addressing these gaps is crucial for improving global data standardization and facilitating the development of more targeted hearing health policies.
This study makes an important contribution to the further development and refinement of the classification, specifically in the context of hearing healthcare.
目前正在制定的《国际卫生干预分类》（ICHI）旨在涵盖卫生系统的所有部门。我们的目的是确定ICHI对通常提供给感音神经性听力损失（SNHL）成人的听力干预措施的覆盖范围。
采用三阶段内容映射方法，包括（1）与听力学康复专家小组确定源术语；（2）3名编码员独立将分类应用于源术语；（3）编码员就每种干预措施达成共识，并确定与未链接到特定代码的选项最初存在差异的原因。
确定了19个不同的ICHI目标类别、23个不同的ICHI行动类别，且82%的手段为“其他及未明确的”。54.3%的源术语在编码上达成了共识，8.5%的源术语未找到ICHI代码。差异最多的是行动类别，其次是目标类别。编码差异是由于对源术语及其临床用途的误解以及确定目标类型的困难导致的。
尽管ICHI范围广泛，但其当前框架在听力学干预措施的覆盖方面存在差距，特别是与感音神经性听力损失相关的措施。解决这些差距对于提高全球数据标准化以及促进更具针对性的听力健康政策的制定至关重要。
本研究对该分类的进一步发展和完善做出了重要贡献，特别是在听力保健方面。
