Dekker J
Netherlands Institute for Primary Health Care, Utrecht.
Disabil Rehabil. 1995 Apr-Jun;17(3-4):195-201. doi: 10.3109/09638289509166715.
The International Classification of Impairments, Disabilities, and Handicaps (ICIDH) has been hypothesized to be an excellent conceptual framework for the functional diagnosis, i.e. the evaluation of health problems by rehabilitation specialists. The ICIDH-based functional diagnosis was assessed in a series of survey studies on physical therapy, exercise therapy, occupational therapy, podiatry, and speech therapy. The results show that the functional diagnosis tends to be reliable; that treatment goals, derived from the diagnosis, offer a sensible characterization of care given by rehabilitation specialists; and that treatment goals validity predict the selection of interventions by rehabilitation specialists. It is concluded that the application of the ICIDH in research on the functional diagnosis is highly appropriate. In future studies the concept of the functional diagnosis and the diagnostic procedures should be further developed.
国际损伤、残疾和障碍分类（ICIDH）被认为是功能诊断的一个优秀概念框架，即康复专家对健康问题的评估。基于ICIDH的功能诊断在一系列关于物理治疗、运动治疗、职业治疗、足病治疗和言语治疗的调查研究中得到了评估。结果表明，功能诊断往往是可靠的；从诊断中得出的治疗目标能够合理地描述康复专家提供的护理；并且治疗目标的有效性能够预测康复专家对干预措施的选择。得出的结论是，ICIDH在功能诊断研究中的应用非常合适。在未来的研究中，功能诊断的概念和诊断程序应进一步发展。
