| 燕铁斌,章马兰,于佳妮.再论国家标准《功能、残疾、健康分类的康复组合评定》（ICF-RS）的临床践行[J].中国康复,2025,40(3):131-134 |
| 再论国家标准《功能、残疾、健康分类的康复组合评定》（ICF-RS）的临床践行 |
| Re-examining the clinical practice of the national standard ICF-RS |
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| DOI：10.3870/zgkf.2025.03.001 |
| 中文关键词: ICF ICF-RS 功能残疾健康分类 康复组合评定 临床践行 |
| 英文关键词: ICF ICF-RS International Classification of Functioning, Disability and Health Rehabilitation Set Clinical implementation |
| 基金项目:国家自然科学基金面上项目 （No 82272614，72104060） |
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| 中文摘要: |
| 本文系统阐述了国家标准《功能、残疾、健康分类的康复组合评定》（ICF-RS）的临床实践路径及研究成果。通过多中心研究验证，项目组开发了单人版和多人版ICF-RS评估工具，其中多人版由医生、护士、治疗师协作完成，显著缩短单次评估时间。同时，基于Android系统研发的移动数据平台实现了ICF-RS评估的数字化管理，并通过神经网络算法构建功能维度预测模型，支持临床快速生成三类定制化报告（患者版、临床医生版、康复专业版）。规范化培训可提升评估一致性。ICF-RS已成功应用于重症康复、神经外科等多学科，部分省市正探索将其纳入医保支付体系作为医疗质控指标。作为ICD-11升级的重要配套工具，ICF-RS的全面推广将加速我国临床-康复一体化进程。 |
| 英文摘要: |
| This study comprehensively explores the clinical implementation of the Chinese National Standard International Classification of Functioning，Disability and Health Rehabilitation Set (ICF-RS). The research team developed both single-rater and multi-rater assessment tools, with the latter involving collaboration among physicians, nurses, and therapists. This approach reduced assessment time effectively. A mobile Android-based platform was also established for digital data management, incorporating an AI-driven neural network model to generate three tailored reports (patient, clinician, and specialist versions). Standardized training improved assessment consistency, and cross-disciplinary applications in critical care, neurosurgery, and orthopedics demonstrated its versatility. Notably, some regions are piloting ICF-RS integration into healthcare payment systems as a quality control metric. As a key complement to ICD-11, ICF-RS is poised to enhance clinical-rehabilitation integration in China. |
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