Exploring international classification of functioning, disability and health applicability for coding work-related disability: a study on depression and fibromyalgia in Swedish sick leave certificates.

IF 2.5 4区医学 Q1 REHABILITATION Journal of Rehabilitation Medicine Pub Date : 2024-11-21 DOI:10.2340/jrm.v56.36886

Magdalena Fresk, Wilhelmus J A Grooten, Nina Brodin, Lars G Backlund, Britt Arrelöv, Ylva Skånér, Anna Kiessling

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Abstract

Objective: This study explores the effectiveness of using the International Classification of Functioning, Disability and Health (ICF) as a coding framework to document work-related disability information in sick leave certificates, focusing on depression and fibromyalgia in Sweden.

Design: A qualitative ICF linking study was conducted, mapping information from 200 certificates per diagnosis to ICF.

Methods: ICF linking rules were followed strictly. The coverage of ICF and ICF Core Sets was evaluated, proposing additional ICF categories when relevant categories were not included. Saturation of ICF categories was considered achieved if no new categories appeared in the last 5 certificates.

Results: The study found high ICF coverage (85% for depression, 78% for fibromyalgia) in capturing work-related disability information. However, there was limited coverage in ICF Core Sets due to an excess of ICF categories in the Core Sets. Also, 2 additional relevant ICF categories for depression and 3 for fibromyalgia were identified.

Conclusion: This study confirms that the International Classification of Functioning, Disability and Health is suitable for coding work-related disability in sick leave certificates. However, the identified limitations in ICF Core Sets highlights the need for context-specific subsets to enhance their relevance for depression and fibromyalgia in work-related disability.

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探索国际功能、残疾和健康分类对工作相关残疾编码的适用性：瑞典病假证明中关于抑郁症和纤维肌痛的研究。

目的：本研究探讨了使用《国际功能、残疾和健康分类》（ICF）作为编码框架来记录病假证明中与工作相关的残疾信息的有效性，重点关注瑞典的抑郁症和纤维肌痛：方法：严格遵守 ICF 连接规则：方法：严格遵循 ICF 连接规则。对 ICF 和 ICF 核心集的覆盖范围进行了评估，并在未包含相关类别时提出了额外的 ICF 类别。如果最近 5 份诊断书中没有出现新的类别，则认为 ICF 类别已达到饱和状态：研究发现，在获取与工作相关的残疾信息方面，ICF 的覆盖率很高（抑郁症为 85%，纤维肌痛为 78%）。然而，由于核心集中的 ICF 类别过多，ICF 核心集中的覆盖率有限。此外，还发现了 2 个与抑郁症相关的 ICF 类别和 3 个与纤维肌痛相关的 ICF 类别：本研究证实，《国际功能、残疾和健康分类》适用于病假证明中与工作有关的残疾的编码。然而，已确定的国际功能、残疾和健康分类核心集的局限性突出表明，有必要针对具体情况建立子集，以提高其与抑郁症和纤维肌痛等工作相关残疾的相关性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Rehabilitation Medicine 医学-康复医学

CiteScore

5.60

自引率

5.70%

发文量

102

审稿时长

4-8 weeks

期刊介绍： Journal of Rehabilitation Medicine is an international peer-review journal published in English, with at least 10 issues published per year. Original articles, reviews, case reports, short communications, special reports and letters to the editor are published, as also are editorials and book reviews. The journal strives to provide its readers with a variety of topics, including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation.