The International Classification of Functioning, Disability and Health rehabilitation set can help to assess the effectiveness of rehabilitation after cerebral infarction for insurance purposes
10.3760/cma.j.cn421666-20250324-00256
- VernacularTitle:基于国际功能、残疾和健康分类康复组合综合体系评价长沙市医保功能相关分类模式在脑梗死恢复期患者中的应用效果
- Author:
Xin WANG
1
;
Dong WANG
;
Long XU
;
Yujiao HE
;
Jinlong CUI
;
Lingjuan RAO
;
Guanwen PAN
Author Information
1. 湘雅博爱康复医院康复医学科，长沙 410100
- Publication Type:Journal Article
- Keywords:
International Classification of Functioning, Disability and Health;
Medical insurance payment models;
Function-related groups;
Brain infarction;
Convalesc
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2025;47(11):1022-1028
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of applying function-related grouping model of Changsha medical insurance for patients convalescing from a cerebral infarction using the International Classification of Functioning, Disability and Health′s rehabilitation set (ICF-RS).Methods:Ninety cerebral infarction patients in convalescence were treated according to their functional status, including clinical treatment, rehabilitation, traditional Chinese medicine treatment, and rehabilitation nursing. Within 3 days after admission and at the time of discharge, they were evaluated using a comprehensive assessment system for cerebral infarction based on the ICF-RS. The modified Ashworth scale (MAS), Fugl-Meyer assessment (FMA), the mini-mental state examination (MMSE) and the Boston diagnostic aphasia examination (BDAE) were also employed.Results:With the exception of ICF-RS item b280 (pain perception) and item x005 of the MAS, all of the remaining assessments indicated significant enhancements compared to the pre-treatment levels. Functional severity grading also improved significantly after the treatment. Thirteen of the ICF-RS categories indicated more favorable therapeutic outcomes after the treatment. That was accompanied by improvements in the FMA upper limb, lower limb and total scores, and in the MMSE scores. However, no significant disparity was detected in the MAS scores or the BDAE grades before and after treatment.Conclusions:The comprehensive evaluation system based on the ICF-RS effectively evaluates the effectiveness of rehabilitation after cerebral infarction in a way suitable for medical insurance purposes.
