Disability definition,classification,grading and assessment in disability eligibility:an ICF and ICD-11 frame-work perspective
10.3969/j.issn.1006-9771.2025.04.001
- VernacularTitle:主要残疾类别的定义、分类、分级以及评估研究:基于ICF和ICD-11的方法
- Author:
Yaru YANG
1
;
Zhuoying QIU
;
Di CHEN
;
Jun LÜ
;
Yifan TIAN
;
Aimin ZHANG
Author Information
1. 世界卫生组织国际分类家族中国合作中心,北京市 100068;华东师范大学体育与健康学院,上海市 200241
- Publication Type:Journal Article
- Keywords:
International Classification of Functioning,Disability and Health;
International Classification of Diseases,the 11th Revision;
disability;
grading;
assessment
- From:
Chinese Journal of Rehabilitation Theory and Practice
2025;31(4):373-381
- CountryChina
- Language:Chinese
-
Abstract:
Objective Utilizing the International Classification of Functioning,Disability and Health(ICF)framework and Interna-tional Classification of Diseases,the 11th Revision(ICD-11)system,alongside evidence from World Health Or-ganization(WHO)global reports and technical reports from relevant countries,this study systematically exam-ines the definitions,classifications,grading,and assessment methods for visual,hearing,speech,physical,intel-lectual,and mental(psychiatric)disabilities.Methods Employing the ICF's biopsychosocial model,classification,and coding system and ICD-11,and referencing WHO global reports and national technical reports,this study systematically investigated the definitions,classifi-cations,grading and assessment approaches for six prevalent disabilities:visual,hearing,speech,physical,intel-lectual and mental.Results The ICF and ICD-11model and classification system offered a robust framework for defining,classifying,grad-ing and assessing disabilities.Disability definitions should address body function impairments,activity limita-tions,participation restrictions and environmental factors.The definitions,classifications and grading of visual,hearing,speech,physical,intellectual and mental disabilities aligned with ICF categories for body functions and structures,activities and participation and categories of ICD-11.Standardized tools like the WHO Disability As-sessment Schedule(WHODAS 2.0)effectively measured overall activity and participation levels.Conclusion Anchored in the ICF and ICD-11 framework,disabilities are defined,classified,graded and assessed across body functions and structure,activities and participation,and environmental factors.WHODAS 2.0 serves as a universal tool for assessing activities and participation,enabling both comprehensive functional evaluations and the conversion of results from other assessment tools.By analyzing WHO global reports and technical documents in some countries within the ICF and ICD-11 classifications framework,this study highlights global advance-ments in disability definitions,classifications,grading and assessments.Variations in disability statistics stem from differing definitions,diagnostic criteria and assessments.Disability service eligibility criteria should be tai-lored to the needs of recipients and the capacity of providers.
