《中国康复理论与实践》

《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (9): 1011-1015.doi: 10.3969/j.issn.1006-9771.2019.09.004

• 专题 • 上一篇    下一篇

基于ICF比较我国智力障碍的鉴定标准

邹敏1,2,3,4, 邱卓英2,3,4,5,6, 孙宏伟1,2,3,4, 贾立茹1,3, 马洪卓3,4, 李安巧3,4,7   

  1. 1.潍坊医学院心理学系，山东潍坊市 261053
    2.证据科学教育部重点实验室(中国政法大学)，北京市 100088
    3.中国ICF研究院，山东潍坊市 261053
    4.世界卫生组织国际分类家族中国合作中心，北京市 100068
    5.中国康复科学所康复信息研究所，北京市 100068
    6.中国康复研究中心康复信息研究所，北京市 100068
    7.中国智力和发展性残疾分级、评估与康复（运动）重点实验室，郑州大学，河南郑州市450001
  • 收稿日期:2019-08-07 修回日期:2019-08-26 出版日期:2019-09-25 发布日期:2019-09-25
  • 通讯作者: 邱卓英，E-mail: qiutiger@hotmail.com E-mail:qiutiger@hotmail.com
  • 作者简介:邹敏(1982-)，女，汉族，山东威海市人，博士，副教授，主要研究方向：发展与教育心理学、康复心理学、康复咨询学。
  • 基金资助:
    1.证据科学教育部重点实验室(中国政法大学)开放基金资助课题(No. 2018KFKT07)；2. 2018年度山东省社会科学规划项目(No. 18CJYJ11)；3.中央级公益性科研院所基本科研业务费专项资金项目重大科学研究引导基金项目(No. 2017CZ-7; No. 2018CZ-4)

Comparison of Standards of Intellectual Impairment in China Using ICF

ZOU Min1,2,3,4, QIU Zhuo-ying2,3,4,5,6, SUN Hong-wei1,2,3,4, JIA Li-ru1,3, MA Hong-zhuo3,4, LI An-qiao3,4,7   

  1. 1.Psychology Department of Weifang Medical University, Weifang, Shandong 261053, China
    2.Key Laboratory of Evidence Science (China University of Political Science and Law, Ministry of Education), Beijing 100088, China
    3.China Academy of ICF, Weifang, Shandong 261053, China
    4.WHO-FIC Collaborating Center in China, Beijing 100068, China
    5.Research Institute of Rehabilitation Information, China Rehabilitation Science Institute, Beijing 100068, China
    6.Research Institute of Rehabilitation Information, China Rehabilitation Research Center, Beijing 100068, China
    7.China Key Laboratory of Classification, Evaluation and Rehabilitation Sport of Intellectual and Development Disability, Zhengzhou University, Zhengzhou, Henan 450001, China
  • Received:2019-08-07 Revised:2019-08-26 Published:2019-09-25 Online:2019-09-25
  • Contact: QIU Zhuo-ying, E-mail: qiutiger@hotmail.com E-mail:qiutiger@hotmail.com
  • Supported by:
    Supported by Key Laboratory of Evidence Science (China University of Political Science and Law, Ministry of Education) Opening Project (No. 2018KFKT07), Shandong Social Science Planning in 2018 (No. 18CJYJ11) and National Special Fund Projects of Based Research of Public Benefits for Institutes at Central Governmental Level Leading Project of Major Scientific Research (No. 2017CZ-7; No. 2018CZ-4)

PDF (PC)

摘要： 目的 基于ICF对我国残疾标准中有关智力障碍的鉴定标准进行比较，为智力障碍鉴定的标准化提供依据。 方法 采用ICF的理论架构与方法，对《劳动能力鉴定 职工工伤与职业病致残等级》、《人体损伤致残程度分级》和《人身保险伤残评定标准及代码》中关于智力障碍鉴定标准的架构与内容、术语与编码、评定方法进行比较。 结果 在架构与内容上，智力障碍的鉴定与分级标准均涉及ICF的身体结构、身体功能、活动和参与三大成分，但没有涉及背景性因素；在分类术语与编码上，《人身保险伤残评定标准及代码》参照ICF建立了伤残保险标准的术语与编码系统，不同行业没有形成标准化的编码与术语体系；在评定方法上，未采用统一的分级方法，数据难以直接对接。 结论 采用ICF的理论与方法对智力障碍的理论架构、术语、编码与评定进行标准化，有助于促进行业间残疾评估和服务的数据交换。

关键词: 智力障碍, 残疾标准, 国际功能、残疾和健康分类

Abstract: Objective To compare the standards of intellectual impairment in China based on ICF to provide evidences for standardization of identification and services of intellectual impairment. Methods The national standards of intellectual impairment or injury from Standard of Identification of Work Capacity: Identification Classification of DisabilityCaused by Work-related Injuries, Occupational Diseases and Classification of Impairment Related to Injury and China Insurance Disability Standard and Code were compared under the framework, terminology, coding and evaluation of ICF. Results These three standards covered ICF three components, including body structure, body function, activity and participation, but not contextual factors. The terminology and coding system of China Insurance Disability Standard and Code came from ICF. However, there was no standardized terminology and coding system among sectors. The classification and evaluation for intellectual impairment were different among these three standards, that made it difficult to compare the outcome directly. Conclusion It is proposed to adopt the ICF framework and approach to standardize the definition, terms, coding, and evaluation of intellectual impairment in disability standards in China to promote data exchange of evaluation and service among sectors.

Key words: intellectual impairment, disability standard, International Classification of Functioning, Disability and Health

中图分类号: