Towards a minimal generic set of domains of functioning and health

BMC Public Health

Gerold Stucki¹  Somnath Chatterji³  Jerome Bickenbach¹  Cornelia Oberhauser²  Alarcos Cieza² 

[1] Department of Health Sciences and Health Policy, University of Lucerne, Lucerne, Switzerland;ICF Research Branch in cooperation with the WHO Collaborating Centre for the Family of International Classifications in Germany (at DIMDI), Cologne, Germany;Department of Measurement and Health Information Systems, World Health Organization, Multi-Country Studies, Geneva, Switzerland

关键词: Data comparability;    Health;    Functioning;    ICF;   

Others  :  1132416
DOI  :  10.1186/1471-2458-14-218

 received in 2013-06-08, accepted in 2014-02-20,  发布年份 2014

【 摘 要 】

Background

The World Health Organization (WHO) has argued that functioning, and, more concretely, functioning domains constitute the operationalization that best captures our intuitive notion of health. Functioning is, therefore, a major public-health goal. A great deal of data about functioning is already available. Nonetheless, it is not possible to compare and optimally utilize this information. One potential approach to address this challenge is to propose a generic and minimal set of functioning domains that captures the experience of individuals and populations with respect to functioning and health. The objective of this investigation was to identify a minimal generic set of ICF domains suitable for describing functioning in adults at both the individual and population levels.

Methods

We performed a psychometric study using data from: 1) the German National Health Interview and Examination Survey 1998, 2) the United States National Health and Nutrition Examination Survey 2007/2008, and 3) the ICF Core Set studies. Random Forests and Group Lasso regression were applied using one self-reported general-health question as a dependent variable. The domains selected were compared to those of the World Health Survey (WHS) developed by the WHO.

Results

Seven domains of the International Classification of Functioning, Disability and Health (ICF) are proposed as a minimal generic set of functioning and health: energy and drive functions, emotional functions, sensation of pain, carrying out daily routine, walking, moving around, and remunerative employment. The WHS domains of self-care, cognition, interpersonal activities, and vision were not included in our selection.

Conclusions

The minimal generic set proposed in this study is the starting point to address one of the most important challenges in health measurement – the comparability of data across studies and countries. It also represents the first step in developing a common metric of health to link information from the general population to information about sub-populations, such as clinical and institutionalized populations.

【 授权许可】

   
2014 Cieza et al.; licensee BioMed Central Ltd.

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