scholarly journals The Principles of International Classification of Health Interventions of World Health Organization

2018 ◽  
pp. 18-27
Author(s):  
Irina Tyurina
Keyword(s):  
World Health Organization ◽  
National Level ◽  
International Classification ◽  
Health Interventions ◽  
World Health ◽  
Medical Services ◽  
Medical Interventions ◽  
Health Related ◽  
Health Organization

The application of the nomenclature of medical services in the Russian Federation revealed limitations of its structure and content. The analysis of international experience in the classification of medical interventions can help to improve this nomenclature. World Health Organization has prepared a draft of the International Classification of Health Interventions (ICHI), which should be a part of a family of health-related international classifications. It is not yet finished and cannot be used for the classification of medical services on a national level; however, its main principles have already been formulated. All interventions are classified according to three levels (axes): target of intervention; action (the essence of intervention), and means. Lists of types of targets, actions and means have been developed, and recommendations on the classification and coding of medical interventions have been proposed for various situations. There are significant differences in the approach to the classification of medical interventions between ICHI and the Russian nomenclature of medical services. A detailed comparative analysis of the classification principles in ICHI and in the nomenclature is needed.

scholarly journals Comparative Analysis of Nomenclature of Medical Services and International Classification of Health Interventions of the World Health Organization

2019 ◽  
pp. 18-26
Author(s):  
Irina Vyacheslavovna Tyurina ◽  
Maria Vladimirovna Avxentyeva
Keyword(s):  
Comparative Analysis ◽  
World Health Organization ◽  
International Classification ◽  
Health Interventions ◽  
World Health ◽  
Medical Services ◽  
Medical Interventions ◽  
The World ◽  
Health Organization

The article describes the results of comparative analysis of two classifiers – the nomenclature of medical services, approved by the order of the Ministry of Health of Russia from October 13 2017 № 804(n), and International Classification of Health Interventions (ICHI), developed by World Health Organization. Similarities and differences are identified in classification of medical interventions in ICHI and medical services in nomenclature. Results of this work are expected to serve as a base for nomenclature’s improvement.

scholarly journals Parents’ Assessments of Disability in Their Children Using World Health Organization International Classification of Functioning, Disability and Health, Child and Youth Version Joined Body Functions and Activity Codes Related to Everyday Life

2017 ◽  
Vol 11 ◽  
pp. 117955651771503 ◽  
Author(s):  
Niels Ove Illum ◽  
Kim Oren Gradel
Keyword(s):  
World Health Organization ◽  
Children With Disabilities ◽  
Muscular Atrophy ◽  
International Classification ◽  
World Health ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Data Set ◽  
Health Organization

Aim: To help parents assess disability in their own children using World Health Organization (WHO) International Classification of Functioning, Disability and Health, Child and Youth Version (ICF-CY) code qualifier scoring and to assess the validity and reliability of the data sets obtained. Method: Parents of 162 children with spina bifida, spinal muscular atrophy, muscular disorders, cerebral palsy, visual impairment, hearing impairment, mental disability, or disability following brain tumours performed scoring for 26 body functions qualifiers (b codes) and activities and participation qualifiers (d codes). Scoring was repeated after 6 months. Psychometric and Rasch data analysis was undertaken. Results: The initial and repeated data had Cronbach α of 0.96 and 0.97, respectively. Inter-code correlation was 0.54 (range: 0.23-0.91) and 0.76 (range: 0.20-0.92). The corrected code-total correlations were 0.72 (range: 0.49-0.83) and 0.75 (range: 0.50-0.87). When repeated, the ICF-CY code qualifier scoring showed a correlation R of 0.90. Rasch analysis of the selected ICF-CY code data demonstrated a mean measure of 0.00 and 0.00, respectively. Code qualifier infit mean square (MNSQ) had a mean of 1.01 and 1.00. The mean corresponding outfit MNSQ was 1.05 and 1.01. The ICF-CY code τ thresholds and category measures were continuous when assessed and reassessed by parents. Participating children had a mean of 56 codes scores (range: 26-130) before and a mean of 55.9 scores (range: 25-125) after repeat. Corresponding measures were −1.10 (range: −5.31 to 5.25) and −1.11 (range: −5.42 to 5.36), respectively. Based on measures obtained at the 2 occasions, the correlation coefficient R was 0.84. The child code map showed coherence of ICF-CY codes at each level. There was continuity in covering the range across disabilities. And, first and foremost, the distribution of codes reflexed a true continuity in disability with codes for motor functions activated first, then codes for cognitive functions, and, finally, codes for more complex functions. Conclusions: Parents can assess their own children in a valid and reliable way, and if the WHO ICF-CY second-level code data set is functioning in a clinically sound way, it can be employed as a tool for identifying the severity of disabilities and for monitoring changes in those disabilities over time. The ICF-CY codes selected in this study might be one cornerstone in forming a national or even international generic set of ICF-CY codes for the benefit of children with disabilities, their parents, and caregivers and for the whole community supporting with children with disabilities on a daily and perpetual basis.

scholarly journals The World Health Organization Classification of Skeletal Muscle Tumors in Pediatric Rhabdomyosarcoma: A Report From the Children's Oncology Group

2015 ◽  
Vol 139 (10) ◽  
pp. 1281-1287 ◽  
Author(s):  
Erin R. Rudzinski ◽  
James R. Anderson ◽  
Douglas S. Hawkins ◽  
Stephen X. Skapek ◽  
David M. Parham ◽  
...  
Keyword(s):  
Skeletal Muscle ◽  
World Health Organization ◽  
Who Classification ◽  
Spindle Cell ◽  
Risk Group ◽  
International Classification ◽  
World Health ◽  
Oncology Group ◽  
Health Organization

Context Since 1995, the International Classification of Rhabdomyosarcoma has provided prognostically relevant classification for rhabdomyosarcoma (RMS) and allowed risk stratification for children with RMS. The International Classification of Rhabdomyosarcoma includes botryoid and spindle cell RMS as superior-risk groups, embryonal RMS as an intermediate-risk group, and alveolar RMS as an unfavorable-risk group. The 2013 World Health Organization (WHO) classification of skeletal muscle tumors modified the histologic classification of RMS to include sclerosing RMS as a type of spindle cell RMS separate from embryonal RMS. The current WHO classification includes embryonal, alveolar, spindle cell/sclerosing, and pleomorphic subtypes of RMS and does not separate the botryoid subtype. Objective To determine if the WHO classification applies to pediatric RMS. Design To accomplish this goal, we reviewed 9 consecutive Children's Oncology Group clinical trials to compare the WHO and International Classification of Rhabdomyosarcoma classifications with outcome and site of disease. Results Except for a subset of low-risk RMS, the outcome for botryoid was not significantly different from typical embryonal RMS when analyzed by primary site. Similarly, pediatric spindle cell and sclerosing patterns of RMS did not appear significantly different from typical embryonal RMS, with one exception: spindle cell RMS in the parameningeal region had an inferior outcome with 28% event-free survival. Conclusion Our data support use of the WHO RMS classification in the pediatric population, with the caveat that histologic diagnosis does not necessarily confer the same prognostic information in children as in adults.

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