中国康复理论与实践2025，Vol.31Issue(7)：755-762,8.DOI:10.3969/j.issn.1006-9771.2025.07.002
基于ICF和ICD-11的中国6种视力残疾相关标准比较研究
Comparative study of six visual disability-related standards in China based on ICF and ICD-11
摘要
Abstract
Objective To compare six existing Chinese standards related to visual disability,including Disability Assessment and Code for Life Insurance(Insurance Standard),Specification for Ability Assessment of Older Adults(Elderly Stan-dard),Grading of Disability due to Human Body Injury(Judicial Standard),Standard for Identify Work Ability—Gradation of Disability Caused by Work-related Injuries and Occupational Diseases(Work Injury Standard),Standard for Assessment of Disability Grades of Military Personnel(Military Standard),and Classification and Grading Criteria of Disability(Disability Classification Standard). Methods Based on the theoretical framework of International Classification of Functioning,Disability and Health(ICF)and International Classification of Diseases,the 11th Revision(ICD-11),and with reference to World Report on Vision(WRV),this study analyzed and compared five key dimensions of visual disability across the six stan-dards:definition,classification,grading,assessment methods and coding systems. Results In terms of definition,the insurance,work injury,military,and disability classification standards emphasized vi-sual structure and function,focusing on visual acuity and visual field;the insurance and elderly standards incor-porated activities and participation,reflecting the concept of functional vision;the judicial standard lacked a dedi-cated definition of visual disability.In terms of grading,each standard graded visual disability into different lev-els acoording to different functional indicators.In terms of coding,only the insurance standard adopted the ICF framework,while others used non-ICF numeric codes or lacked standardized coding.In terms of assessment tools,the elderly standard employed a customized perceptual and participation scoring system,while others re-lied primarily on vision charts. Conclusion Most current Chinese standards focus on impairments in visual function,with limited attention to activity limitations and participation restrictions.It is needed for incorporating the concept of functional vision,aligned with ICF and WRV,to establish a unified conceptual framework,terminology,coding system for visual disability,and comprehensive assessments that reflect not only impairments but also the impact on daily functioning and en-vironmental interaction.关键词
视力残疾/分类/分级/功能性视力/国际功能、残疾和健康分类Key words
visual disability/classification/grading/functional vision/International Classification of Functioning,Disability and Health分类
医药卫生引用本文复制引用
吕雪丽,杨亚茹,邱卓英,王忠彦,田益凡,刘叶,李晨,陈迪..基于ICF和ICD-11的中国6种视力残疾相关标准比较研究[J].中国康复理论与实践,2025,31(7):755-762,8.基金项目
中国康复科学所中央级公益性科研院所基本科研业务费项目(No.CRSI2023CZ-16 （）
No.CRSI2024CZ-1) The Fundamental Research Funds for Central Public Welfare Research Institutes,conducted by China Rehabilitation Science Institute(No.CRSI2023CZ-16 （）
No.CRSI2024CZ-1) （）
