A team approach to applying the International Classification of Functioning, Disability and Health Rehabilitation set in clinical evaluation.
Malan Zhang, Yun Zhang, Yun Xiang and 6 others
PMID 33073854WHAT IT FOUND
Chinese rehabilitation experts divided the 30 ICF Rehabilitation Set categories among physicians, nurses, physiotherapists and occupational therapists: 6 for physicians, 7 for nurses, 9 for physiotherapists and 8 for occupational therapists.
Speech therapists were excluded.
Key findings
01The final team approach assigned the 30 ICF-RS categories as 6 to physicians, 7 to nurses, 9 to physiotherapists and 8 to occupational therapists.
02Speech therapists, psychotherapists and social workers were excluded from the evaluations.
03In the second round, 29 categories received more than 75% agreement, with mean agreement scores ranging from 3.79 to 4.72.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
The work was done only in a Chinese rehabilitation context, and staffing differences may change which profession should assess each category. The study developed a proposed assignment through expert consensus; it did not test whether team evaluation is accurate, efficient or better than single-rater evaluation. The expert panel combined discussion with only two Delphi rounds, and the authors note that a third round might have revealed deviation from consensus. Speech therapists, psychotherapists and social workers were excluded because local institutions did not employ them across the full set of professional categories, so this may not apply elsewhere. Respondents were experienced professionals, not patients, so the result describes professional role assumptions rather than patient outcomes.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not read this as proof that the team approach improves evaluation accuracy or efficiency. The study only produced expert consensus assignments, and the authors state that validity compared with single-rater evaluation still needs research.