Clinical Scorecard: Analysis of Commonly Utilized International Classification of Functioning, Disability and Health (ICF) Codes for Describing Child Functioning: A Systematic Review

At a Glance

Key Highlights

• Identification of frequently used ICF categories in pediatric assessments.
• Predominance of activities and participation, and environmental factors in ICF codes.
• Support for multidisciplinary assessment and policy development.
• Emphasis on inclusive, diagnosis-independent assessment frameworks.
• Development of a Portuguese National Functioning Table for Children.

Guideline-Based Recommendations

Diagnosis

• Utilize ICF categories for assessing functioning in children regardless of health condition.

Management

• Implement biopsychosocial models in pediatric care and policy.

Monitoring & Follow-up

• Capture real-life functioning through ICF as a health outcome measure.

Risks

• Children with chronic conditions may experience lower school satisfaction and well-being.

Patient & Prescribing Data

Children with chronic conditions and disabilities.

Higher healthcare utilization among children with multiple comorbidities.

Clinical Best Practices

• Adopt the ICF framework for comprehensive assessments.
• Encourage integrated approaches to pediatric care and education.
• Address both clinical and socioeconomic dimensions in care.

Related Resources & Content

• Cochrane guidelines
• WHO ICF framework