Abstract
To present a systematic literature review on the application and degree of implementation of the International Classification of Functioning, Disability and Health (ICF) across different health conditions and regions in Switzerland in order to develop an ICF classification of the climacteric syndrome in the medium term. A systematic literature search was conducted through Embase and Medline covering the period between 2011 and August 2016. Inclusion criteria were the term ICF in title or abstract and Switzerland as the workplace of the first author. Identified publications were analysed as descriptive statistics. A total of 83 articles were included in the analysis. Forty-seven different first authors from 24 different institutions were identified. The majority of publications were from Swiss Paraplegic Research (68.7%) and focused on neurology (31.3%). Forty-six cohort studies were identified. In most of them, the ICF was used to set up a general language for comparing patients' information (82.9%). Only one paper from the medical specialty gynaecology was identified; this was on breast cancer. No paper on the menopause was found. In Switzerland, the ICF is actively used in various areas of healthcare, especially in the field of neurology and rehabilitation. There is a need for ICF core sets in other medical fields, such as menopause healthcare, in order to accomplish the goal of the European Menopause and Andropause Society, which is a healthcare model for healthy menopause and aging.
Highlights
The menopause is a physiological event in a woman’s life and a natural part of the aging process
The majority of publications were from Swiss Paraplegic Research (68.7%) and focused on neurology (31.3%)
In Switzerland, the ICF is actively used in various areas of healthcare, especially in the field of neurology and rehabilitation
Summary
The menopause is a physiological event in a woman’s life and a natural part of the aging process. Central to the ICF is the patient’s “functioning”, whereas health conditions are still classified in the International Classification of Diseases, ICD-10 [6]. In order to translate the holistic EMAS healthcare model for a healthy menopause into practice, as a first step the climacteric syndrome (ICD N95) should be mapped and differentiated according to the ICF to create a common language facilitating interdisciplinary communication. We decided to assess the various applications and degree of implementation of the ICF across different health conditions and regions in Switzerland, to gain a first impression on its implementation and to draw practical conclusions for its application to the concept of healthy menopause and ageing.
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