title: [Use of the ICF in medical rehabilitation in Germany: claims and reality].
abstract: BACKGROUND
  The International Classification of Functioning, Disability and Health (ICF) is being used in the medical rehabilitation practice in different ways. The World Health Organization (WHO) and many other stakeholders have formulated claims and expectations for its use.
  
  
  OBJECTIVE
  A comparative presentation of the claims of various stakeholders for the use of the ICF with examples in current practice.
  
  
  METHODS
  Database searches (PubMed, REHADAT, and Google Scholar) were conducted for studies concerning claims and the current use of the ICF in practice.
  
  
  RESULTS
  There are different requirements regarding the use of the ICF. While lawmakers and social insurance agencies remain very cautious and vague, other stakeholders (research institutions, organizations, stakeholders, service providers) formulate higher expectations and call for greater use of the ICF. In practice, the ICF is used in the form of a bio-psycho-social model, a common language and many different adaptations.
  
  
  CONCLUSIONS
  The different requirements for the use of ICF demonstrate the motivations and interests of the stakeholders. Signals must now be sent both by politics and by social insurance agencies that go far beyond non-binding declarations. Furthermore it is necessary to systematize and evaluate the many use adaptations that are primarily being used by service providers. Research is needed on the concrete use of ICF-based instruments and its intended and unintended effects.
authors.affiliation: Hochschule Magdeburg-Stendal, Osterburger Str. 25, 39576, Stendal, Deutschland.
authors.forename: Tobias-Raphael
authors.initials: TR
authors.lastname: Wenzel
authors.affiliation: Hochschule Magdeburg-Stendal, Osterburger Str. 25, 39576, Stendal, Deutschland. matthias.morfeld@hs-magdeburg.de.
authors.forename: Matthias
authors.initials: M
authors.lastname: Morfeld
mesh_terms: D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000145:classification* / Q000534:rehabilitation*; D019317:Evidence-Based Medicine; D005858:Germany; D064702:International Classification of Functioning, Disability and Health / Q000706:statistics & numerical data*; D010818:Practice Patterns, Physicians' / Q000145:classification / Q000706:statistics & numerical data; D012046:Rehabilitation / Q000145:classification* / Q000706:statistics & numerical data*; D014600:Utilization Review
keywords: Claims; ICF; Practice; Rehabilitation; Utilization