Content » Vol 50, Issue 2

Special report

The challenges of describing rehabilitation services: A discussion paper

Cecilie Røe, Marit Kirkevold, Nada Andelic, Helene L. Soberg, Unni Sveen, Erik Bautz-Holter, Reidun Jahnsen, Marleen R. van Walsem, Line Kildal Bragstad, Ellen Gabrielsen Hjelle, Gunvor Klevberg, Per Oretorp, Andreas Habberstad, Jon Hagfors, Randi Væhle, Grace Engen, Christoph Gutenbrunner
CHARM Research Centre for Habilitation and Rehabilitation Models & Services, Institute of Health and Society,Faculty of Medicine,, University of Oslo, 0407 Oslo, Norway. E-mail:
DOI: 10.2340/16501977-2299


To apply the Classification of Service Organization in Rehabilitation (ICSO-R) classification of services to different target groups, include the user perspective, identify missing categories, and propose standardized descriptors for the categories from a Norwegian perspective.
Expert-based consensus conferences with user involvement.
Health professionals, stakeholders and users.
Participants were divided into 5 panels, which applied the ICSO-R to describe the habilitation and rehabilitation services provided to children with cerebral palsy and people with Huntington’s disease, acquired brain injuries (traumatic brain injuries and stroke) and painful musculoskeletal conditions. Based on the Problem/Population, Intervention, Comparison, Outcome (PICO) framework, the services were described according to the ICSO-R. Missing categories were identified.
The ICSO-R was found to be feasible and applicable for describing a variety of services provided to different target groups in Norway, but the user perspective was lacking, categories were missing, and a need for standardized description of the categories was identified.
The present work supports the need to produce an updated version of the ICSO-R and to encourage national and international discussion of the framework. The ICSO-R has the potential to become a tool for the standardized assessment of rehabilitation services. For such purposes, more standardized descriptions of subcategories are necessary.

Lay Abstract

For the first time a classification system for rehabilitation services has been proposed. This is an important step towards improvement of description and subsequently evaluation of the rehabilitation services. However, the classification needs to be tested across countries and target groups. In this study we tested the classification in Norway and found the dimensions and categories applicable, but with need of implementing the user perspective better as well as standardize the descriptors for the categories.


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