Background: Integrated care addresses system fragmentation, especially for people with disabilities who require support across multiple domains. Most models focus on healthcare, overlooking social and environmental factors that hinder health management for people with disabilities. The International Classification of Functioning, Disability and Health (ICF)'s biopsychosocial approach integrates these broader factors, but its application in integrated care remains underexplored.

Objective: This scoping review aimed to explore the application of the ICF in research on integrated care, informed by the SELFIE framework, within the context of disability.

Methods: Following Joanna Briggs Institute's guidance and the PRISMA extension for scoping reviews, seven databases were searched from January 2011 to September 2023. Independent screening, selection, and data extraction were performed, with key findings related to integrated care identified deductively using the SELFIE framework.

Results: Twenty-six studies were included. These focused on populations with visual impairments, hearing loss, intellectual or developmental disabilities, spinal cord injuries, brain injuries, physical and learning disabilities, psychological impairment, and wheelchair users. Most studies applied the ICF as a conceptual framework rather than a coding system. Key elements of integrated care, such as holistic assessment, service delivery, leadership, governance, and workforce, were emphasized, while components like financing, technology, and research received limited attention.

Conclusions: Traditional integrated care models, focusing on disease management, fall short for people with disabilities, who have diverse, often cross-system needs and social barriers. This review highlights the importance of integrating the context of disability, with the ICF's biopsychosocial model playing a crucial role in addressing environmental factors impacting body functions, activities, and participation.

Keywords: Disability; ICF; Integrated care; SELFIE; Scoping review.

Copyright © 2025 The Authors. Published by Elsevier Inc. All rights reserved.

背景： 综合护理解决系统分割的问题，特别是对于需要跨多个领域支持的残疾人。大多数模型侧重于医疗服务，忽视了社会和环境因素，这些因素阻碍了残疾人的健康管理。《国际功能、残疾和健康分类》（ICF）采用生物心理社会模式整合了更广泛的这些因素，但在综合护理中的应用仍然较少被探索。

目的： 本范围审查旨在探讨在残疾人背景下，根据SELFIE框架，在综合护理研究中应用ICF的情况。

方法： 遵循Joanna Briggs Institute的指导原则以及PRISMA扩展指南，从2011年1月至2023年9月对七个数据库进行了搜索。独立筛选、选择和数据提取工作由研究团队完成，并通过SELFIE框架进行演绎分析，以确定与综合护理相关的关键发现。

结果： 共纳入了26项研究。这些研究关注了视力障碍者、听力损失患者、智力或发育障碍者、脊髓损伤患者、脑部受伤者、身体和学习障碍者、心理受损者以及轮椅使用者等群体。大多数研究将ICF作为概念框架而非编码系统使用。综合护理的关键要素，如全面评估、服务提供、领导力、治理和员工队伍得到了强调，而诸如融资、技术及研究等方面的关注则相对较少。

结论： 传统的以疾病管理为中心的综合护理模型对于具有多样性和跨系统需求以及社会障碍的残疾人来说是不足够的。本综述突出了在残疾背景下整合ICF生物心理社会模式的重要性，该模式在解决影响身体功能、活动和参与的环境因素方面发挥着关键作用。

关键词： 残疾人；ICF；综合护理；SELFIE；范围审查。