This article provides an overview of the conceptual foundations of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Sixth Edition. Impairment assessment in the sixth edition underwent a “paradigm shift” compared to the AMA Guides, Fifth Edition, in which its impairment rating methodology is based on the World Health Organization's (WHO's) International Classification of Functioning, Disability and Health (ICF) framework. Impairment rating is but one of several determinants of disability, and the one most amenable to physician assessment.
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Madden R, Sykes C, Ustun TB. World Health Organization Family of International Classifications: Definition, Scope and Purpose. https://www.who.int/classifications/en/FamilyDocument2007.pdf?ua=1. Accessed Sept 17, 2020.
World Health Organization. Classifications: International Classification of Functioning, Disability and Health (ICF). https://www.who.int/classifications/icf/en. Accessed July 14, 2020.
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