Fitzpatrick R, Fletcher A, Gore S, Jones D, Spiegelhalter D, Cox D
Department of Public Health and Primary Care, University of Oxford, Nuffield College.
BMJ. 1992 Oct 31;305(6861):1074-7. doi: 10.1136/bmj.305.6861.1074.
Many clinicians remain unsure of the relevance of measuring quality of life to their clinical practice. In health economics quality of life measures have become the standard means of assessing the results of health care interventions and, more controversially, the means of prioritising funding; but they have many other applications. This article--the first of three on measuring quality of life--reviews the instruments available and their application in screening programmes, audit, health care research, and clinical trials. Using the appropriate instrument is essential if outcome measures are to be valid and clinically meaningful.
许多临床医生仍不确定生活质量测量与他们的临床实践有何关联。在卫生经济学中，生活质量测量已成为评估医疗保健干预结果的标准手段，更具争议的是，它还成为了资金分配优先级的确定手段；但它还有许多其他应用。本文——关于生活质量测量的三篇系列文章中的第一篇——回顾了现有的测量工具及其在筛查项目、审核、医疗保健研究和临床试验中的应用。如果要使结果测量有效且具有临床意义，使用合适的工具至关重要。
