Mathematica Policy Research, Princeton, NJ, USA.
J Aging Health. 2011 Mar;23(2):242-66. doi: 10.1177/0898264310383421. Epub 2010 Nov 1.
This study examines and compares respondent, interviewer, and physician ratings of overall health.
Data are from the 2006 Social Environment and Biomarkers of Aging Study, a nationally representative survey of older adults in Taiwan. Ordered probit models are used to examine factors associated with self- and external assessments of health and discordant health ratings.
Our results suggest similarities and differences in factors influencing health ratings across evaluators but a high level of interevaluator disagreement in ratings. Discrepancies in ratings between physicians and both respondents and interviewers are associated with the greater weight given to functional limitations and psychological well-being in interviewer and respondent ratings and to the importance of clinical measures or risk factors of illness and mortality in physician assessments.
Interviewer and physician assessments may be complementary to self-assessed health measures. The importance and implications of these findings for future research are discussed.
本研究考察并比较了受访者、访谈者和医生对整体健康状况的评估。
数据来自 2006 年社会环境与衰老生物标志物研究，这是一项针对台湾老年人的全国代表性调查。有序概率模型用于研究与自我和外部健康评估以及健康评估不一致相关的因素。
我们的结果表明，在影响健康评估的因素方面，评估者之间存在相似性和差异，但评估者之间的一致性水平很高。医生与受访者和访谈者之间的评分差异与访谈者和受访者评分中更注重功能限制和心理健康以及医生评估中更注重临床指标或疾病和死亡风险因素有关。
访谈者和医生的评估可能与自我评估的健康指标相辅相成。讨论了这些发现对未来研究的重要性和意义。
