在残疾背景下衡量感知健康状况的困境。
The dilemma of measuring perceived health status in the context of disability.
机构信息
Oregon Health & Science University, Portland, Oregon 97239, USA.
出版信息
Disabil Health J. 2009 Apr;2(2):49-56. doi: 10.1016/j.dhjo.2008.12.003. Epub 2009 Mar 20.
BACKGROUND
Advances in the conceptual differentiation of health from disability have not been incorporated in popular measures of perceived health status. The inclusion of function in the measurement of health presents a dilemma for researchers assessing the perceived health of people with functional limitations.
OBJECTIVES
The purposes of the present paper are to identify this problem in health measurement, describe its implications for disability and health researchers, and outline potential strategies for future measure development of perceived health status.
METHODS
Reflecting the International Classification of Function, Disability, and Health, distinctions among the concepts of health, function, and disability are reviewed. Implications of confounded health measurement are discussed in terms of monitoring health status, assessing health disparities, using health as a mediator or moderator of other outcomes, and assessing effectiveness of interventions. The problem of function confounded with health measurement is illustrated with findings using the SF-36 with persons with spinal cord injury.
RESULTS
Recommendations are provided for developing function-neutral measures of perceived health status.
CONCLUSION
New measures of perceived health status are needed that do not confound function with health.
背景
健康与残疾概念上的区分进展尚未纳入大众感知健康状况的衡量标准中。在健康的衡量中纳入功能给评估有功能障碍的人群感知健康的研究人员带来了困境。
目的
本文旨在确定健康测量中存在的这一问题，描述其对残疾和健康研究人员的影响，并概述未来感知健康状况衡量标准制定的潜在策略。
方法
反映国际功能、残疾和健康分类，本文回顾了健康、功能和残疾概念之间的区别。从监测健康状况、评估健康差异、将健康用作其他结果的中介或调节因素，以及评估干预措施的效果等方面，讨论了健康测量混淆的影响。使用脊髓损伤患者的 SF-36 数据说明了功能与健康测量混淆的问题。
结果
为开发感知健康状况的功能中立衡量标准提供了建议。
结论
需要开发不将功能与健康混淆的感知健康状况新衡量标准。
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