Davies A M
School of Public Health, Hebrew University, Jérusalem, Israel.
Rev Epidemiol Sante Publique. 1987;35(3-4):241-7.
Measures of disability, in the elderly as a proxy for autonomy, are essential for assessment of physical and mental wellbeing, estimates of needs for care of individuals and communities and for the planning of services. Such measures need to be combined with clinical information to complete the diagnosis for the individual. For groups, assessments are subject to the interactions of reported disability with age, social class and culture, even when using standardized questionnaires. These intervening variables, as well as the representatives of the groups sampled, must be considered when extrapolating the findings to the whole population and, particularly, in the forecasting of future disability patterns. Translation of disability measurements into needs for service, now and in the future, is a complex procedure further confounded by social expectations and professional judgement.
将老年人的残疾程度作为自主性的替代指标，对于评估身心健康、估计个人和社区的护理需求以及规划服务至关重要。此类指标需要与临床信息相结合，以完成对个体的诊断。对于群体而言，即使使用标准化问卷，评估也会受到报告的残疾与年龄、社会阶层和文化之间相互作用的影响。在将研究结果推广至整个人口时，尤其是在预测未来残疾模式时，必须考虑这些干预变量以及所抽样群体的代表性。将残疾测量结果转化为当前及未来的服务需求是一个复杂的过程，社会期望和专业判断进一步加剧了这一复杂性。
