Gustafson D H, Fryback D G, Rose J H, Yick V, Prokop C T, Detmer D E, Moore J
Med Decis Making. 1986 Jan-Mar;6(1):27-35. doi: 10.1177/0272989X8600600106.
Severity indices are a key element in evaluation of health programs. But the methodologies used in development of such indices are rarely clearly defined. Moreover, there have been no tests of transportability of the index development methodologies that do exist, so there is no guarantee that panels of physicians convened by different facilitators would produce indices with similar performance characteristics. This paper describes a replicable index development strategy, a heart disease severity index developed by using that methodology, and a test of that methodology's transportability.
严重程度指数是卫生项目评估中的关键要素。但此类指数开发所采用的方法很少有明确界定。此外，现有的指数开发方法从未经过可移植性测试，因此无法保证由不同协调人召集的医生小组会得出具有相似性能特征的指数。本文描述了一种可复制的指数开发策略、运用该方法开发的心脏病严重程度指数以及对该方法可移植性的测试。
