Pope G C
Health Economics Research, Inc., Needham, MA 02194.
Health Serv Res. 1988 Feb;22(6):857-77.
Using data from the 1980 National Medical Care Utilization and Expenditure Survey (N = 11,530), four commonly used health status indicators are interpreted in terms of the underlying medical conditions they reflect. It is found that self-rated health status, role limitations, restricted activity days, and functional limitations measure similar conditions. These conditions tend to be chronic and severe; heart and cerebrovascular disease are especially associated with poor health as measured by all of the variables. Disability days is most likely to reflect acute, transitory morbidity. Practical suggestions for the appropriate use of the four variables are made. In addition, the conditions associated with the most ambulatory utilization of health services are identified. Among these conditions, those which are and are not measured adequately by the health status indicators are disclosed. It is concluded that the health status variables, either individually or as a group, do not measure many variations in health that are strongly related to utilization.
利用1980年全国医疗保健利用与支出调查的数据（N = 11530），从四个常用健康状况指标所反映的潜在医疗状况方面进行了解释。研究发现，自评健康状况、角色受限、活动受限天数和功能受限衡量的是相似的状况。这些状况往往是慢性且严重的；心脏病和脑血管疾病与所有变量衡量的健康状况不佳尤其相关。残疾天数最有可能反映急性、短暂性发病情况。针对这四个变量的适当使用提出了实用建议。此外，还确定了与门诊医疗服务使用最相关的状况。在这些状况中，揭示了健康状况指标衡量充分和不充分的情况。得出的结论是，健康状况变量无论是单独还是作为一个组，都无法衡量与医疗服务利用密切相关的许多健康差异。
