Applegate W B
J Am Geriatr Soc. 1987 Jan;35(1):45-50. doi: 10.1111/j.1532-5415.1987.tb01318.x.
In recent years, increased emphasis has been placed in the field of geriatric medicine on the need for multidimensional assessment of elderly patients. There is an increasing tendency to use standardized structured assessment instruments or questionnaires in this process. Frequently, the exact question or set of questions to be answered by the instrument has not been carefully analyzed. Although comprehensive structured multidimensional instruments allow the collection of large amounts of data in multiple domains (physical, social, psychologic, economic), these instruments may require excess data collection and may not be reliable in clinical settings. Clinicians considering using a variety of assessment instruments should carefully consider their goals for data collection and carefully review the validity, reliability, and population sampled for any assessment instruments under consideration. Also, the clinical setting in which the instrument is to be used can have a negative impact on either instrument validity or reliability.
近年来，老年医学领域越来越重视对老年患者进行多维度评估的必要性。在此过程中，使用标准化结构化评估工具或问卷的趋势日益明显。通常，该工具要回答的确切问题或问题集并未得到仔细分析。尽管综合结构化多维度工具允许在多个领域（身体、社会、心理、经济）收集大量数据，但这些工具可能需要过多的数据收集，并且在临床环境中可能不可靠。考虑使用各种评估工具的临床医生应仔细考虑其数据收集目标，并仔细审查所考虑的任何评估工具的有效性、可靠性和抽样人群。此外，使用该工具的临床环境可能会对工具的有效性或可靠性产生负面影响。
