Fillenbaum G G
J Am Geriatr Soc. 1985 Oct;33(10):698-706. doi: 10.1111/j.1532-5415.1985.tb01779.x.
Although multidimensional functional assessment may be the route of choice in determining the personal status of the elderly and the services they need, the majority of the elderly are well and competent, making it hard to justify routine extensive assessment with its attendant costs. Described herein is a brief, valid, and reliable five-item screener based on instrumental activities of daily living which can rapidly identify elderly community residents with impaired functional capacity, and which, because of its substantial correlation with physical health (r = .54 to .55), mental health (r = .54 to .60), and predictability of death can identify those for whom more extensive assessment is warranted. Use of such a brief screener should result in better targeting of elderly in need of service, facilitate coordinated and efficient health care delivery, and maintain the functional independence of the elderly.
尽管多维功能评估可能是确定老年人个人状况及其所需服务的首选途径，但大多数老年人身体状况良好且具备自理能力，因此难以证明进行常规全面评估及其附带成本的合理性。本文介绍了一种基于日常生活工具性活动的简短、有效且可靠的五项筛查工具，它可以快速识别功能能力受损的老年社区居民，并且由于其与身体健康（r = 0.54至0.55）、心理健康（r = 0.54至0.60）以及死亡可预测性之间存在显著相关性，能够识别出那些需要进行更全面评估的老年人。使用这种简短的筛查工具应能更好地针对需要服务的老年人，促进协调高效的医疗保健服务提供，并维持老年人的功能独立性。
