Cribb A
J Med Ethics. 1985 Sep;11(3):142-5. doi: 10.1136/jme.11.3.142.
There is no technical language with which to speak of patients' quality of life, there are no standard measures and no authority to validate criteria of measurement. It is well known that 'professionals' tend, often for institutional reasons, to play down or undervalue factors which are not defined by their particular expertise. It is fortunate that, despite this tendency, there is a growing interest in broadening the evaluation of medical care, but there is still a need to clarify what is at issue in considerations of quality of life. This article examines the strengths and weaknesses of one approach to assessing quality of life, and sketches out the implications for anyone concerned to establish a framework within which both medical and non-medical objectives of care can be taken into account.
没有专门用于描述患者生活质量的专业术语,没有标准的衡量方法,也没有权威机构来验证衡量标准。众所周知,“专业人士”往往出于机构方面的原因,淡化或低估那些并非由其特定专业知识所界定的因素。幸运的是,尽管有这种倾向,但人们对扩大医疗保健评估的兴趣日益浓厚,但仍有必要阐明在生活质量考量中所涉及的问题。本文探讨了一种评估生活质量方法的优缺点,并勾勒出对任何希望建立一个能兼顾医疗和非医疗护理目标的框架的人所产生的影响。