Goldberg M, Dab W, Chaperon J, Fuhrer R, Grémy F
Rev Epidemiol Sante Publique. 1979 Jul 19;27(1):51-68.
The major health indexes based on the classical concepts of mortality and morbidity are reviewed while emphasizing their limitations: underestimation of health problems socio-economic impact, inadequacy for the evaluation of certain main objectives of health care delivery systems, purely negative measurement of health. This paper investigates the recent attempts to improve these aspects: extension of the concept of morbidity by the introduction of disability measurements and the development of a "positive health" concept. Finally, a discussion is presented of the major health indexes whose development is based on the use of these concepts and the main conceptual, methodological problems they give rise to.
基于死亡率和发病率经典概念的主要健康指标得到了回顾，同时强调了它们的局限性：对健康问题社会经济影响的低估、对医疗保健提供系统某些主要目标评估的不足、对健康的纯粹负面衡量。本文研究了近期在改善这些方面的尝试：通过引入残疾测量来扩展发病率概念以及发展“积极健康”概念。最后，对基于这些概念的发展且引发主要概念性、方法性问题的主要健康指标进行了讨论。
