Hunt S M, McKenna S P, McEwen J, Backett E M, Williams J, Papp E
J Epidemiol Community Health. 1980 Dec;34(4):281-6. doi: 10.1136/jech.34.4.281.
The current recognition of the importance of perceived health status as a predictor of need for, and utilisation of, health services has led to attempts to produce indicators which assess subjective rather than objective health problems. The development of the Nottingham Health Profile is described, together with a study which tested the validity of the instrument on four groups of elderly people differing in health status. The results showed that the profile was capable of discriminating between groups differing in terms of diagnosed chronic illness, number of consultations at primary care level, and physiological fitness. Age, sex, and marital status were not significant overall in affecting scores. In these elderly subjects, perceived health status accorded well with objective health status. Further tests of the profile are now taking place on younger groups of subjects.
目前,人们认识到感知健康状况作为健康服务需求和利用情况预测指标的重要性,这促使人们尝试制定评估主观而非客观健康问题的指标。本文介绍了诺丁汉健康量表的编制情况,并开展了一项研究,在四组健康状况不同的老年人中检验该量表的效度。结果表明,该量表能够区分在诊断慢性病、初级保健层面的就诊次数以及生理健康状况方面存在差异的组别。年龄、性别和婚姻状况在总体上对得分没有显著影响。在这些老年受试者中,感知健康状况与客观健康状况高度相符。目前正在更年轻的受试者群体中对该量表进行进一步测试。