Linn M W, Hunter K I, Linn B S
Med Care. 1980 Mar;18(3):282-8. doi: 10.1097/00005650-198003000-00003.
Self-assessed health and physician-rated impairment were compared for 174 Anglo, black, and Cuban elderly medical outpatients. Level of disability was also recorded by the interviewer. A minimal correlation was found between patient and physician-rated health. Self-assessed health and level of functioning were associated significantly in each of the 3 cultures. The way patients perceived their health and functioned differed by culture, but impairment ratings of the physician did not discriminate among cultures. It seems likely that nonmedical factors may explain cultural differences in perception of health as well as how these perceptions influence ability to perform everyday activities of living. The patients' estimates of health appear to be an important factor in their overall health status, which physicians could use to augment their assessments of impairment. Since self-assessed health relates to level of functioning and to the way the elderly react to an illness, it can be seen as a useful component in evaluating health and predicting patient behavior.
对174名盎格鲁、黑人及古巴老年门诊患者的自我评估健康状况与医生评定的功能损害情况进行了比较。访员还记录了残疾程度。患者与医生评定的健康状况之间存在微弱的相关性。在这三种文化中，自我评估健康状况与功能水平均显著相关。患者对自身健康的认知方式及功能状况因文化而异，但医生的功能损害评定并未区分不同文化。非医学因素似乎可以解释健康认知方面的文化差异以及这些认知如何影响日常活动能力。患者对健康的估计似乎是其整体健康状况的一个重要因素，医生可利用这一点来加强对功能损害的评估。由于自我评估健康状况与功能水平以及老年人对疾病的反应方式相关，因此可将其视为评估健康状况和预测患者行为的一个有用组成部分。
