Barr J T, Schumacher G E
National Education and Research Center for Outcomes Assessment in Health Care (NERCOA), Bouvé College of Pharmacy and Health Sciences, Northeastern University, Boston, MA 02115, USA.
J Allied Health. 1995 Winter;24(1):65-78.
As chronic diseases claim a growing proportion of our population's morbidity, health practitioners are increasingly concerned with the impact of diseases on the physical limitations, psychological status, social role, and overall quality of life of patients. While health professionals have traditionally supplemented their clinical assessment skills with physiologic measures such as temperature, white cell counts, pulmonary function tests, and enzyme levels, as well as functional measures such as range of motion and mobility, they are less facile with measures that describe the limitations in physical, psychological, and social functioning of patients. These latter factors may have a greater overall influence on patient status than physiologic and function indices alone.
随着慢性病在我国人口发病率中所占比例越来越大，医疗从业者越来越关注疾病对患者身体限制、心理状态、社会角色和整体生活质量的影响。传统上，医疗专业人员通过体温、白细胞计数、肺功能测试和酶水平等生理指标以及活动范围和移动性等功能指标来补充他们的临床评估技能，但他们不太熟悉描述患者身体、心理和社会功能受限情况的指标。后一类因素可能比生理和功能指标单独对患者状况产生更大的总体影响。
