Johnston M V, Granger C V
Kessler Institute for Rehabilitation, West Orange, New Jersey 07052.
Am J Phys Med Rehabil. 1994 Jul-Aug;73(4):296-303. doi: 10.1097/00002060-199407000-00014.
This article presents basic findings, concepts and methods in medical outcomes research. Epidemiologic outcomes research begins with the daily life of patients or populations and searches for antecedents. Clinical outcomes research begins with an intervention and examines effects. Both are needed. Issues and methodologies in medical rehabilitation outcomes research are examined, and topics for the forth-coming series are sketched. Medical rehabilitation can make substantial advances in understanding its effectiveness in the near future if it will undertake the needed comparative outcomes research.
本文介绍了医学结果研究的基本发现、概念和方法。流行病学结果研究从患者或人群的日常生活入手，寻找其前因。临床结果研究则从一项干预措施开始，考察其效果。这两者都是必要的。本文探讨了医学康复结果研究中的问题和方法，并概述了即将推出的系列文章的主题。如果医学康复能够开展所需的比较结果研究，那么在不久的将来，它在理解自身有效性方面将会取得重大进展。
