Bech P
Psychiatric Institute, Frederiksborg General Hospital, Hillerød, Denmark.
Psychother Psychosom. 1993;59(1):1-10. doi: 10.1159/000288637.
The political or ecological concept of quality of life refers to irreplaceable aspects of life. The health-related quality of life concept has the same impact of considering the irreplaceable (idiographic) aspects of treatment outcome in patients with chronic disorders. When comparing the different attempts to measure quality of life, two main approaches have been considered, namely a multi-dimensional view of medical disorders and a global view of outcome of treatment. Both approaches have been discussed at the same level of measurement, i.e. how the patient considers the various components. A dialectic procedure has been followed: quality of life data versus 'raw' health data; idiographic versus nomothetic scales; index versus profile statistics; generic versus disease-specific measurements.
生活质量的政治或生态概念指的是生活中不可替代的方面。与健康相关的生活质量概念对于考虑慢性疾病患者治疗结果中不可替代的（独特的）方面具有同样的影响。在比较衡量生活质量的不同尝试时，人们考虑了两种主要方法，即对医学病症的多维度观点和对治疗结果的整体观点。这两种方法都在相同的测量层面进行了讨论，即患者如何看待各个组成部分。人们遵循了一种辩证程序：生活质量数据与“原始”健康数据；独特量表与一般量表；指数统计与概况统计；通用测量与疾病特异性测量。
