Jenkinson C
Department of Public Health and Primary Care, University of Oxford, Radcliffe Infirmary, England.
Soc Sci Med. 1995 Nov;41(10):1395-401. doi: 10.1016/0277-9536(95)00119-r.
This review outlines the possible uses of subjective health status measures in the evaluation of medical treatment, and possible limitations and pitfalls that potential users of such measures must be aware. Whilst much has been written about the requirements of measures in terms of reliability, validity and responsiveness, many existing measures which have gained widespread use have serious shortcomings. In this paper, the limitations of some existing questionnaires are outlined. It is argued that whilst outcomes measurement has the promise to positively influence medical care, done without due consideration of its limitations and weaknesses it could lead to inaccurate or inappropriate data. In the current climate, in which health outcomes data is viewed as central to monitoring and evaluation, inappropriate or unconsidered use of measures could have drastic effects.
本综述概述了主观健康状况测量在医疗评估中的可能用途，以及此类测量的潜在使用者必须注意的可能局限性和陷阱。虽然关于测量在可靠性、有效性和反应性方面的要求已有大量著述，但许多已广泛使用的现有测量方法存在严重缺陷。本文概述了一些现有问卷的局限性。有人认为，虽然结果测量有望对医疗保健产生积极影响，但如果在没有充分考虑其局限性和弱点的情况下进行，可能会导致数据不准确或不恰当。在当前将健康结果数据视为监测和评估核心的环境中，对测量方法的不当或未经考虑的使用可能会产生巨大影响。
