Pransky G, Himmelstein J
Department of Family and Community Medicine, University of Massachusetts Medical School, Worcester, USA.
Am J Ind Med. 1996 Jun;29(6):573-83. doi: 10.1002/(SICI)1097-0274(199606)29:6<573::AID-AJIM1>3.0.CO;2-L.
Concerns about quality, cost, and unnecessary medical care have led to substantial interest and growth in outcomes research with studies to determine the full range of effects of disease and comparative effectiveness of treatments. Investigators have developed new conceptual models of health-related quality of life and associated questionnaires, study designs that maximize use of administrative databases and the generalizability of results, and methods to control for severity and co-morbidity. As similar concerns about occupational health care have emerged, these approaches are being adapted for use in the occupational setting, and studies are beginning to address the concerns of working populations. These investigations will require development of new models of outcome, interdisciplinary research teams, adaptation of data collection methods to address the unique concerns of workers and the unique aspects of the workplace, use of new information databases, and methods of analysis. The implications of these concepts for a hypothetical study of carpal tunnel syndrome and a proposed agenda for future studies in occupational health outcomes research are presented.
对医疗质量、成本和不必要医疗护理的担忧，引发了人们对结果研究的浓厚兴趣，并促使该领域不断发展。这类研究旨在确定疾病的全面影响以及治疗方法的相对有效性。研究人员已经开发出与健康相关的生活质量的新概念模型及相关调查问卷、能最大限度利用行政数据库并使研究结果具有广泛适用性的研究设计，以及控制疾病严重程度和合并症的方法。随着人们对职业医疗护理也出现了类似担忧，这些方法正被应用于职业环境中，相关研究也开始关注劳动人群的问题。这些调查将需要开发新的结果模型、组建跨学科研究团队、调整数据收集方法以解决工人的特殊问题和工作场所的独特方面、使用新的信息数据库以及分析方法。本文介绍了这些概念对腕管综合征假设性研究的意义，以及职业健康结果研究未来的拟议议程。
