Bellamy C A, Brickley M R, McAndrew R
Department of Oral Surgery, Medicine and Pathology, University of Wales College of Medicine, Cardiff, UK.
J Clin Periodontol. 1996 Sep;23(9):805-9. doi: 10.1111/j.1600-051x.1996.tb00615.x.
Periodontal health states are difficult to quantify and no formal scale quantifying patients' utilities for periodontal health states exits. Multi-attribute utility (MAU) techniques were used to develop such a scale. The MAU scale may be used to quantify patients' assessment of their current periodontal health and that of possible treatment outcomes. Such data, combined with probability values in formal decision analysis techniques would result in improved rationality of treatment planning for periodontal disease. 20 patients attending for routine undergraduate care were interviewed. Data from these interviews were sorted into groups of common interest (domains). Intra-domain health statements were complied from the interview content. 21 patients ranked the intra-domain statements on a scale of 0-100. This same group of patients also performed an inter-domain weighting. Mean results showed that patients were 2X as concerned with how they felt and with the prognosis of possible outcomes, than with how they looked and what facts they knew about their oral health. However, the real value of utilities research lies in application of individual results to treatment planning as there is a wide range of opinion regarding outcome health states.
牙周健康状况难以量化，目前尚无用于量化患者对牙周健康状况效用的正式量表。多属性效用（MAU）技术被用于开发这样一个量表。MAU量表可用于量化患者对自身当前牙周健康状况以及可能的治疗结果的评估。这些数据与形式决策分析技术中的概率值相结合，将提高牙周病治疗计划的合理性。对20名接受本科常规治疗的患者进行了访谈。这些访谈的数据被分类为共同感兴趣的组（领域）。从访谈内容中整理出领域内的健康陈述。21名患者对领域内的陈述进行了0至100的评分。同一组患者还进行了领域间的加权。平均结果显示，患者对自身感受以及可能结果的预后的关注程度是对自身外观以及对口腔健康所了解事实的关注程度的两倍。然而，效用研究的真正价值在于将个体结果应用于治疗计划，因为对于结局健康状况存在广泛的意见分歧。
