Kliebsch U, Brenner H
Münchner Forschungsverbund Public Health-Offentliche Gesundheit, München.
Soz Praventivmed. 1996;41(5):303-14. doi: 10.1007/BF01300436.
Objective and reliable rating of disability and functional dependence is of utmost importance for both medical and rehabilitation research and the practice of social medicine. The present paper provides an overview on internationally used disability scales and on studies that were carried out to determine their inter-rater reliability. Most of the scales were developed in the United States. The number and quality of inter-rater reliability studies strongly vary for various scales. In general, reliability was found to be high for summary scores of disability, whereas reliability strongly varied from extremely poor to excellent for single items of disability. This variation provides valuable suggestions for improving rating of disability.
对残疾和功能依赖进行客观可靠的评定，对医学和康复研究以及社会医学实践都至关重要。本文概述了国际上使用的残疾评定量表，以及为确定其评定者间信度而开展的研究。大多数量表是在美国开发的。不同量表评定者间信度研究的数量和质量差异很大。一般来说，残疾汇总评分的信度较高，而残疾单项评分的信度则从极差到极好差异很大。这种差异为改进残疾评定提供了有价值的建议。
