Spång L, Trell E, Fioretos M, Kielstein V, Nasr M
Department of Primary Health Care and General Practice, Faculty of Health Sciences, Linköping, Sweden.
J Med Syst. 1998 Oct;22(5):339-55. doi: 10.1023/a:1020530111595.
In the ongoing expansion of medical systems toward prevention and health promotion, primary care is increasingly recognized as a key vehicle and agent. In order to establish a comprehensive health dialogue in the population, there is a need for innovative instruments corresponding to the information and linked media revolution that this shift is a part of. Based upon the experiences of the Department of Preventive Medicine in Malmö, Sweden, a self-mediated, interactive health testing and promotion instrument called "healthometer" has been developed and tested for feasibility. The instrument uses a special variety of a quintile-distributed visual analog scale with the thermometer as reference and allows: (a) easy summation and averaging of single or different aggregates of the test items as a "wellness" profile and score with emphasis upon the positive aspects of health, and (b) recognition against this on the whole favorable background of the weak points motivating further action. The instrument, which can be distributed on paper or electronic medium, supports participation and insight in the initial stages of a directed individual health program for the continuation of which the utilization of professional counsel is stimulated.
在医疗系统不断向预防和健康促进方向扩展的过程中，初级保健日益被视为关键的载体和推动者。为了在民众中建立全面的健康对话，需要有与这种转变所包含的信息及相关媒体革命相适应的创新工具。基于瑞典马尔默预防医学部的经验，一种名为“健康测量仪”的自我介导、交互式健康检测与促进工具已被开发并进行了可行性测试。该工具使用一种以温度计为参照的特殊五分位分布视觉模拟量表，它能够：（a）轻松汇总和平均单个或不同组别的测试项目，形成一个“健康状况”概况和分数，重点突出健康的积极方面；（b）在整体良好的背景下识别出促使进一步行动的薄弱点。该工具可以以纸质或电子媒介形式分发，在有针对性的个人健康计划的初始阶段支持参与和洞察，同时还能促进专业咨询服务的利用，以便继续推进该计划。
