Yip A M, Gorman M C, Stadnyk K, Mills W G, MacPherson K M, Rockwood K
Department of Medicine, Dalhousie University, Halifax, Nova Scotia.
Gerontologist. 1998 Dec;38(6):735-42. doi: 10.1093/geront/38.6.735.
Goal Attainment Scaling (GAS), an individualized measurement approach, is particularly attractive for the evaluation and care planning of frail elders, who often experience multiple, complex problems. Some service providers find GAS too unwieldy for routine use. A modified version of GAS that uses a standardized menu of goals and attainment levels has been developed by the Geriatric Assessment and Rehabilitation Unit of a regional referral hospital in Nova Scotia, Canada. This article reviews the development, implementation, benefits, and challenges of the standardized menu, as well as the results of a retrospective descriptive study of its measurement properties. The standardized menu appears to be a feasible, valid, and responsive alternative to traditional GAS, while retaining much of its individualized nature.
目标达成量表（GAS）是一种个性化的测量方法，对于评估和护理体弱的老年人特别有吸引力，这些老年人常常面临多种复杂问题。一些服务提供者发现GAS在日常使用中过于繁琐。加拿大新斯科舍省一家区域转诊医院的老年评估与康复科开发了一种GAS的改良版本，该版本使用标准化的目标和达成水平菜单。本文回顾了标准化菜单的开发、实施、益处和挑战，以及对其测量属性的回顾性描述性研究结果。标准化菜单似乎是传统GAS的一种可行、有效且具有响应性的替代方法，同时保留了其许多个性化特征。
