GENERIC AND DISEASE-SPECIFIC MEASURES IN ASSESSING HEALTH-STATUS AND QUALITY OF LIFE
GENERIC AND DISEASE-SPECIFIC MEASURES IN ASSESSING HEALTH-STATUS AND QUALITY OF LIFE
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DOI：
10.1097/00005650-198903001-00018
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发表时间：
1989-03-01
期刊：
影响因子：
3
通讯作者：
DEYO, RA
中科院分区：
文献类型：
--
作者：
PATRICK, DL;DEYO, RA
对不同疾病、状况、状态和人口的健康状况和生活质量的通用和具体衡量标准的应用正在增加。使用这些措施的四种策略是单独的通用措施和特殊措施、修改的通用措施、针对疾病的补充剂和电池。首选策略取决于项目目标、方法考虑和实际限制。为了比较不同人群和干预措施的结果，特别是成本效益研究，有必要采用通用措施。针对疾病的措施评估诊断群体的特殊状态和关切。对于检测和量化对临床医生或患者重要的微小变化，具体措施可能更敏感。需要对通用措施和疾病特异性措施在相同人群以及少数群体和特定年龄组中的有效性、可靠性和响应性进行比较研究。
Application of generic and specific measures of health status and quality of life to different diseases, conditions, states, and populations is increasing. Four strategies for using these measures are separate generic and specific measures, modified generic measures, disease-specific supplements, and batteries. The preferred strategy depends on project aims, methodological concerns, and practical constraints. Generic measures are necessary to compare outcomes across different populations and interventions, particularly for cost-effectiveness studies. Disease-specific measures assess the special states and concerns of diagnostic groups. Specific measures may be more sensitive for the detection and quantification of small changes that are important to clinicians or patients. Comparison studies are needed of the validity, reliability, and responsiveness of generic and disease-specific measures in the same population and in minority and age-specific groups.