Use of assessment instruments in clinical settings.

Use of assessment instruments in clinical settings.
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在临床环境中使用评估工具。

DOI:
10.1111/j.1532-5415.1987.tb01318.x
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发表时间:
1987
影响因子:
6.3
通讯作者:
Applegate,WB
Applegate,WB
中科院分区:
医学1区
文献类型:
--
作者:
Applegate,WB

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近年来,老年医学领域越来越重视对老年患者进行多方面评估的必要性。在这一过程中,越来越倾向于使用标准化的结构化评估工具或调查表。通常,仪器要回答的确切问题或一组问题没有经过仔细分析。虽然全面的结构化多维工具可以收集多个领域(物理、社会、心理、经济)的大量数据,但这些工具可能需要收集过多的数据,并且在临床环境中可能不可靠。考虑使用各种评估工具的临床医生应仔细考虑其数据收集的目标,并仔细审查所考虑的任何评估工具的有效性、可靠性和抽样人口。此外,使用仪器的临床环境可能对仪器的有效性或可靠性产生负面影响。
In recent years, increased emphasis has been placed in the field of geriatric medicine on the need for multidimensional assessment of elderly patients. There is an increasing tendency to use standardized structured assessment instruments or questionnaires in this process. Frequently, the exact question or set of questions to be answered by the instrument has not been carefully analyzed. Although comprehensive structured multidimensional instruments allow the collection of large amounts of data in multiple domains (physical, social, psychologic, economic), these instruments may require excess data collection and may not be reliable in clinical settings. Clinicians considering using a variety of assessment instruments should carefully consider their goals for data collection and carefully review the validity, reliability, and population sampled for any assessment instruments under consideration. Also, the clinical setting in which the instrument is to be used can have a negative impact on either instrument validity or reliability.
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