THE ZIGGY THEOREM - TOWARD AN OUTCOMES-FOCUSED HEALTH PSYCHOLOGY
THE ZIGGY THEOREM - TOWARD AN OUTCOMES-FOCUSED HEALTH PSYCHOLOGY
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DOI：
10.1037/0278-6133.13.6.451
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发表时间：
1994-11-01
影响因子：
4.2
通讯作者：
KAPLAN, RM
中科院分区：
文献类型：
--
作者：
KAPLAN, RM
保健的目的有两个：使人们活得更长，并提高死亡前几年的生活质量。这些目标与Ziggy的一幅漫画相一致，该漫画强调生命的意义在于“做”事情。“”做“东西”需要活着（生存），并有能力执行活动。这些目标是可以量化的，可以用联合收割机预期寿命与健康相关的生活质量相结合的指数来表示。这篇文章强调以病人为导向的结果作为卫生保健的焦点。这种结果导向被称为Ziggy定理。例子表明，强调以病人为导向的结果可能会重新定向公共卫生指标的概念化，并可能改变医疗亚专家作出临床决策的方式。此外，Ziggy定理可能为公共卫生资源的分配提供新的方法。
The purpose of health care is twofold: to make people live longer and to enhance quality of life in the years before death. These goals are consistent with a Ziggy cartoon that emphasized that the meaning of life was ''doin' stuff.'' ''Doin' stuff'' requires being alive (survival) and having the capability to perform activities. These objectives are quantifiable and can be represented in indices that combine life expectancy with health-related quality of life. This article emphasizes patient-oriented outcomes as a focal point for health care. This outcomes orientation is referred to as the Ziggy theorem. Examples demonstrate that emphasis on patient-oriented outcomes may redirect conceptualizations of public health indicators and may change the way medical subspecialists make clinical decisions. Furthermore, the Ziggy Theorem may suggest new approaches to the allocation of public health resources.