Measurement in veterans affairs health services research: Veterans as a special population

Measurement in veterans affairs health services research: Veterans as a special population
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DOI:
10.1111/j.1475-6773.2005.00448.x
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发表时间:
2005-10-01
影响因子:
3.4
通讯作者:
Ashton, CM
Ashton, CM
中科院分区:
医学3区
文献类型:
--
作者:
Morgan, RO;Teal, CR;Ashton, CM

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Objective.介绍这一补充问题的测量在卫生服务研究中使用人口的美国退伍军人作为一个说明性的例子,人口和系统的影响测量quality.Principal调查结果。测量质量可能会受到人口统计学特征、疾病负担、心理健康、文化认同或卫生保健环境差异的影响。美国退伍军人人口和VA卫生系统代表了一个缩影,其中广泛的测量问题可以评估。衡量是作出卫生决策的基础。测量质量差会影响医疗保健决策的质量和医疗保健政策的决策。随附的文章在这个问题上强调了一个子集的测量问题,具有适用性的广泛社区的卫生服务研究。我们希望,它们能激发对进行“最先进”的卫生服务研究所带来的测量挑战的广泛讨论。
Objective. To introduce this supplemental issue on measurement within health services research by using the population of U.S. veterans as an illustrative example of population and system influences on measurement quality.Principal Findings. Measurement quality may be affected by differences in demographic characteristics, illness burden, psychological health, cultural identity, or health care setting. The U.S. veteran population and the VA health system represent a microcosm in which a broad range of measurement issues can be assessed.Conclusions. Measurement is the foundation on which health decisions are made. Poor measurement quality can affect both the quality of health care decisions and decisions about health care policy. The accompanying articles in this issue highlight a subset of measurement issues that have applicability to the broad community of health services research. It is our hope that they stimulate a broad discussion of the measurement challenges posed by conducting "state-of-the-art" health services research.