An additional basic science for clinical medicine: IV. The development of clinimetrics.

An additional basic science for clinical medicine: IV. The development of clinimetrics.
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临床医学的另一门基础科学:IV。

DOI:
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发表时间:
1983
影响因子:
39.2
通讯作者:
A. Feinstein
A. Feinstein
中科院分区:
医学1区
文献类型:
--
作者:
A. Feinstein

文献摘要

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临床计量学领域涉及比较临床数据的收集和分析的定量方法,特别是改进对患者护理的独特临床和个人现象的“测量”。数据科学质量的主要要求是观察和表达过程的一致性、可重复性。通过适当关注基本描述活动和将原始描述转换为适当选择的临床测量尺度的变量、类别和复合聚合的操作标准,可以实现这一要求。对于这项工作,临床医生将面临“剖析”和规定现在用未指定的方法或判断做出的决策的组成部分。临床计量科学为另一种类型的临床研究中的新方法、新地点和新人员提供了机会,可以增强临床实践的科学基础,同时重新人性化研究数据的内容并恢复对患者护理艺术的分析重点。
The domain of clinimetrics is concerned with quantitative methods in the collection and analysis of comparative clinical data, and particularly with improved "measurement" of the distinctively clinical and personal phenomena of patient care. The main requirement for scientific quality in data is a consistent, reproducible process of observation and expression. This requirement can be attained with appropriate attention to basic descriptive activities and to the operational criteria that convert raw descriptions into the variables, categories, and composite aggregates of suitably chosen clinimetric scales. For this work, clinicians will be challenged to "dissect" and stipulate the components of decisions that are now made with unspecified methods or judgments. Clinimetric science provides opportunities for new approaches, new sites, and new personnel in an additional type of clinical investigation that can augment the scientific basis of clinical practice, while rehumanizing the contents of research data and restoring analytic emphasis to the art of patient care.