The Stanford Health Assessment Questionnaire: dimensions and practical applications.

The Stanford Health Assessment Questionnaire: dimensions and practical applications.
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DOI:
10.1186/1477-7525-1-20
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发表时间:
2003-06-09
影响因子:
3.6
通讯作者:
Fries JF
Fries JF
中科院分区:
医学3区
文献类型:
--
作者:
Bruce B;Fries JF

文献摘要

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纵向有效测量健康相关生活质量的能力对于描述疾病、治疗或其他损伤(包括正常衰老)对患者的影响至关重要。在过去的二十年里,患者健康状况的评估经历了一个巨大的范式转变,从主要依赖于生化和物理测量,如红细胞沉降率,血脂谱,或放射照片,发展到强调健康结果的基础上,病人的个人评价他们的疾病。健康评估问卷(HAQ),发表于1980年,是第一个工具的基础上通用的,以病人为中心的尺寸。HAQ旨在代表以患者为导向的结局评估模型,并在许多不同领域发挥了重要作用,如预测成功老化,类风湿性关节炎(RA)治疗金字塔的倒置,NSAID胃病的量化,骨关节病风险因素模型的开发,以及RA死亡风险的检查。过去20年来,HAQ在不同环境中的使用证明,HAQ已成为衡量健康状况的宝贵、有效和敏感的工具。它有60多种语言版本,并附有500多个参考书目。它增加了可信度,并将经验证的自我报告测量技术作为一套可量化的硬数据终点,并有助于对结果评估进行新的评价。在这篇文章中,有关HAQ的发展,内容,传播和参考来源,其使用,翻译和验证的信息。
The ability to effectively measure health-related quality-of-life longitudinally is central to describing the impacts of disease, treatment, or other insults, including normal aging, upon the patient. Over the last two decades, assessment of patient health status has undergone a dramatic paradigm shift, evolving from a predominant reliance on biochemical and physical measurements, such as erythrocyte sedimentation rate, lipid profiles, or radiographs, to an emphasis upon health outcomes based on the patient's personal appreciation of their illness. The Health Assessment Questionnaire (HAQ), published in 1980, was among the first instruments based on generic, patient-centered dimensions. The HAQ was designed to represent a model of patient-oriented outcome assessment and has played a major role in many diverse areas such as prediction of successful aging, inversion of the therapeutic pyramid in rheumatoid arthritis (RA), quantification of NSAID gastropathy, development of risk factor models for osteoarthrosis, and examination of mortality risks in RA. Evidenced by its use over the past two decades in diverse settings, the HAQ has established itself as a valuable, effective, and sensitive tool for measurement of health status. It is available in more than 60 languages and is supported by a bibliography of more than 500 references. It has increased the credibility and use of validated self-report measurement techniques as a quantifiable set of hard data endpoints and has contributed to a new appreciation of outcome assessment. In this article, information regarding the HAQ's development, content, dissemination and reference sources for its uses, translations, and validations are provided.