Health, Health-Related Quality of Life, and Quality of Life: What is the Difference?

Health, Health-Related Quality of Life, and Quality of Life: What is the Difference?
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DOI:
10.1007/s40273-016-0389-9
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发表时间:
2016-07-01
期刊:
影响因子:
4.4
通讯作者:
Brazier, John
Brazier, John
中科院分区:
医学2区
文献类型:
--
作者:
Karimi, Milad;Brazier, John

文献摘要

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术语健康、健康相关生活质量(HRQoL)和生活质量(QoL)可互换使用。鉴于这是文献中的三个关键术语,它们的适当和明确使用是重要的。本文回顾了这些术语的历史和定义,并考虑了它们是如何使用的。有人认为,文献中的HRQoL的定义是有问题的,因为一些定义不能区分HRQoL和健康或HRQoL和QoL之间。许多所谓的HRQoL问卷实际上测量自我感知的健康状况,使用QoL这个短语是不合理的。它的结论是,HRQoL的概念,现在使用的是混乱的。一个潜在的解决方案是将HRQoL定义为根据经验估计健康以影响QoL的方式,或者使用该术语仅表示与健康状态相关的效用。
The terms health, health-related quality of life (HRQoL), and quality of life (QoL) are used interchangeably. Given that these are three key terms in the literature, their appropriate and clear use is important. This paper reviews the history and definitions of the terms and considers how they have been used. It is argued that the definitions of HRQoL in the literature are problematic because some definitions fail to distinguish between HRQoL and health or between HRQoL and QoL. Many so-called HRQoL questionnaires actually measure self-perceived health status and the use of the phrase QoL is unjustified. It is concluded that the concept of HRQoL as used now is confusing. A potential solution is to define HRQoL as the way health is empirically estimated to affect QoL or use the term to only signify the utility associated with a health state.