Choosing measures of health status for individuals in general populations.
J E Ware, Jr,
R H Brook,
A R Davies and
K N Lohr
This paper offers suggestions to adi the selection of appropriateinstruments and data gathering methods for studies that requiremeasures of personal health status applicable in general populations.Before selecting measures, the reason for studying health statusmust be identified. Next, definitional issues arise when attemptingto specify the components of health that are to be studied.Evidence supports restriction of the definition of personalhealth status to its physical and mental components, ratherthan including social circumstances as well. In evaluating thesuitability of available measures, three features must be considered:1) practicality in terms of administration, respondent burden,and analysis; 2) reliability in terms of the study design andgroup or individual comparisons; 3) validity, in terms of providinginformation about the particular health components of interestto the study. Evaluating validity will be difficult for mostavailable measures; careful attention to item content will behelpful in choosing appropriate measures. Despite problems indevelopment and interpretation, overall health status indicatorswill prove useful to many studies and should be considered,as should both subjective and objective measures of health status.Given that the reasons to measure health have been identified,the aspects of health to be measured specified, and attentionpaid to their suitability, appropriate measures may often befound among those now available.
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