Since 1948, when the World Health Organization defined healthas being not only the absence of disease and infirmity but alsothe presence of physical, mental, and social well-being,1 quality-of-lifeissues have become steadily more important in health care practiceand research. There has been a nearly exponential increase inthe use of quality-of-life evaluation as a technique of clinicalresearch since 1973, when only 5 articles listed "quality oflife" as a reference key word in the MEDLINE data base; duringthe subsequent five-year periods, there were 195, 273, 490,and 1252 such articles. The growing fields of outcomes . . . [Full Text of this Article]
Conceptualizing Quality-of-Life Outcomes
Measuring Quality of Life
Constructing Scales of Measurement
Coverage
Reliability
Validity
Responsiveness
Sensitivity
Evaluating Quality of Life in Health Research
Analytic Models of Health The Role of Quality-of-Life Assessment
Selecting an Assessment Instrument
Interpreting Quality-of-Life Effects
The Need for Practical Clinical Applications
Source Information
From the Department of Biostatistics, Harvard School of Public Health (M.A.T.); and the Department of Medicine, Joslin Diabetes Center, Brigham and Women's Hospital, and Harvard Medical School (D.C.S.) all in Boston.
Address reprint requests to Dr. Testa at the Department of Biostatistics, Harvard School of Public Health, 677 Huntington Ave., Boston, MA 02115.
References
Related Letters:
Assessment of Quality of Life
Buchholz W. M., Bradlyn A. S., Pollock B. H., Meran J. G., Testa M. A., Simonson D. C.
Extract |
Full Text
N Engl J Med 1996;
335:520-522, Aug 15, 1996.
Correspondence
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