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Review Article
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Volume 334:835-840 March 28, 1996 Number 13
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Assessment of Quality-of-Life Outcomes
Marcia A. Testa, M.P.H., Ph.D., and Donald C. Simonson, M.D.

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Since 1948, when the World Health Organization defined health as being not only the absence of disease and infirmity but also the presence of physical, mental, and social well-being,1 quality-of-life issues have become steadily more important in health care practice and research. There has been a nearly exponential increase in the use of quality-of-life evaluation as a technique of clinical research since 1973, when only 5 articles listed "quality of life" as a reference key word in the MEDLINE data base; during the 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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