The Stanford Health Assessment Questionnaire: a review of its history, issues, progress, and documentation.

作者: James F Fries , Bonnie Bruce

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摘要: Over the last 2 decades, assessment of patient health status has undergone a dramatic paradigm shift, evolving from predominant reliance on biochemical and physical measurements to an emphasis upon outcomes based patient's personal appreciation their illness. The Health Assessment Questionnaire (HAQ), published in 1980, was among first instruments centered dimensions. HAQ designed represent model oriented outcome played major role diverse areas such as prediction successful aging, inversion therapeutic pyramid rheumatoid arthritis (RA), quantification nonsteroidal antiinflammatory drug gastropathy, development risk factor models for osteoarthrosis, examination mortality risks RA. established itself valuable, effective, sensitive tool measurement status. It increased credibility use validated self-report techniques quantifiable set hard data endpoints contributed new assessment. We review development, content, dissemination provide reference sources its uses, translations, validations. discuss contemporary issues regarding relative HAQ's identity utility. These include: (1) issue labeling generic versus disease-specific; (2) floor ceiling effects scales "disability"; (3) distances between values scales; (4) continuing introduction potential effects.

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