引用本文:谢诗桐, 陈丕楠, 贺小宁, 吴晶, 谢锋, 赵琨.国内外普适性健康效用量表综述研究[J].中国卫生政策研究,2020,13(8):58-68 |
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国内外普适性健康效用量表综述研究 |
投稿时间:2020-05-26 修订日期:2020-07-07 PDF全文浏览 HTML全文浏览 |
谢诗桐1,2, 陈丕楠1,2, 贺小宁1,2, 吴晶1,2, 谢锋3, 赵琨4 |
1. 天津大学药物科学与技术学院 天津 300072; 2. 天津大学社会科学调查与数据中心 天津 300072; 3. 加拿大麦克马斯特大学健康研究方法、证据与影响系 加拿大汉密尔顿 L8S4L8; 4. 国家卫生健康委员会卫生发展研究中心 北京 100044 |
摘要:目的:对国内外现有普适性健康效用量表进行综述,着重描述量表健康状态描述系统的维度水平设置与构建过程。方法:在PubMed、Embase、中国知网和万方数据库中,对国内外公开发表的普适性健康效用量表相关研究进行文献检索与信息提取,识别出现有的全部普适性健康效用量表。进一步检索纳入量表的原始研发文献,从中提取与分析量表的基本信息、量表健康状态描述系统的维度水平设置与构建过程,并从生理、心理和社会三个方面对量表包含的各维度进行归纳与分析。结果:通过检索、筛选最终得到36篇中英文文献,并从中识别出18个普适性健康效用量表,进而追溯检索得到关于这些量表的原始研发文献共计30篇。18个量表的维度数量在3~15个之间,维度下设水平数量在2~7个之间,可描述的健康状态数量则介于64~2.37×1023个之间。全部18个量表均包含生理方面的维度;分别有16个、10个量表包含有心理和社会方面的维度。而生理、心理和社会三方面的维度又分别包括10个、4个和5个具体类别。这些量表主要通过基于现有资料直接确定量表包含维度、通过构建条目池,并结合心理测量学方法确定量表包含维度这两种途径,构建量表的健康状态描述系统。结论:近年来新研发的量表在生理维度的基础上更加强调对心理与社会维度的测量,且健康状态描述系统的构建过程更加规范与标准。 |
关键词:普适性 健康效用量表 描述系统 |
基金项目:国家自然科学基金(71673197;71804122) |
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Review of generic preference-based scales for health-related quality of life at the universal scale |
XIE Shi-tong1,2, CHEN Pi-nan1,2, HE Xiao-ning1,2, WU Jing1,2, XIE Feng3, ZHAO Kun4 |
1. School of Pharmaceutical Science and Technology, Tianjin University, Tianjin 300072, China; 2. Center for Social Science Survey and Data, Tianjin University, Tianjin 300072, China; 3. Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton L8S4L8, Canada; 4. National Health Development Research Center, National Health Commission of China, Beijing 100044, China |
Abstract:Objective: To conduct an ample review of the existing generic preference-based scales for health-related quality of life around the globe. Methods: Databases including PubMed, Embase, CNKI and WanFang Data, literature retrieval and information extraction were carried out on relevant studies of the universal health utility scale published until April 2020 worldwide, and all the existing universal health utility scales were identified. The original development articles included in the scale were further searched to extract the basic information of the scale, the conduction process, and the structure of the health state descriptive system. All of the dimensions included in the scale were summarized and analyzed from three aspects of physical (physiological), mental (psychological), and societal, respectively. Results: Through searching and screening, a total of 36 articles (both in Chinese and English literatures) were obtained, among which 18 generic preference-based scales were identified and 30 original search and development articles of these 18 scales were extracted. The number of dimensions of these 18 scales varied between the range of 3~15, the number of levels under each dimension ranged between 2 and 7, and the total number of health states that could be described by these scales amounted between 64 and 2.37×1023. The dimensions describing the physiological aspect in health were involved by all of 18 scales, while the dimensions describing psychological health and societal aspects in health were involved by only 16 and 10 measures, respectively. The physiological, psychological and societal dimensions included 10, 4, and 5 specific categories, respectively. Two ways of conducting the health state descriptive system were identified, which were mainly based on the existing data and materials, and through the construction of the items pool combined with psychometric methods to determine the included dimensions of the scale. Conclusion: In recent years, more emphasis on the measurement of mental and societal health on the basis of physiological aspect was included in the newly developed measures, and the construction process of the health state descriptive system is becoming more and more standardized. |
Key words:Generic Health utility scale Descriptive system |
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