Worldwide economic constraints on health care systems have highlighted the importance of evidence-based medicine and evidence-based health policy. The resulting clinical trials and health services research studies require instruments to monitor the outcomes of care and the output of the health system. However, the over-abundance of competing measurement scales can make choosing a measure difficult at best. Measuring Health provides in-depth reviews of over 100 of the leading health measurement tools and serves as a guide for choosing among them.LNow in its third edition, this book provides a critical overview of the field of health measurement, with a technical introduction and discussion of the history and future directions for the field. This latest edition updates the information on each of the measures previously reviewed, and includes a complete new chapter on anxiety measurement to accompany the one on depression. It has also added new instruments to those previously reviewed in each of the chapters in the book.LChapters cover measurements of physical disability, social health, psychological well-being, anxiety, depression, mental status testing, pain, general health status and quality of life. Each chapter presents a tabular comparison of the quality of the instruments reviewed, followed by a detailed description of each method, covering its purpose and conceptual basis, its reliability and validity and, where possible, shows a copy of the actual scale. To ensure accuracy of the information, each review has been approved by the original author of each instrument or by an acknowledged expert.
This second edition provides concise reviews of 88 sociomedical measurements, nearly twice the number reviewed in the 1987 first edition. This book was written as a guide to existing health measurement methods in the areas of physical disability and handicap, psychological well-being, social health, depression, mental status, pain, quality of life, and general health measurements. Given the current emphasis on outcomes research and accountability in healthcare, this book meets a major need for clinicians and researchers who are searching for appropriate measures. The introduction gives novices an excellent, although challenging, overview of the theoretical and methodological foundations of health measurement. Experienced clinicians and researchers will also find the introduction an excellent source of recent advances for developing and testing health measurement instruments. The book is intended for those planning clinical and research applications of health measures. It is also intended for students and those who develop health measures. The authors are recognized experts in the field. The authors follow a standard format for each measurement reviewed: title, author, year, purpose, conceptual basis, description, reliability and validity, alternative forms, reference standards, commentary, address, and references. Each chapter contains a summary table that compares the important features of the measurements reviewed in that chapter. The conclusion of each chapter summarizes the current state-of-the-art in that area of measurement and suggests directions for further development. This book is indispensable for those seeking a consumer's guide to health measures. The second editioncontains new chapters on measures of depression and mental status and a greatly expanded chapter on measures of general health status and quality of life. Because of the nature of the subject matter, the content of the reviews is very technical. However, the introductory and concluding sections of each chapter are written in an engaging and informative style.