Standardization of health measurement for different indications

Date of publication: June 15, 1991

Author: Peter Becker

Abstract:

A comparison of treatment regimes in the health service shows that different demands are made of the measuring instruments depending on the indication and national pecuharities. In searching for the most universally applicable procedure possible, we analyzed 62 measuring methods. Using a compilation of eleven factors with which the basic requirements of a healthy person are described in psychology, we have assigned terms to parameters which are valid across the various indications. It appears only sensible with this procedure to elicit the data directly from the patient by means of a questionnaire. The forms should contain no fewer than 30 and no more than 100 questions. It should be completed once before, if possible several time during and once after the treatment. Completing the form should not take longer than ten minutes, and it should be evaluated anonymously. Computerized comparisons of questionnaires must take account of national and ethnic differences. The statement for the respective circle of culture and civilisation must be given a weighting which depends on its value. To ensure reliability and reproducibility, this factor must be carefully determined and then validated in a representative sample of the population. Ways to limit the multiplicity of measures have been done especially in Great Britain, U.S A. as well as in German speaking countries by the "Flims circle". Departments involved in socio-economic evaluations are health politics, marketing, communication, health economics public relations, legal department, registration, central sales, medicine clinical trials, marketing investigation and controlling. Optimal is cooperation between economic and medical expertness

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