Misurazione soggettiva dello stato di salute: peculiarità dell'approccio economico.

Translated title of the contribution: Health status indicators: features of the economic approach

S. Ghislandi, G. Bertolini, L. Garattini

Research output: Contribution to journalArticle

Abstract

Quality of Life (QoL) instruments are often considered similar, since they all concern subjective health state valuations. Actually, among the set of QoL scales, it is possible to distinguish two approaches, different in terms of both goals and tools. The clinical approach elicits functional limitations as perceived by patients, the economic approach is aimed at solving allocation problems generated by scarsity of resources. The major goal of this article is to analyse the economic approach to health state subjective valuation. By using QoL questionnaires, economists attempt to set up quantitative indexes which can value any kind of health outcome. Thus the economic approach seems to be more ambitious than the clinical one. However, the results so far achieved are quite disappointing, especially if compared to those of the clinical approach. In particular, economic scales still suffer a general lack of validation, due to the scarcity of studies conducted on relevant samples. Accordingly, indexes now available seem to require substantial revision. In general, further significant efforts seem necessary to improve the methodology inside the field of HRQoL measures. Integrating the two approaches, as recently attempted, could be a sound strategy.

Original languageItalian
Pages (from-to)262-269
Number of pages8
JournalEpidemiologia e prevenzione
Volume24
Issue number6
Publication statusPublished - 2000

Fingerprint

Health Status Indicators
Economics
Diagnostic Self Evaluation
Quality of Life
Health

Cite this

Misurazione soggettiva dello stato di salute : peculiarità dell'approccio economico. / Ghislandi, S.; Bertolini, G.; Garattini, L.

In: Epidemiologia e prevenzione, Vol. 24, No. 6, 2000, p. 262-269.

Research output: Contribution to journalArticle

@article{e7c2c355d955408c84ef6f99a623d533,
title = "Misurazione soggettiva dello stato di salute: peculiarit{\`a} dell'approccio economico.",
abstract = "Quality of Life (QoL) instruments are often considered similar, since they all concern subjective health state valuations. Actually, among the set of QoL scales, it is possible to distinguish two approaches, different in terms of both goals and tools. The clinical approach elicits functional limitations as perceived by patients, the economic approach is aimed at solving allocation problems generated by scarsity of resources. The major goal of this article is to analyse the economic approach to health state subjective valuation. By using QoL questionnaires, economists attempt to set up quantitative indexes which can value any kind of health outcome. Thus the economic approach seems to be more ambitious than the clinical one. However, the results so far achieved are quite disappointing, especially if compared to those of the clinical approach. In particular, economic scales still suffer a general lack of validation, due to the scarcity of studies conducted on relevant samples. Accordingly, indexes now available seem to require substantial revision. In general, further significant efforts seem necessary to improve the methodology inside the field of HRQoL measures. Integrating the two approaches, as recently attempted, could be a sound strategy.",
author = "S. Ghislandi and G. Bertolini and L. Garattini",
year = "2000",
language = "Italian",
volume = "24",
pages = "262--269",
journal = "Epidemiologia e prevenzione",
issn = "1120-9763",
publisher = "Zadig s.r.l",
number = "6",

}

TY - JOUR

T1 - Misurazione soggettiva dello stato di salute

T2 - peculiarità dell'approccio economico.

AU - Ghislandi, S.

AU - Bertolini, G.

AU - Garattini, L.

PY - 2000

Y1 - 2000

N2 - Quality of Life (QoL) instruments are often considered similar, since they all concern subjective health state valuations. Actually, among the set of QoL scales, it is possible to distinguish two approaches, different in terms of both goals and tools. The clinical approach elicits functional limitations as perceived by patients, the economic approach is aimed at solving allocation problems generated by scarsity of resources. The major goal of this article is to analyse the economic approach to health state subjective valuation. By using QoL questionnaires, economists attempt to set up quantitative indexes which can value any kind of health outcome. Thus the economic approach seems to be more ambitious than the clinical one. However, the results so far achieved are quite disappointing, especially if compared to those of the clinical approach. In particular, economic scales still suffer a general lack of validation, due to the scarcity of studies conducted on relevant samples. Accordingly, indexes now available seem to require substantial revision. In general, further significant efforts seem necessary to improve the methodology inside the field of HRQoL measures. Integrating the two approaches, as recently attempted, could be a sound strategy.

AB - Quality of Life (QoL) instruments are often considered similar, since they all concern subjective health state valuations. Actually, among the set of QoL scales, it is possible to distinguish two approaches, different in terms of both goals and tools. The clinical approach elicits functional limitations as perceived by patients, the economic approach is aimed at solving allocation problems generated by scarsity of resources. The major goal of this article is to analyse the economic approach to health state subjective valuation. By using QoL questionnaires, economists attempt to set up quantitative indexes which can value any kind of health outcome. Thus the economic approach seems to be more ambitious than the clinical one. However, the results so far achieved are quite disappointing, especially if compared to those of the clinical approach. In particular, economic scales still suffer a general lack of validation, due to the scarcity of studies conducted on relevant samples. Accordingly, indexes now available seem to require substantial revision. In general, further significant efforts seem necessary to improve the methodology inside the field of HRQoL measures. Integrating the two approaches, as recently attempted, could be a sound strategy.

UR - http://www.scopus.com/inward/record.url?scp=0034331811&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034331811&partnerID=8YFLogxK

M3 - Articolo

C2 - 11219203

AN - SCOPUS:0034331811

VL - 24

SP - 262

EP - 269

JO - Epidemiologia e prevenzione

JF - Epidemiologia e prevenzione

SN - 1120-9763

IS - 6

ER -