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Quality of Life Assessment: Key Issues in the 1990s pp 151–178Cite as

A health index and output measure

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Abstract

This is a review of the work done by our group over the past 20 years. During this time some of the problems in designing global indices of health (see Refs 14, 20, 22, 23 and 32) and incorporating the same principles of utility measurement into studies of the output of services and in particular, of hospitals have been investigated27. Originally, the aim was to specify minimal data requirements which could be recorded routinely using existing Hospital Activity Analysis Forms, or obtained by minor modifications in the General Household Survey. Recently, more detailed descriptions which are necessary to produce a sensitive measure of change for clinical trials have been studied. This review will consider the following aspects of work: (a) background; (b) model (i.e. algebraic representation of health status); (c) implementation (from model to measure); (d) output measurement (application of model in Health service settings); (e) index of health (application of model to national community data); (f) towards a profile (detailed descriptors for use in clinical trials); (g) recent research (scaling of three-dimensional classification, time-related factors, the effect of diagnosis on the utility of health states and utilities representative of the population); (h) current research; and (i) conclusion (related to policy formation at regional and district levels).

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References

  1. Ashley, J.S.A., Howlett, A. and Morris, J.W. Case fatality of hyperplasia of the prostrate in two teaching and three regional-board hospitals. Lancet 1971; ii: 1308–1311.

    Article  Google Scholar 

  2. Benson, T.I.R. Classification of disability and distress by ward nurses. A reliability study. Int. J. Epidemiol. 1978; 7: 359–361.

    Article  PubMed  CAS  Google Scholar 

  3. Bush, J.W., Chen, M.M. and Zaremba, J. Estimating health program outcomes using a Markov Equilibrium Analysis of disease development. Am. J. Public Health 1971; 61: 2362–2375.

    Article  PubMed  CAS  Google Scholar 

  4. Butterfield, W.J.H. Priorities in Medicine. Rock Carling Fellowship. Oxford, Oxford University Press, 1968.

    Google Scholar 

  5. Chiang, C.L. An Index of Health: Mathematical Models. Public Health Service Publication No 1000. Series 2, No.5, Washington, U.S. Government Printing Office, 1965.

    Google Scholar 

  6. Cockcroft, A., Bagnall, P., Heslop, A. et al. Respiratory health worker visiting patients with chronic respiratory disability. Br. Med. J. 1987 (In press).

    Google Scholar 

  7. Culyer, A.J., Lavers, R.J. and Williams, A. Social Indicators: Health Social Trends, 31–42. London, Her Majesty's Stationery Office, 1971.

    Google Scholar 

  8. Ekman, G. Measurement of moral judgement: a comparison of scaling methods. Percept. Mot. Skills 1962; 15: 3–9.

    Article  PubMed  CAS  Google Scholar 

  9. Fanshel, S. and Bush, I.W. A health status index and its application to health service outcomes. Operation Res. 1970; 18: 1021–1066.

    Article  Google Scholar 

  10. Feldstein, M.S. Econometric Analysisfor Health Service Efficiency. Amsterdam, North-Holland Publishing Company, 1967.

    Google Scholar 

  11. Gibbs, R.J. Performance Measures in Public Services. Ph.D. Thesis, University of Warwick, 1974.

    Google Scholar 

  12. Katz, S., Ford, A.B., Moskowitz, R.W. et al. Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychological function. J. Am. Med. Assoc. 1963; 185: 914–919.

    Article  CAS  Google Scholar 

  13. Kind, P. and Rosser, R.M. Death and dying: scaling of death for health status indices. In Barber, B., Grémy, F., Überia, K. et al. (eds) Lecture Notes on Medical Informatics, Vol. 5., Berlin, Springer-Verlag, 1979, pp. 28–36

    Google Scholar 

  14. Kind, P. and Rosser, R.M. Health indicators: sensitivity and robustness. In Tilquin, C. (ed.) Systems in Health Care, Oxford, Pergamon Press, 1981, pp. 579–586.

    Google Scholar 

  15. Kind, P. and Rosser, R.M. The quantification of health. Eur. J. Social Psychol. 1988; 18: 63–77

    Article  Google Scholar 

  16. Kind, P., Rosser, R.M. and Williams, A. Valuation of quality of life: some psychometric evidence. In Jones-Lee, M.W. (ed.) The Value of Life and Safety. Amsterdam, North-Holland Publishing Co. 1982, pp. 159–170.

    Google Scholar 

  17. McKeown, T., Butterfield, W.J.H. and Cochrane, A. Screening in Medical Care, Reviewing the Evidence, a collection of essays. Oxford, Oxford University Press, 1968.

    Google Scholar 

  18. Nightingale, F. Notes on Hospitals (3rd edn) London, Longman, Roberts and Green, 1863.

    Google Scholar 

  19. Packer, A.H. Applying cost-effectiveness concepts to the community health system. Operations Res. 1968; 227–253.

    Google Scholar 

  20. Rosser, R.M. Recent studies using a global approach to measuring illness. Med. Care 1976; 14, No.5, (Suppl.) 138–147.

    PubMed  CAS  Google Scholar 

  21. Rosser, R.M. A Set of Descriptions and a Psychometric Scale of Severity of Illness: An Indicator for use in Evaluating the Outcome of Hospital Care. Ph.D. Thesis, University of London, 1980.

    Google Scholar 

  22. Rosser, R.M. Issues of measurement in the design of health indicators: a review. In Culyer, A.J. (ed.) Health Indicators. Amsterdam, North-Holland Biomedical Press, 1983, pp. 34–81.

    Google Scholar 

  23. Rosser, R.M. A history of the development of health indicators. In Teeling Smith, G. (ed.) Measuring the Social Benefits of Medicine. London, Office of Health Economics, 1983, pp. 60–62.

    Google Scholar 

  24. Rosser, R.M. and Benson, T.J.R. New tools for evaluation: their applications to computers. In Andersen, J. (ed.) Lecture Notes on Medical Informatics, Vol. 1. Berlin, Springer-Verlag, 1978, pp. 701–710.

    Google Scholar 

  25. Rosser, R.M. and Kind, P. A scale of valuations of states of illness-Is there a social consensus? In. J. Epidemiol. 1978; 7: 347–358.

    Article  CAS  Google Scholar 

  26. Rosser, R.M. and Watts, V.C. The Output of a Health Care System, Presented at the Annual Conference of the Operational Research Society of American, Dallas. 1971.

    Google Scholar 

  27. Rosser, R.M. and Watts, V.C. The measurement of hospital output. In. J. Epidemiol. 1972; 1: 361–368.

    Article  CAS  Google Scholar 

  28. Rosser, R.M. and Watts, V.C. Health and welfare systems. In Ross, M.W. (ed.) OR 72. Amsterdam, North-Holland Publishing Company, 1972, pp. 655–669.

    Google Scholar 

  29. Rosser, R.M. and Watts, V.C. Disability: a clinical classification. N. Law J. 1975; 125: 323–328.

    Google Scholar 

  30. Rosser, R.M. and Watts, V.C. Operational Objectives for Health Services. Proceedings of the Conference of the European Federation of Operational Research Societies (Euro II), Stockholm, 1976, pp. 421–433.

    Google Scholar 

  31. Rosser, R.M. and Watts, V.C. Measurement of the Effectiveness of Health Services. Proceedings of the International Congress on Computing in Medicine (Med. Comp. '77) Berlin. Outline Conferences, 1977, pp. 559–572.

    Google Scholar 

  32. Rosser, R.M. and Watts, V.C. The measurement of illness. J. Operational Res. 1978; 29: 529–540.

    CAS  Google Scholar 

  33. Sellin, T. and Wolfgang, M. The Measurement of Delinquency. New York, John Wiley and Sons, 1964.

    Google Scholar 

  34. Stevens, S.S. On the theory of scales of measurement. Science. 1946; 103: 677–680.

    Article  Google Scholar 

  35. Stevens, S.S. Measurement, psychophysics and utility. In Churchman, C.W. and Ratoosh, P. (eds) Measurement, Definitions and Theories, New York, John Wiley, 1959, pp. 18–63.

    Google Scholar 

  36. Torrance, G.W. Measurement of health state utilities for economic appraisal. A review. J. Health Econ. 1986; 5: 1–30.

    Article  PubMed  CAS  Google Scholar 

  37. Torrance, G.W., Thomas, W.H. and Sackett, D.L. A utility maximization model for evaluation of health care programs. Health Serv. Res. 1972; 7: 118–133.

    PubMed  CAS  Google Scholar 

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Authors
  1. Rachel M. Rosser
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Editors and Affiliations

  1. Welsh School of Pharmacy, University of Wales College, Cardiff, UK

    Stuart R. Walker (Director of the Centre for Medicines Research, Carshalton, and Honorary Professor) (Director of the Centre for Medicines Research, Carshalton, and Honorary Professor)

  2. University College and Middlesex School of Medicine, London University, London, UK

    Rachel M. Rosser (Professor of Psychiatry and Head of Department) (Professor of Psychiatry and Head of Department)

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© 1993 Springer Science+Business Media Dordrecht

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Rosser, R.M. (1993). A health index and output measure. In: Walker, S.R., Rosser, R.M. (eds) Quality of Life Assessment: Key Issues in the 1990s. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-2988-6_7

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  • DOI: https://doi.org/10.1007/978-94-011-2988-6_7

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-5328-0

  • Online ISBN: 978-94-011-2988-6

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