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Research article summary:
The significance of quality of life in health care.
Abstract Extract:
This paper compares a traditional biomedical model with an outcomes model for evaluating health care. The traditional model emphasizes diagnosis and disease-specific outcomes. In contrast, the outcomes model emphasizes life expectancy and health-related ... (Full abstract text below) Published 2003
in Journal: Qual Life Res
(Language : eng)
Full Pubmed Extract
This information was retrieved, real-time, on your behalf from the public area of the Pubmed website:
1. Qual Life Res.
2003 ;12 Suppl 1():3-16
The significance of quality of life in health care.
Kaplan RM
Department of Family and Preventive Medicine, University of California, San Diego, La Jolla, CA 92093, USA. rkaplan@ucsd.edu
This paper compares a traditional biomedical model with an outcomes model for evaluating health care. The traditional model emphasizes diagnosis and disease-specific outcomes. In contrast, the outcomes model emphasizes life expectancy and health-related quality of life. Although the models are similar, they lead to different conclusions with regard to some interventions. For some conditions, diagnosis and treatment may reduce the impact of a particular disease without extending life expectancy or improving quality of life. Older individuals with multiple co-morbidities may not benefit from treatments for a particular disease if competing health problems threaten life or reduce quality of life. In preventive medicine, diagnosis of disease is made more difficult because of ambiguity, uncertainty, lead-time bias, and length bias. In some circumstances, successful diagnosis and treatment may actually reduce life expectancy or overall life quality. Example applications of the outcomes model from clinical policy analysis, individual decision making and shared decision-making are offered. The outcomes model has received little attention in dental health care but may have parallels to applications in other areas of medicine.
PMID : 12803306 [PubMed - Indexed for MEDLINE]
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Full Author Information
| First Name | LastName | Initials |
| Robert M | Kaplan | RM |
Affiliation: Department of Family and Preventive Medicine, University of California, San Diego, La Jolla, CA 92093, USA. rkaplan@ucsd.edu
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Category links from this article:- Decision Making
- Diagnosis
- Health Policy
- Health Services Research - methods
- Humans
- Life Expectancy
- Models, Theoretical
- Outcome Assessment (Health Care) - methods
- Quality of Life
- United States
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