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International Journal for Quality in Health Care 8:115-123 (1996)
© 1996 International Society for Quality in Health Care

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The Hubris of Health Status Measurement: a Clarification of its Role in the Assessment of Medical Care

NORBERT GOLDFIELD

3M/Health Information Systems Inc., Department of Health Services, Boston University School of Public Health, Baystate Medical Center Springfield, Massachusetts, USA

Numerous advances in health status measurement have occurred in the past several years. Of the many challenges, one, in particular, is important for any health reform proposal to succeed. That is, while many researchers point to health status measures as a means of evaluating outcomes of competing health plans, this paper outlines difficulties with such a proposal. The paper then provides different suggestions for dealing with this important issue. Most notably, a community based health status assessment is recommended. Copyright © 1996 Elsevier Science Ltd.

Keywords: Health status measurement, assessment, medical care

N. Goldfield, 3M/Health Information Systems Inc., 100 Barnes Rd, Wallingford, CT 06492, USA. Tel. 203-949-6330; Fax 203-949-6331.

Received for publication December 8, 1995. Accepted for publication December 12, 1995.


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