Valid evaluation of self-perceived health status is important for the promotion of individual health and quality of life, In advanced countries, many types of health profile have been developed, and currently, the SF-36, NHP, and EuroQol, etc, are widely used. However, the outcomes of these profiles...
Valid evaluation of self-perceived health status is important for the promotion of individual health and quality of life, In advanced countries, many types of health profile have been developed, and currently, the SF-36, NHP, and EuroQol, etc, are widely used. However, the outcomes of these profiles may vary according to regional, cultural or emotional backgrounds. For these reasons a Korean Health Profile should be developed. In this study, we reviewed the concept of self-perceived health status, and its significance to public health, and reviewed some of the differences between the available profiles in 139 related publications. Based on this review, we are trying to develop a Korean Health Profile in order to measure the self-perceived health stati of Koreans.
Valid evaluation of self-perceived health status is important for the promotion of individual health and quality of life, In advanced countries, many types of health profile have been developed, and currently, the SF-36, NHP, and EuroQol, etc, are widely used. However, the outcomes of these profiles may vary according to regional, cultural or emotional backgrounds. For these reasons a Korean Health Profile should be developed. In this study, we reviewed the concept of self-perceived health status, and its significance to public health, and reviewed some of the differences between the available profiles in 139 related publications. Based on this review, we are trying to develop a Korean Health Profile in order to measure the self-perceived health stati of Koreans.
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문제 정의
이 연구는 한국인의 자가평가 건강수준 측정을 위한 도구를 개발하기 위한 사전 연구로, 자가평가 건강수준의 개념과 보건학적 의의, 기존에 사용되고 있는 도구의 활용과 특성, 차이점 등을 관련 문헌 탐색을 통하여 살펴 본 것이다. 연구 결과 한국인의 자가평가 건강수준을 측정하기 위한 도구의 개발이 필요하다고 생각되며, 이 연구는 이를 위한 이론적 배경과 틀을 제시하고 있다.
하지만 이러한 도구는 지역적, 문화적, 정서적 배경에 따라 결과가 매우 다르게 나타날 것이다. 이 연구는 한국인의 자가평가 건강수준 측정을 위한 도구를 개발하기 위한 사전 연구로, 자가평가 건강수준의 개념과 보건학적 의의, 기존에 사용되고 있는 도구의 활용과 특성, 차이점 등을 관련 문헌 탐색을 통하여 살펴 본 것이다. 연구 결과 한국인의 자가평가 건강수준을 측정하기 위한 도구의 개발이 필요하다고 생각되며, 이 연구는 이를 위한 이론적 배경과 틀을 제시하고 있다.
이에 저자는 한국인의 자가평가 건강 수준 측정을 위한 도구 개발의 필요성을 인식하고, 우선 사전 연구의 형태로서 자가평가 건강수준의 개념과 보건학적 의의, 현재 개발되어 사용되고 있는 도구의 활용과 특성, 장단점 등을 관련 문헌 고찰을 통하여 비교 . 평가함으로써 한국형건강 수준 측정도구 개발의 이론적 배경과 틀을 제시하고자 하였다.
통하여 비교 . 평가함으로써 한국형건강 수준 측정도구 개발의 이론적 배경과 틀을 제시하고자 하였다.
가설 설정
Figure 1. The concept of subjective health status.
제안 방법
또한 응답 완성 에 소요되는 시 간, 수용성(acceptability), 타당도와 신뢰도 등, 각 측정 도구의 질적 특성을 비교하여 보았다 (Table 5). 설문완성 시간은 문항수가 많고, 문항의 응답 범주가 다소 복잡한 SF-36이 10분 내외로 가장 길었으며, NHP는 중간이었고 EuroOole 2분 정도로 가장 짧았다.
of Well-Being Scale (QWB) 등이 있다. 이들 도구의 내용을 비교하여 정리하였다 (Table 6).
Impact Profile), HIE (Health Insurance Experiment) 등이 있다. 이들 중 최근 가장 많이 이용되는 SF-36, NHP, Euro-Q이 등을 구체적으로 고찰하였다.
이상의 세 가지 측정도구의 내용과 질적 특성을 문항 내용이 같은 건강 영역을 의미하는 것으로 간주할 수 있는 분야로 묶어 비교하여 보았다 (Table 4).SF-36는건강의 구성 개념이 크게 physical functioning, role-physical, bodily pain, vitality, social functioning, role-emotional, mental healths] 8개로 대별되며, NHP는 physical mobility, pain, sleep, energy, social isolation, emotional reaction의 6개 분야, 그리고 EuroQole mobility, self-care, usual activity, pain/ discomfort, anxiety/depression의 5 개 분야로 나뉘어진다.
성능/효과
또한 응답 완성 에 소요되는 시 간, 수용성(acceptability), 타당도와 신뢰도 등, 각 측정 도구의 질적 특성을 비교하여 보았다 (Table 5). 설문완성 시간은 문항수가 많고, 문항의 응답 범주가 다소 복잡한 SF-36이 10분 내외로 가장 길었으며, NHP는 중간이었고 EuroOole 2분 정도로 가장 짧았다. 이런 SF-36의 단점을 극복하기 위하여 최근 SF-6D [110], SF-12 [138], SF-20 [139] 등을 개발하기도 하였다.
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