生命质量评价(XXXX).pptx

案 例 讨 论甲乙丙三人的生存时间一样么？谁的生存状态更好呢？Case Discussion健康寿命CBA生活自理能力生活自理能力线甲乙丙D0E年龄出生寿命死亡生命质量评价Quality of life, QOLAssessment 哈尔滨医科大学社会医学教研室 宁 宁教学目的和要求生命质量的概念（Concept）评价内容与方法（Contents Methods）测量工具（Measurement）生命质量评价的应用（Application）Quality of Life???社会医学——生命质量评价生存质量生活质量生命质量（狭义）基层中层高层第一节 QOL的概念及发展史观点一：有本质的差别相同的定义相同的评价方法观点二：无本质的差别第一节 社会医学——生命质量评价——生命质量的概念Social indicatorTwo partsQOLI、 Development history of QOLEarly stageUSA in the 1930sSocial indicatorStabilization stage1950-60sDifferentiation stageThe end of 1970sHealth-related QOL第一节 社会医学——生命质量评价——生命质量的概念post WWIII、 Development history of QOL （cont.）American economist J．K．Galbraithproposed QOL firstly in 1958。The Affluent Society 第一节 社会医学——生命质量评价——生命质量的概念1960I、 Development history of QOL （cont.）社会发展指标Social Indicators+++healthGood lifeeducationQOL =+welfareEconomic and industry growth+Defense of the free worldPresident Eisenhowerin Commission on National Goals第一节 社会医学——生命质量评价——生命质量的概念late 1960I、 Development history of QOL （cont.）“生活质量”派ideologyfreedomenjoymaterialismQOLleisure概念转移affectionsimplelove第一节 社会医学——生命质量评价——生命质量的概念Disease spectrumMedicineQOLHRQOLHealth viewMedical modelHEALTHHRQOL：健康相关生命质量PhysicalPsychologicalsocialI、 Development history of QOL （cont.）Disease spectrumMedicineHealth viewMedical modelHEALTHPhysicalPsychologicalsocial第一节 社会医学——生命质量评价——生命质量的概念众说纷纭的生命质量第一节 社会医学——生命质量评价——生命质量的概念Aaronson: “QOL`s objective was difficult to master”众说纷纭的生命质量Andrews: Nice feelingCrib: Degree of optimism towards lifeHolmes: QOL means a kind of happiness, which is such a state to really express oneself in life, get rid of false thought and live calmly.Levi: It is a kind of comprehensive measure to the well adaptation of individual or group to the whole physical, psychological and social factors. The result is expressed by blessedness, satisfaction or contentment.Fayos: QOL is that the patient has the ability to manage one`s lifeCella: QOL is the agreement and satisfaction reached when patient compares the current