Until recently, and with the exception of a few studies already cited, health-related quality of life (HRQL) has been included infrequently in traditional health services research. The expansion and development of HRQL measurement has emerged primarily from clinical research. What is needed urgently is careful and appropriate inclusion of HRQL outcomes in traditional health services research. Similarly, researchers in clinical settings who are measuring HRQL should account for the structure and process of care in designing their research and data collection. As indicated throughout this chapter, the potential for accomplishing this goal is on the horizon.
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