The Conceptualization and Measurement of Health for Policy Relevant Research in Medical Care Delivery

by John E. Ware


Full Document

FormatFile SizeNotes
PDF file 1 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.


Purchase Print Copy

 FormatList Price Price
Add to Cart Paperback24 pages $20.00 $16.00 20% Web Discount

Discusses several issues regarding health status assessment for purposes of evaluation of medical care delivery. The issues include: (1) reasons for health status assessment, (2) the nature and number of health concepts that can be measured, and (3) some of the implications of various measurement strategies. The Health Insurance Study (HIS) is an example of a social experiment in which the measurement of health will aid in policy decisions. Solutions to the problems of health status assessment for purposes of the HIS are offered as examples that may have general applicability. It is argued that: (1) more use of health care services does not imply better care; (2) an omnibus approach to measurement of health status is required; (3) differences between disadvantaged and nondisadvantaged groups with respect to the reliability and validity of scores computed from survey measures of health must be kept in mind; and (4) self-ratings of health should be given greater emphasis in evaluating medical care.

This report is part of the RAND Corporation Paper series. The paper was a product of the RAND Corporation from 1948 to 2003 that captured speeches, memorials, and derivative research, usually prepared on authors' own time and meant to be the scholarly or scientific contribution of individual authors to their professional fields. Papers were less formal than reports and did not require rigorous peer review.

Permission is given to duplicate this electronic document for personal use only, as long as it is unaltered and complete. Copies may not be duplicated for commercial purposes. Unauthorized posting of RAND PDFs to a non-RAND Web site is prohibited. RAND PDFs are protected under copyright law. For information on reprint and linking permissions, please visit the RAND Permissions page.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.