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Quality of life: A model for evaluating Health for all. Conceptual considerations and policy implications

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Sozial- und Präventivmedizin

Summary

The potential of the quality of life (QoL) concept lies in its basically positive meaning and interdisciplinary acceptance. This can be used when the Public Health sector tries to develop health into a resource concept, as is the intention of the WHO Health For All Strategy. Out of different scientific views on QoL this paper synthetises a theoretical framework of QoL and describes how this concept can be used in practice when evaluating the health resources of a population.

Résumé

Le concept de qualité de vie a l'avantage de présenter à la base un sens positif et aussi une acceptation interdisciplinaire. Cela peut se révéler utile à un moment où la science de la santé publique essaie de développer la santé selon un concept de moyens et cela constitue un but parmi les directives de Santé pour Tous énoncés par l'OMS (Organisation Mondiale de la Santé). Cette présentation résume un cadre théorique concernant le concept de la qualité de vie, émanant de différentes interprétations scientifiques et montre aussi comment le concept peut être applicable à l'évaluation des ressources de santé dans une population.

Zusammenfassung

Das Potential des Begriffs Lebensqualität liegt in der grundliegenden positiven Bedeutung und querwissenschaftlichen Anerkennung. Dieses kann von Nutzen sein, wenn das öffentliche Gesundheitswesen versucht, Gesundheit als einen Hilfsmittelbegriff zu entwickeln, welches das Ziel der Strategien von “Gesundheit für Alle” der WHO ist. Diese Abhandlung schafft einen theoretischen Rahmen aus verschiedenen wissenschaftlichen Anschauungen und beschreibt wie dieser Begriff praktisch in der Auswertung der Gesundheit der Bevölkerung angewendet werden kann.

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References

  1. WHO. Regional Committee for Europe. Forty-First Session, Lisbon, 10–14 September 1991. Copenhagen, WHO, 1991.

    Google Scholar 

  2. Antonovsky A. Health, Stress and Coping. San Francisco: Jossey Bass, 1979.

    Google Scholar 

  3. Antonovsky A. Unraveling the Mystery of Health. San Francisco: Jossey Bass, 1987.

    Google Scholar 

  4. Rutter M. Resilience in the face of adversity. Br J Psych 1985,147:598–611.

    Google Scholar 

  5. Anthony EJ. Children at psychiatric risk. In: Anthony EJ, Koupernik C. (eds.) The Child is his family. New York: Wiley, 1974.

    Google Scholar 

  6. Werner EE, Smith RS. Kauia's Children come of age. Honolulu, University of Hawaii Press, 1977.

    Google Scholar 

  7. Werner EE, Smith RS. Vulnerable but invincible. A longitudinal study of resilient children and youth. New York: MC Graw Hill, 1982.

    Google Scholar 

  8. Nussbaum MC. The fragility of goodness. Cambridge: Cambridge University Press, 1986.

    Google Scholar 

  9. Allardt E. Experiences from the Comparative Scandinavian Welfare Study, with a Bioliography of the Project. European J Political Research 1981;9:101–111.

    Google Scholar 

  10. Campbell A, Converse PE, Rogers WL. The quality of American life: Perceptions, evaluations and satisfactions. New York: Russel Sage Foundation, 1976.

    Google Scholar 

  11. Andrews FM, Whitney SB. Social indicators of well-being: The development of and measurement of perceptual indicators. New York: Plenum Press, 1976.

    Google Scholar 

  12. Schalock RL. Quality of life perspectives and issues. Washington DC, American Association on Mental Retardation Special Publications, 1990.

    Google Scholar 

  13. Ingelhart R, Rabier JC. If you are unhappy this must be Belgium: Well-being around the world. Public Opinion 1985;2:10–15.

    Google Scholar 

  14. Mastekaasa A, Moum T, Naess S, Sörensen T. Quality of Life research (Nor). Oslo, ISF Rapport 1988:6.

  15. Morris MD. Measuring the Condition of the World's Poor: The Physical Quality of Life Index, New York: Pergamon Press, 1979.

    Google Scholar 

  16. Jordan TE. Developing an international index of quality of life for children: The NICQL Index. JRSH 1983;4:127–130.

    Google Scholar 

  17. UNICEF. State of the World's Children, Oxford, New York: Oxford University Press, 1991.

    Google Scholar 

  18. Human Development report,UNDP (United Nations Development Programme), New York: Oxford University Press, 1992.

  19. Bulatao RA. On the nature of the transition in the value of children. Papers of the East West Population Institute, No 60A, 60B, Honolulu, East West Center, 1979.

    Google Scholar 

  20. Kaplan RM, Anderson JP. The general health policy model: An integrated approach. In: Spiker B. (ed.) Quality of life assessments in clinical trials. New York: Raven Press Ltd, 1990.

    Google Scholar 

  21. Karnofsky DA, Abelmann WH, Craver LF, Burchenal JH. The use of nitrogen mustards in the palliative treatment of carcinoma: With particular reference to bronchogenic carcinoma. Cancer 1948;1:634–656.

    Google Scholar 

  22. Flanagan JC. Measurement of Quality of Life: Current state of the art. Arch Phys Med Rehabil 1982;63:56–69.

    Google Scholar 

  23. Perris H, Hörnquist M, Lundberg S. Evaluation of the QoL in deinstitutionalised patients and patients in hospitals. (Swe) Report from the Psychiatric Clinic, Umeå, New Series 3, 1983.

  24. Hollandsworth J. Evaluating the impact of medical treatment on the quality of life: A five year update. Soc Sci Med 1988;4:425–34.

    Google Scholar 

  25. de Haes JCJM, van Knippenberg FCE. The quality of life of cancer patients: a review of the literature. Soc Sci Med 1985;8:809–817.

    Google Scholar 

  26. Fowlie M, Berkeley J. Quality of life — a review of the literature. Family Practice 1987;3:226–234.

    Google Scholar 

  27. Najman J, Levine S. Evaluating the impact of medical care and technologies on the quality of life: A review and critique. Soc Sci Med 1981;15:107–115.

    Google Scholar 

  28. Goode D. Principles and recommendations from the QoL Project. The Mental Retardation Institute New York Medical College, Valhalla New York.

  29. Miettinen OS. Quality of life from the epidemiologic perspective. J Chron Dis 1987;6:641–643.

    Google Scholar 

  30. Strauss AL. Chronic illness and quality of life. 2nd Edit. CV Mosby Co, ST Louis/Toronto, 1984.

    Google Scholar 

  31. Aaronson NK. Quantitative issues in health-related quality of life assessment. Health Policy 1988;10:217–230.

    Google Scholar 

  32. Lindström B. Children and Quality of Life (Dan.). In: Fasting U, Michelsen N, Sommer D (eds.). A revolution at knee level. Munksgaard, Copenhagen, 1988:111–128.

    Google Scholar 

  33. Guyatt GH, Bomabardier C, Tugwell PX. Measuring disease specific quality of life in clinical trials, C. M. A. J. 1986;134: 889–895.

    Google Scholar 

  34. Blumer H. Symbolic interactionism: Perspective and method. Englewood Cliffs, NJ Presentice Hall, 1969.

    Google Scholar 

  35. Dahlin L, Cederblad M, Antonovsky, Hagnell O. Childhood vulnerability and adult invincibility. Acta Psych Scand 1990;82:228–232.

    Google Scholar 

  36. Jahoda M. Current concepts of positive mental health. New York: Basic Books, 1958.

    Google Scholar 

  37. Hörnquist JO. Quality of Life. Concept and assessment of quality of life. Scand Journ Soc Med 1989;18:69–79.

    Google Scholar 

  38. Naess S. Quality of Life Research, Concepts, Methods and Applications. Inst of Applied Social Research, Oslo, 1987.

    Google Scholar 

  39. Kajandi M. Quality of life (Swe). A literature study of quality of life as a concept of behavioural science and a suggestion for a definition. OP Rapport, Ulleråkers sjukhus, Uppsala, 1981.

    Google Scholar 

  40. Drummon MF. Resource allocation decisions in health care: a role for quality of life assessments? J Chron Dis 1987; 605–616.

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Lindström, B. Quality of life: A model for evaluating Health for all. Conceptual considerations and policy implications. Soz Präventivmed 37, 301–306 (1992). https://doi.org/10.1007/BF01299136

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