The relationship among strength and mobility measures and self-report outcome scores in persons after rotator cuff repair surgery:Impairment measures are not enough
Until recently, few investigators challenged the pre-vailing medical view of health. Medicine perceived health as an observable, biologic fact, and the goal of medical assessment was to objectively evaluate the body’s status. Because patient reports of health status are subjective, they were considered unreliable and unscientific. The use of self-reports to evaluate health and health outcomes, however, has burgeoned in the last 10 to 20 years, as has the authority assigned to patients’ evaluations. Sullivan 14 described this move toward a “new subjective medicine” as a change in medicine’s focus from patients’ bodies to patients’ lives. In the current milieu, self-reported perceptions of health, function, and health-related quality of life (of-ten called patient-centered outcomes) are prominent. These outcomes have authority not in spite of their subjectivity but because of their subjectivity. The inter-est of health policy agents and third-party insurers in health care value and cost-effectiveness may have been at the root of the shift toward patient-centered outcomes.14
Source: Toni S. Roddey, PT, PhD, OCS, FAAOMPT,a Karon F. Cook, PhD,b,c,d Kimberly J. O’Malley, PhD,b,e and Gary M. Gartsman, MD,f Houston, TX http://www.drgartsman.com
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Roddey JSES 2005.pdf 93.951 KB (93951 bytes)
