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<pubDate>Wed, 08 Sep 2010 23:55:38 GMT</pubDate>
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			<link>http://www.drgartsman.com/en/art/21/</link>
			<title>The relationship among strength and mobility measures and self-report outcome scores in persons after rotator cuff repair surgery:Impairment measures are not enough</title>
			<description>&lt;span class=&quot;body_copy&quot;&gt;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&amp;rsquo;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&amp;rsquo; evaluations. Sullivan 14 described this move toward a &amp;ldquo;new subjective medicine&amp;rdquo; as a change in medicine&amp;rsquo;s focus from patients&amp;rsquo; bodies to patients&amp;rsquo; 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&lt;/span&gt; 
&lt;br&gt;&lt;br&gt;31-Mar-05 8:00 AM
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			<itunes:subtitle>The relationship among strength and mobility measures and self-report outcome scores in persons after rotator cuff repair surgery:Impairment measures are not enough</itunes:subtitle>
			<itunes:summary>&lt;span class=&quot;body_copy&quot;&gt;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&amp;rsquo;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&amp;rsquo; evaluations. Sullivan 14 described this move toward a &amp;ldquo;new subjective medicine&amp;rdquo; as a change in medicine&amp;rsquo;s focus from patients&amp;rsquo; bodies to patients&amp;rsquo; 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&lt;/span&gt;</itunes:summary>
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			<pubDate>Thu, 31 Mar 2005 13:00:00 GMT</pubDate>
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