Table 2.
Measure | Strengths | Weaknesses |
---|---|---|
Types of Scores Produced |
|
|
Single indicator number |
Global evaluation |
May be difficult to interpret |
Useful for population | ||
Single index number |
Represents net impact |
Sometimes not possible to disaggregate contribution of domains to the overall score |
Useful for cost effectiveness | ||
Profile of interrelated scores |
Single instrument |
Length may be a problem |
Contribution of domains to overall score possible |
May not have overall score |
|
Battery of independent scores |
Wide range of relevant outcomes possible |
Cannot relate different outcomes to common measurement scale |
May need to adjust for multiple comparisons | ||
May need to identify the major outcome | ||
Range of Populations and Concepts |
|
|
Generic: applied across diseases, conditions, populations, and concepts |
Broadly applicable |
May not be responsive to change |
Summarizes range of concepts |
May not have focus of patient interest |
|
Detection of unanticipated effects possible |
Length may be a problem |
|
Effects may be difficult to interpret | ||
Specific: applied to individuals, diseases, conditions, populations, or concepts/domains |
More acceptable to respondents |
Cannot compare across conditions or populations |
May be more responsive to change |
Cannot detect unanticipated effects |
|
Weighting System |
|
|
Utility: preference weights from patients, providers, or community |
Interval scale |
May have difficulty obtaining weights |
Patient or consumer view incorporated |
May not differ from statistical weights that are easier to obtain |
|
Equal-weighting: items weighted equally or from frequency or responses | Self-weighting samples |
May be influenced by prevalence |
More familiar techniques |
Cannot incorporate tradeoffs | |
Appears easier to use |
*Adapted from Patrick and Erickson, 1993.