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Report on Joint UNECE/WHO/Eurostat Task Force on Measurement of Health Status

Report on Joint UNECE/WHO/Eurostat Task Force on Measurement of Health Status. Jennifer H. Madans U.S.A. First Meeting: 24-26 May 2004 , Geneva Switzerland. Recommendation: Establish a Steering Group and a Working Group

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Report on Joint UNECE/WHO/Eurostat Task Force on Measurement of Health Status

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  1. Report on Joint UNECE/WHO/Eurostat Task Force on Measurement of Health Status Jennifer H. Madans U.S.A.

  2. First Meeting: 24-26 May 2004, Geneva Switzerland Recommendation: Establish a Steering Group and a Working Group The Working Group will work toward the development of a new common instrument and will coordinate with existing groups such as the Eurostat Group on HIS and the Washington Group.

  3. Terms of Reference for the Task Force • To review the basic principles broadly agreed to at the May meeting and in particular: • To agree on a common basic terminology • To consider how to approach the use of the ICF as the framework for question development

  4. Terms of Reference for the Task Force • To determine the criteria for selecting health domains. • To select the domains based on criteria elaborated and provide solid explanations • To identify a draft set of questions to cover the selected domains to be discussed at the Meeting in 2005 • To conduct statistical, cognitive and field testing of the set of questions to be agreed at the Meeting in 2005

  5. Current Activities Develop two papers that address aspects of the terms of reference and present the papers for discussion at the next meeting of the Task Force

  6. Paper 1: Health as a Multidimensional Construct and Cross-Population Comparability • Distinction between health status and health state • Multi-dimensional approach to health state description • ICF as the framework for measuring health status • What is it that should be measured for a given health state? • Distinguishing health states from determinants and consequences • Health states are attributes of individuals • Comparability of measurement for health states • Development of criteria for the selection of domain

  7. Paper 2: Identification of Domains and the Development of Questions • Physical functioning - mobility • Physical functioning - dexterity • Vitality/Fatigue • Affect • Anxiety • Vision • Hearing • Pain and Discomfort • Cognition • Memory and concentration • Thinking and problem solving • Social relationships and functioning including communication

  8. Next meeting Meeting in Budapest, Hungary Nov. 14-16, 2005

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