Discuss The Underlying Assumptions And Potential Ramifications Of Having Proxy Subjective Health Status Or Evaluation Measures For Children Or Those Unable To Speak For Themselves

ANSWERS

Patient self-evaluation may be replaced with or supplemented by a proxy assessment of the health-related quality of life (HRQL). A subtle but crucial component of the proxy assessment is the perspective from which the proxy is asked to evaluate the patient. Asking a representative to assess the patient from the patient’s point of view (i.e., the proxy-patient perspective) or asking the proxy to express their viewpoint on the patient’s HRQL are two ways to elicit proxy assessments (i.e., proxy-proxy perspective). The intra-proxy gap represents the difference between the proxy-patient and proxy-proxy perspectives. In contrast, the inter-rater gap describes the difference between patient self-assessment and the proxy-patient perspective.

The inter-rater gap represents the disparity between the patient’s self-reported HRQL and the proxy’s capacity to understand the patient perspective. The broker’s ability to supply reinforcing or complementing information, i.e., reflected by the intra-proxy gap on the patient’s HRQL, will determine how informative the proxy-proxy perspective is. To underline the significance of distinguishing between proxy viewpoints in research design and HRQL measurement and to direct questions into the validity and interpretation of the meaningfulness of the proxy HRQL evaluations from each perspective, we refer to the framework. Detailed examination of the recommended paradigm can help guide future research and the use of proxy raters of HRQL in clinical trials, population health monitoring, resource allocation, and clinical management.

QUESTION

Discuss The Underlying Assumptions And Potential Ramifications Of Having Proxy Subjective Health Status Or Evaluation Measures For Children Or Those Unable To Speak For Themselves

More than 400 words

More than 3 references