The And Quality Of Life Structure Essay

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2.3 Health index
2.3.1 The WHO quality of life structure
The Constitution of the World Health Organization (WHO) defines health as "A state of complete physical, mental, and social well-being not merely the absence of disease". It follows that the measurement of health and the effects of health care must include not only an indication of changes in the frequency and severity of diseases but also an estimation of wellbeing and this can be assessed by measuring the improvement in the quality of life related to health care. Although there are generally satisfactory ways of measuring the frequency and severity of diseases this is not the case in so far as the measurement of wellbeing and quality of life are concerned.
WHO defines Quality of Life as individuals’ perception of their position in life in the context of the culture in which they live and in relation to their goals and expectations. It is a broad ranging concept affected in a complex way by the person 's physical health, psychological state, level of independence, social relationships, personal beliefs and their relationship to the features of their environment. The six domains of quality of life, and the twenty-four facets covered within each domain are shown below. Four items are included for each facet, as well as four general items covering subjective overall QOL and health, producing a total of 100 items in the assessment. All items are rated on a five point scale (1-5) (WHOQOL, 1997).
Domain Indicators
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