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How to read the classificationHealth states are classified using eleven attributes, each with 4 or 5 levels. Level 1 indicates no limitations, while level 4 or 5 are the most severe limitations. Please note that these levels are a shorthand for the classification: they are not measurements on an interval scale.* A complete list of the attributes and levels appears as Table 1. As an example, we can look at two health states related to cancer, the first describing a health state at diagnosis and the second describing a health state for the last month of life, during terminal care. Individuals with early stage breast cancer could be described by the following:
Click on each number to see which attribute and level of severity it represents. For example, the third number under "Core" corresponds to the attribute Emotional State. Level 3 of this attribute is "Somewhat unhappy". By contrast, the following describes terminal care:
Classification of the major health states in the progression and treatment of diabetes are provided in the Summary table. * For instance, the difference between level 1 and level 2 is not the same as between level 3 and level 4. In addition, attributes are not equally important in terms of health state preferences. For more information on health state preferences developed from these scores, please see http://www.phac-aspc.gc.ca/phi-isp/index.html. |
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