Health: perception versus observation Self reported morbidity has severe limitations and can be extremely misleading

摘要

Critical scrutiny of public health care and medical strategy depends, among other things, on how individual states of health and illness are assessed. One of the complications in evaluating health states arises from the fact that a person's own understanding1 of his or her health may not accord with the appraisal of medical experts. More generally, there is a conceptual contrast between "internal" views of health (based on the patient's own perceptions) and "external" views (based on the observations of doctors or pathologists). Although the two views can certainly be combined (aj good practitioner would be interested in both), major tension often exists between evaluations based respectively on the two perspectives.