However, a precise translation from behavior to cognition requires a better operationalization of concepts such as short-term memory, long-term memory, working memory, encoding, storage, retrieval, attention than is currently available.
This may be due to the fact that the generic instruments used for the operationalization of QALYs, such as the EQ-5D and the SF-36, do not explicitly take into account outcomes that go beyond health.
Thus the consumer-driven, peer-to-peer operationalization of dimensions such as professional competence and doctor-patient relationship in PRSs could significantly shape the social image of the doctor and the self-understanding on the part of both doctors and patients.
Strong and dedicated leadership may influence the operationalization and sustainability of such a program.
In the current operationalization of proportional shortfall, such episodes are simply averaged over the full year (as in normal QALY calculations).
The orientation of this paper is towards the operationalization of a formal priority setting framework, not merely justification for implementation of such a framework.
Operationalization of the questionnaire involved a review of generic questionnaires, such as Quality of Life questionnaires, used to measure psychosocial factors in children.
We tried to adhere to the operationalization of two negative comments leading to revision, but all such judgments are inherently qualitative.
As such, it is inevitable that the operationalization of the new structure would face challenges and much of the detail would need to be developed as it was rolled out.
Moreover, as summarized in Table 1, the operationalization of psychological outcome and QoL varied greatly as different constructs such as behavior, self esteem or mental health had been evaluated.
