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Palliative Medicine
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Quality before quantity - a note of caution

Robert G Twycross

Sir Michael Sobell House, The Churchill Hospital, Oxford

Whether seeking cure or comfort, the aims of medicine from the cradle to the grave are all concerned with improving the patient's quality of life. Generally, the hope is also to prolong survival. Thus, unless qualified, the concept that quality is preferable to quantity is of dubious validity. Measuring the absolute or subjective quality of a person's life is not possible. Assessing selected aspects is, however, essential if objective advice is to be given to patients concerning the benefits, burdens and risks of a range of treatment options. It is important that 'quality of life' and 'meaning of life' are not confused in the practitioner's mind. A low quality of life should not be equated with 'meaninglessness' or 'worthlessness'.

Key Words: medical ethics • quality of life • patient compliance • hospices • palliative treatment

Palliative Medicine, Vol. 1, No. 1, 65-72 (1987)
DOI: 10.1177/026921638700100110
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