Proxy Subjective Health Status and Evaluation Measures: Assumptions and Ramifications Introduction When children or individuals are unable to directly communicate their health status or needs, proxy informants, such as parents, caregivers, or healthcare professionals, play a crucial role in providing information about their subjective experiences and quality of life. Proxy subjective health status and evaluation measures are designed to gather this information and inform healthcare decisions, interventions, and research. However, the use of proxy assessments raises important considerations regarding underlying assumptions and potential ramifications.

Underlying Assumptions The use of proxy subjective health status and evaluation measures rests on several underlying assumptions:

1. Accuracy and Reliability: The assumption is that proxy assessments accurately reflect the individual’s subjective health experiences and perceptions. This assumption is based on the notion that proxy informants have a deep understanding of the individual’s behavior, communication patterns, and expressions of well-being.
2. Shared Values and Preferences: It is assumed that proxy informants share similar values and preferences with the individual, allowing them to interpret and