Inside an H-Index™ Report: A Sample Walkthrough | Healos™

• Inside an H-Index™ Report: A Sample Walkthrough

If you've been reading about recovery for a while, you've probably seen the H-Index mentioned at the bottom of an article and wondered what you'd actually get. A score? A diagnosis? A sales pitch?

It's none of those, and the easiest way to explain it is to open one up.

Here is the short answer. An H-Index report summarises a structured 32-dimension audit across 11 lifestyle and health categories into one overall score, a category-by-category picture and a short list of action areas. It's a pre-visit communication tool, not a diagnostic test: its job is to help you and your specialist spend a short appointment on what matters most, and to show which kind of support fits you.

Below is a walkthrough of an illustrative report for a composite reader we'll call Mark, 61, four months after a heart attack and two stents. Mark isn't a real patient; his numbers are a realistic example of what a report looks like.

简短的答案： 如果你读康复文章有一段时间了，大概在文末见过 H-Index™，并好奇它到底是什么：一个分数？一个诊断？还是推销？都不是，最简单的解释方式就是打开一份看看。

H-Index™ 报告把覆盖 11 大类、32 个维度的结构化审计汇总成一个总分、一张逐类别状况图和几项重点行动方向；它是就诊前沟通工具，不是诊断工具，作用是帮助你和专科医生把短暂的门诊用在最重要的事上，并显示哪种支持适合你。

下面逐项解读一份样例报告，主人公是一位综合案例读者 Mark：61 岁，心梗放了两个支架后四个月。Mark 不是真实患者，他的数字只是一份报告的典型样子。

Why a pre-visit summary matters more than you'd think

Cardiology and neurology appointments are short, and a lot happens in them. Research suggests patients forget an estimated 40–80% of medical information almost immediately after a visit (Kessels, Journal of the Royal Society of Medicine, 2003). The reverse is also true: the things you meant to mention, such as poor sleep, a muscle ache you blamed on your statin, or a low mood that's lasted weeks, often never come up.

Two simple tools help. Writing questions down in advance, sometimes called a question prompt list, increases the number of questions patients actually ask (Brandes et al., Psycho-Oncology, 2015). And a short, structured summary of how you've been doing gives the specialist context they can't get from a blood test.

That's exactly what an H-Index report is designed to be.

为什么就诊前摘要比你想象的更重要： 心脏科和神经科门诊时间短、信息多。研究表明，患者在就诊后几乎立即会忘记约 40–80% 的医疗信息（J R Soc Med 2003）；反过来也一样：本想提的事——睡不好、以为是他汀引起的肌肉酸痛、持续几周的情绪低落——常常根本没说出口。

两个简单工具能帮上忙：提前把问题写下来（称为「问题提示清单」）能增加患者实际提出的问题数量（Psycho-Oncology 2015）；一份简短、结构化的近况摘要，能给医生提供血液检查无法提供的背景。

这正是 H-Index™ 报告的设计目的。

Part 1: the overall score

The report opens with one number between 0 and 100. Mark's is 58.

The score sits in one of four bands: below 40 (several areas need attention), 40–60 (a mixed picture with clear priorities), 60–80 (a solid base with a few gaps) and 80 and above (strong habits to maintain). It isn't a measure of how healthy your heart is, and it doesn't predict events. It describes how well the everyday foundations of recovery, the things between appointments, are currently working.

One feature makes the score different from a simple checklist. In the Healos™ framework, your mind-body-spirit state acts as a multiplier on everything else. Strong habits combined with untreated low mood score lower than you might expect, because in real life low mood drags every other area down too.

第一部分：总分： 报告以一个 0–100 的数字开头，Mark 是 58 分。总分分为四档：40 以下（多个领域需要关注）、40–60（情况混合但优先级清楚）、60–80（基础扎实、少数缺口）、80 以上（需保持的良好习惯）。它不衡量心脏有多健康，也不预测事件，而是描述复诊之间那些日常康复基础目前运作得如何。

有一点让它不同于普通清单：在 Healos™ 框架模型中，身心灵状态是其他一切的乘数——习惯很好但情绪低落未处理，得分会比预想的低，因为现实中低落的情绪也会拖累其他所有领域。

Part 2: the 11 categories

Next comes the category picture, which is where most people find the report useful. Each of the 11 categories combines several of the 32 dimensions. Mark's illustrative profile looks like this:

His strongest areas are medical understanding (72) and environment (70): he knows his medications and diagnosis, and his home is set up well. His weakest are sleep (38) and movement (41). Since cardiac rehab ended, his walking has dropped to weekends, and he's waking at 3 a.m. most nights. Nutrition (48) is middling, and mind-body-spirit (54) suggests some ongoing worry that may be feeding the sleep problem.

Seeing the categories side by side is what makes patterns visible. Poor sleep, falling activity and lingering worry are three separate complaints when you mention them one at a time. Together, they tell a clear story that Mark and his cardiologist can do something about.

第二部分：11 大类： 接下来是类别图，这是大多数人觉得最有用的部分：11 大类各由 32 个维度中的几个组成。

Mark 的样例画像：最强的是医疗认知（72）和环境（70）——他了解自己的药物和诊断，家里环境布置得也好；最弱的是睡眠（38）和运动（41）——心脏康复结束后，散步减到只有周末，而且大多数夜里凌晨 3 点醒来；营养（48）中等；身心灵（54）提示有持续的担忧，可能正在加重睡眠问题。

把各类别并排看，模式就显现出来：睡不好、活动减少、挥之不去的担忧，一件件分开说是三个抱怨，放在一起则是 Mark 和心脏科医生可以着手处理的清晰故事。

Part 3: action areas and questions for your specialist

The report then turns the picture into a short list. For Mark, the top three action areas are:

1. Sleep: a regular wake time, a screen-free wind-down and a question about sleep apnoea, since he snores and wakes unrefreshed.

2. Movement: a daily 15-minute walk as a non-negotiable minimum, building back toward his rehab level.

3. Worry and mood: a two-question mood check every two weeks, and telling his care team that fear of another heart attack is keeping him awake.

It also includes questions to bring to the appointment, for example: "Could my snoring be sleep apnoea, and should I be tested?" and "Is it safe for me to increase my walking, and how hard should I push?" Finally, the report lists the medications and supplements Mark entered, so his cardiologist can check them at a glance. Medication consistency matters: two years after an acute coronary syndrome, only about 40% of older adults in Ontario were still taking their statin (Jackevicius et al., JAMA, 2002).

第三部分：行动方向与给医生的问题： 报告随后把状况图变成一张简短清单。Mark 的三项重点行动方向：

① 睡眠——固定起床时间、睡前无屏幕放松，并询问睡眠呼吸暂停（他打鼾、醒来不解乏）；

② 运动——每天 15 分钟散步作为雷打不动的最低量，逐步回到康复期水平；

③ 担忧与情绪——每两周做一次两问题情绪自评，并告诉医疗团队，对再次心梗的恐惧正让他睡不着。

报告还附有可带去门诊的问题，例如「我打鼾会不会是睡眠呼吸暂停，要不要检查？」「我可以安全地增加步行量吗，强度该多大？」最后列出 Mark 填写的药物和补充剂，方便心脏科医生一眼核对。坚持服药很重要：安大略老年人急性冠脉综合征两年后只有约 40% 仍在服用他汀（JAMA 2002）。

Free audit or full report: what's the difference?

The free H-Index Audit gives you the overall score and the three most important things to focus on. For many people, that's enough to decide what to do next.

Clarity Starter, the full H-Index report (CA$49), adds the complete 11-category breakdown, your score band, personalised nutrition suggestions matched to your medication list, the questions for your specialist and a recommendation for which Healos™ plan, if any, fits your stage. It arrives as a branded PDF you can print or forward to your care team.

And if the picture is already clear, you can go straight to support. The 91-Day Protocol builds a check-in at days 30, 60 and 91 into its three stages, Clear, Replenish and Repair, so the report becomes a progress tracker rather than a one-time snapshot.

免费审计和完整报告有什么区别： 免费 H-Index™ 审计提供总分和三个最需要关注的重点，对很多人来说已足够决定下一步。Clarity Starter（完整 H-Index 报告，CA$49）增加完整的 11 大类分解、所在分数档、按用药清单匹配的个性化营养建议、给专科医生的问题，以及哪种 Healos™ 方案（如有）适合你所处的阶段，以品牌 PDF 形式交付，可打印或转给医疗团队。

如果情况已经很清楚，也可以直接开始支持：91 天方案在减负、补给、修复三个阶段中内置第 30、60、91 天的评估，让报告变成进度追踪器，而不是一次性的快照。

What the H-Index™ is not

It's worth being clear about the limits. The H-Index™ doesn't measure your arteries, your heart function or your risk of another event. It doesn't diagnose depression, sleep apnoea or anything else; it flags areas worth raising with a professional. It doesn't replace blood tests, imaging or specialist judgement. Your answers are used to generate your report and handle support requests, and Healos doesn't sell health information.

Used for what it is, a structured snapshot of the everyday side of recovery, it does one job very well: it makes the part of recovery that happens between appointments visible.

H-Index™ 不是什么： 有必要说清它的边界：H-Index™ 不测量你的动脉、心脏功能或再次发病风险；不诊断抑郁、睡眠呼吸暂停或任何疾病，只标出值得向专业人士提出的领域；不替代血液检查、影像或专科判断。你的回答用于生成报告和处理支持请求，Healos™ 不出售健康信息。

按它本来的用途使用——一份关于康复日常层面的结构化快照——它能很好地完成一件事：让发生在复诊之间的那部分康复变得可见。

The bottom line

An H-Index™ report turns how you've been living, sleeping, moving and feeling into one score, an 11-category picture, three action areas and a few good questions. It won't tell you what's wrong with your heart. It will help you and your specialist use a short appointment well, and help you decide which kind of support makes sense next.

结论： H-Index™ 报告把你近来的生活、睡眠、活动和感受，变成一个总分、一张 11 大类状况图、三项行动方向和几个好问题。它不会告诉你心脏出了什么问题，但能帮你和专科医生用好一次短暂的门诊，并帮你决定下一步适合哪种支持。

Frequently asked questions

What is the Healos™ H-Index™? The H-Index is a structured 32-dimension audit across 11 lifestyle and health categories, scored with a personalised algorithm. It's a pre-visit communication tool, not a diagnostic test.

What does an H-Index™ report include? An overall score from 0 to 100 with a score band, a breakdown across 11 categories, the top action areas, questions to bring to your specialist and the medications you listed. The full Clarity Starter report adds personalised nutrition suggestions and a plan recommendation.

Is the H-Index™ a medical test? No. It doesn't measure your arteries or heart function and doesn't diagnose any condition. It summarises everyday recovery factors so you and your specialist can focus a short appointment.

What is the difference between the free audit and Clarity Starter? The free audit gives your overall score and three key focus areas. Clarity Starter (CA$49) adds the full category breakdown, personalised nutrition suggestions matched to your medications, specialist questions and a plan recommendation, delivered as a PDF.

How should I prepare for my cardiology appointment? Write your questions down in advance, bring a full medication and supplement list, and summarise how your sleep, activity, mood and symptoms have been. Question prompt lists have been shown to increase the questions patients ask.

常见问题：

• H-Index™ 是什么？覆盖 11 大类、32 个维度的结构化审计，个性化算法评分，是就诊前沟通工具，不是诊断工具。

• 报告包含什么？0–100 总分与分档、11 大类分解、重点行动方向、给专科医生的问题和你填写的药物；完整版另含个性化营养建议和方案推荐。

• H-Index™ 是医学检查吗？不是，不测动脉或心功能，不诊断疾病。

• 免费审计和 Clarity Starter 区别？免费版给总分和三个重点；Clarity Starter（CA$49）增加完整分解、按用药匹配的营养建议、专科问题和方案推荐，以 PDF 交付。

• 看心脏科前如何准备？提前写好问题、带完整药物清单、总结睡眠活动情绪和症状。

References

1. Kessels RPC. Patients' memory for medical information. Journal of the Royal Society of Medicine. 2003;96(5):219–222.

2. Brandes K, et al. The characteristics and effectiveness of Question Prompt List interventions in oncology: a systematic review of the literature. Psycho-Oncology. 2015;24(3):245–252.

3. Jackevicius CA, Mamdani M, Tu JV. Adherence with statin therapy in elderly patients with and without acute coronary syndromes. JAMA. 2002;288(4):462–467.

4. Thombs BD, et al. Prevalence of depression in survivors of acute myocardial infarction. Journal of General Internal Medicine. 2006;21(1):30–38.