Chapter 6 assessment of quality of life

ContentsIntroductionAssessment method of HRQOLHRQOL ScalesApplication of HRQOL

(quality of life,QOL)

JKCalbraith2050

Introduction

QOLQOL

The concept of health-related quality of life refers to a person or group's perceived physical and mental health over time.

Health-related quality of life

Health-related quality of lifeHRQOL

New evaluation technology

physiology

psychology

social life

----Physicians have often used health-related quality of life (HRQOL) to measure the effects of chronic illness in their patients to better understand how an illness interferes with a person's day-to-day life.

Their general self-rated health. The frequency of days in which their physical health was not good. The frequency of days in which their mental health was not good. The frequency of days in which their usual activities were limited.

---

Tracking health-related quality of life in different populations can identify subgroups with poor physical or mental health and can help guide policies or interventions to improve their health.---- Public health professionals use health-related quality of life to measure the effects of numerous disorders, short-term and long-term disabilities, and diseases in different populations.

HRQOL1949KarnofshkyBurchenal

1976Phesman(linear analogue self-assessment)

1977IM(Index Medicus)Quality of lifePhilosophyMeSH(Medical Subject Headings)

FDA1985 The development of HRQOL

:Levi : ,

Cella :

WHO : ,

Health-related quality of life represents the functional effects of an illness and its consequent therapy upon a patient, as perceived by the patient. HRQOL

Meil KAaronsonHRQOLFunctional statusPsychological and social well-beingHealth perception Disease and treatment related symptoms

HRQOL

Morales AJHRQOL4Physical and occupational functionPsychological state Social interaction Economic status or factors

(physical) (functional) (psychological) (social) (spiritual)

Patrical J.HollenHRQOL

: ()()

Object: patients Health personsContent day-to-day activities physical Being the perceived physical and mental health the functional effects perceived by the persons

Contents and Assessment Method of the HRQOL

HRQOL (61) 1.00.0t0t16-1

Activities limitation Social role limitation

Physical strength() Physical Being

()Psychological being Emotion response

Cognitive function

()Social Belonging social interactionSocial Integration Social Contact Close Relation social resource

()Subjective Judgment & Satisfaction

The judgment of the self health and the life Satisfaction and Happiness

Discrimination

evaluation

Prediction

Assessment Method for Quality of Life

Assessment Method for Quality of Life

1

QWB

2

or01

(sickness impact profile) (functional living index cancer scale) Karnofsky(Karnofsky performance index) Bradburn(Brad-burn Affect Balance Scale)

EORTC-30SF-36 HRQOL Scales

6-2 Patric JHollen

36

quality of wellbeing scaleQWB Sickness Impact ProfileSIP functional living index cancer scaleFLIC the MOS 36 item short form health surveySF-36

HRQOL Scales

:

Application of HRQOLApplication:

Clinical Medicine prevention medicine Pharmacy Health Services Management

Assessment of the Population Health Assessment for burden of diseasesEvaluation of health service effectSelection of health service planDecision-making in Distribution and utilization of Health ResourceHealth influencing factors and the selection of prior domain in prevention medicine and clinical medicine

Scope of Application

Bullpitt C477

PH Sugarbaker26(69)

69

P 360 112 O05 245 245 O01 040 35 O01

71665.24.5(0.59)1.9(0.34)68.5 66 Yk Wk WkYk 65.2 1.00 65.2 4.5 0.59 2.7 1.9 0.34 0.6 71.6 68.5 EwkYk65.22.7+0.668.5 () 71.668.53.1 ()

67 COSTQALY 180 1700() 1700()

68

QALY/ / COST/QALY () () () (4) 34 12886 45676 13433 8 61 8569 55354 9075 (10) 74 10452 10452 1413 QALY

Summary