OBJECTIVES: The paper explores how two well-established, utility-based health-related quality-of-life (HRQoL) measures (EQ-5D and 15D) capture the negative effects of various chronic conditions on subjective well-being (SWB). This is important, as both SWB and health utility can be important aims of health policy and instruments in resource allocation. METHODS: A general population survey representing the Finnish population aged 30 years and over covering 25 self-reported somatic conditions and four psychiatric disorders diagnosed by interviews. RESULTS: Both EQ-5D and 15D fail to capture the effects of some chronic conditions on SWB, but the conditions differ between the instruments. Even after controlling for both EQ-5D and 15D simultaneously, common psychiatric disorders decrease SWB by 0.4 points on a scale 1-10. CONCLUSIONS: Using health utility as a basis for resource allocation is likely to underfund the treatment of psychiatric disorders, in comparison to their effect on the SWB of the population. Different HRQoL instruments yield somewhat different results for different conditions.
OBJECTIVES: The paper explores how two well-established, utility-based health-related quality-of-life (HRQoL) measures (EQ-5D and 15D) capture the negative effects of various chronic conditions on subjective well-being (SWB). This is important, as both SWB and health utility can be important aims of health policy and instruments in resource allocation. METHODS: A general population survey representing the Finnish population aged 30 years and over covering 25 self-reported somatic conditions and four psychiatric disorders diagnosed by interviews. RESULTS: Both EQ-5D and 15D fail to capture the effects of some chronic conditions on SWB, but the conditions differ between the instruments. Even after controlling for both EQ-5D and 15D simultaneously, common psychiatric disorders decrease SWB by 0.4 points on a scale 1-10. CONCLUSIONS: Using health utility as a basis for resource allocation is likely to underfund the treatment of psychiatric disorders, in comparison to their effect on the SWB of the population. Different HRQoL instruments yield somewhat different results for different conditions.
Authors: Adrienne Nevola; Michael E Morris; Holly C Felix; Teresa Hudson; Nalin Payakachat; J Mick Tilford Journal: Qual Life Res Date: 2020-11-19 Impact factor: 4.147
Authors: Lydia Forestier-Zhang; Laura Watts; Alison Turner; Harriet Teare; Jane Kaye; Joe Barrett; Cyrus Cooper; Richard Eastell; Paul Wordsworth; Muhammad K Javaid; Rafael Pinedo-Villanueva Journal: Orphanet J Rare Dis Date: 2016-11-28 Impact factor: 4.123
Authors: Min-Woo Jo; Hyeon-Jeong Lee; Soo Young Kim; Seon-Ha Kim; Hyejung Chang; Jeonghoon Ahn; Minsu Ock Journal: J Prev Med Public Health Date: 2017-01