Health-Related Quality of Life (HRQoL) changes in South Australia: comparison of burden of disease morbidity and survey-based health utility estimates

Health and Quality of Life Outcomes

Julie Ratcliffe¹  Robert Goldney⁴  Graeme Hawthorne³  David Banham² 

[1] Flinders Clinical Effectiveness, School of Medicine, Flinders University, Room 52, A Block, Repatriation General Hospital, Daws Road, Daw Park, Adelaide 5041, South Australia, Australia;Discipline of Public Health, School of Population Health, University of Adelaide, Terrace Towers, North Terrace, Adelaide 5000, SA, Australia;Mental Health Evaluation Unit, Department of Psychiatry, The University of Melbourne, Level 1 North, Royal Melbourne Hospital, Parkville, VIC 3050, Australia;Emeritus Professor, Discipline of Psychiatry, University of Adelaide, Level 4, Eleanor Harrald Building Royal Adelaide Hospital, Adelaide 5000, SA, Australia

关键词: AQoL;    Patient reported outcome measures;    Health utility;    Burden of disease;    Population health;    Morbidity;    Health related quality of life;   

Others  :  1164555
DOI  :  10.1186/s12955-014-0113-4

 received in 2014-02-15, accepted in 2014-07-08,  发布年份 2014

【 摘 要 】

Background

Global research shows a clear transition in health outcomes over the past two decades where improved survival was accompanied by lower health related quality of life (HRQoL) as measured by morbidity and disability. These trends suggest the need to better understand changes in population HRQoL. This paper compares two perspectives on population HRQoL change using burden of disease morbidity estimates from administrative data and self-reports from random and representative population surveys.

Methods

South Australian administrative data including inpatient hospital activity, cancer and communicable disease registrations were used within a Burden of Disease study framework to quantify morbidity as Prevalent Years of Life lived with Disease and injury related illness (PYLD) for 1999 to 2008. Self-reported HRQoL was measured using the Assessment of Quality of Life (AQoL) in face to face interviews with at least 3000 respondents in each of South Australia’s Health Omnibus Surveys (HOS) in 1998, 2004 and 2008.

Results

Age specific PYLD rates for those aged 75 or more increased by 5.1%. HRQoL dis-utility in this age group also increased significantly and beyond the minimally important difference threshold. Underlying increased dis-utility were greater difficulties in independent living (particularly requiring help with household tasks) and psychological well-being (as influenced by pain, discomfort and difficulty sleeping).

Conclusions

Consistent with increased quantity of life being accompanied by reduced HRQoL, the analysis indicates older people in South Australia experienced increased morbidity in the decade to 2008. The results warrant routine monitoring of health dis-utility at a population level and improvement to the supply and scope of administrative data.

【 授权许可】

   
2014 Banham et al.; licensee BioMed Central Ltd.

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