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第六章 生命质量评价. Chapter 6 assessment of quality of life. 内容 Contents. 概论 生命质量评价方法 生命质量评价量表 生命质量评价的应用. Introduction Assessment method of HRQOL HRQOL Scales Application of HRQOL. ⊙ 生命质量 (quality of life,QOL) ,又称为生活质量、生存质量。 ⊙ 最初是社会学概念,由美国经济学家 J . K . Calbraith 在 20 世纪 50 年代首先提出。. 第一节 概论 - PowerPoint PPT Presentation
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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