A Study on the Application of the Korean Valuation Weights for EuroQoL-5 Dimension

EuroQoL-5 Dimension 한국 가중치 모형의 적용 연구

  • Lee, Young-Hoon (Department of Preventive Medicine, College of Medicine, Seonam University) ;
  • Choi, Jin-Su (Department of Preventive Medicine, Chonnam National University Medical School) ;
  • Rhee, Jung-Ae (Department of Preventive Medicine, Chonnam National University Medical School) ;
  • Ryu, So-Yeon (Department of Preventive Medicine, College of Medicine, Chosun University) ;
  • Shin, Min-Ho (Department of Preventive Medicine, Chonnam National University Medical School) ;
  • Kim, Jin-Hee (Department of Preventive Medicine, Chonnam National University Medical School)
  • 이영훈 (서남대학교 의과대학 예방의학교실) ;
  • 최진수 (전남대학교 의과대학 예방의학교실) ;
  • 이정애 (전남대학교 의과대학 예방의학교실) ;
  • 류소연 (조선대학교 의과대학 예방의학교실) ;
  • 신민호 (전남대학교 의과대학 예방의학교실) ;
  • 김진희 (전남대학교 의과대학 예방의학교실)
  • Published : 2009.03.30

Abstract

Objectives: This study was conducted to estimate the health-related quality of life (HRQOL) using EuroQoL-5 Dimension (EQ-5D) and to identify its related factors among urban-dwelling adults. Methods: The data for this study were obtained from 1,134 subjects aged $20\sim91$, who participated in 'Survey on the health status and demand for health' in two cities of Korea (Dong-gu, Gwangju and Suncheon-si, Jeollanamdo). The HRQOL was measured using the EQ-5D instrument and EQ-5D index scores were calculated by two Korean valuation study model using time trade-off method. Results: The mean EQ-5D index scores for all subjects were $0.865{\pm}0.218$ (model A), and $0.921{\pm}0.170$ (model B). The EQ-5D index score was significantly different according to demographic and socioeconomic characteristics (gender, age, marital status, education, occupation, income, and health security system), self-rated health condition, health-related psychological assessments (enough sleep, fatigue rate, stress rate, and degree of satisfaction on the residence). The results of multiple linear regression showed that age, marital status, income, coverage of medical insurance, self-rated health condition, and fatigue rate were significantly related common statistical factors of HRQOL in two Korean valuation study model. Conclusion: Among the adults residing in urban environment, the HRQOL was significantly lower on the subjects with following conditions: higher age, being alone without a spouse as a result of death, divorce or separation, low income, medical aid program, poor self-rated health condition, and chronic fatigue. In order to improve the urban adults' quality of life, healthcare policy and health promotion program must be developed with considerations to factors related to the HRQOL.

Keywords

References

  1. 강은정, 신호성, 박혜자, 조민우, 김나연. EQ-5D를 이용한 건강수준의 가치 평가. 보건경제와 정책연구 2006;12(2):19-43
  2. 남해성, 김건엽, 권순석, 고광욱, Poul Kind. 삶의 질 조사도구 (EQ-5D)의 질 가중치 추정 연구 보고서. 질병관리본부, 2007
  3. Poul Kind. 삶의 질 조사도구 (EQ-5D)의 질 가중치 추정 연구 보고서. 질병관리본부, 2007
  4. 성상석 외 10명. 한국인에서 EQ-5D를 이용한 건강관련 삶의 질측정. 대한류마티스학회지 2004;11(3):254-262
  5. 오광택 외 7명. 한국인 류마티스 질환과 건강 관련 삶의 질. 대한류마티스학회지 2002;9(4):S39-59
  6. 윤재희 외 19명. 한국인 만성 질환과 건강 관련 삶의 질. 대한류마티스학회지 2004;11(3):263-274
  7. 이현송. 소득이 주관적 삶의 질에 미치는 영향. 한국인구학 2000;27(1):91-118
  8. 장향숙. 암환자의 삶의 질 측정에 관한 연구[석사학위논문]. 서울: 단국대학교 대학원, 2001
  9. 조민우, 이상일. 시간교환법을 이용한 일부 EQ-5D 건강상태의질 가중치 측정. 예방의학회지 2007;40(2):169-17 https://doi.org/10.3961/jpmph.2007.40.2.169
  10. 조영신 외 5명. 류마티스 질환에서 한국어판 EQ-5D의 교차문화적 적응과 타당도 평가. 대한류마티스학회지 2005;12(3): 173-188
  11. 최정숙, 권성옥, 백희영. 농촌지역 노인들의 사회경제적인 요인 및 건강습관에 따른 건강관련 삶의 질. 한국농촌의학회지 2004;29(1):29-41
  12. 한미아 외 5명. 일부 농촌지역 성인에서 EQ-5D를 이용한 건강관련 삶의 질. 예방의학회지 2008;41(3):173-180 https://doi.org/10.3961/jpmph.2008.41.3.173
  13. Brazier J, Roberts J, Deverill M. The estimation of a preference-based measure of health from the SF-36. J Health Econ 2002;21(2):271-292 https://doi.org/10.1016/S0167-6296(01)00130-8
  14. Brooks R, Rabin R, Charro F. The measurement and valuation of health status using EQ-5D: A European Perspective. Dordrecht: Kluwer Academic Publisher, 2003
  15. Burstr $\"{o}$m K, Johannesson M, Diderichsen F. Swedish population health-related quality of life results using the EQ-5D. Qual Life Res 2001;10(7):621-635 https://doi.org/10.1023/A:1013171831202
  16. Dolan P, Gudex C, Kind P, Williams A, A social tariff for EuroQol: results from a UK general population survey. Centre for Health Economics. University of York, 1995
  17. Feeny D, Furlong W, Boyle M, Torrance GW. Multi-attribute health status classification systems. Health Utilities Index. Pharmacoeconomics 1995;7(6):490-502 https://doi.org/10.2165/00019053-199507060-00004
  18. Grandy S, Fox KM. EQ-5D visual analog scale and utility index values in individuals with diabetes and at risk for diabetes: Findings from the Study to Help Improve Early evaluation and management of risk factors Leading to Diabetes (SHIELD). Health Qual Life Outcomes 2008;6:18
  19. Greiner W, Claes C, Busschbach JJ, Graf von der Schulenburg JM. Validating the EQ-5D with time trade off for the German population. Eur J Health Econ 2004;6(2):124–130 https://doi.org/10.1007/s10198-004-0264-z
  20. Jia H, Lubetkin EI. The impact of obesity on health-related quality-of-life in the general adult US population. J Public Health 2005;27(2):156-164 https://doi.org/10.1093/pubmed/fdi025
  21. Jiang Y, Hesser JE. Associations between health-related quality of life and demographics and health risks. Results from Rhode Island's 2002 behavioral risk factor survey. Health Qual Life Outcomes 2006;4:14.
  22. Kim MH, Cho YS, Uhm WS, Kim SH and Bae SC. Cross-cultural adaptation and validation of the Korean version of the EQ-5D in patients with rheumatic diseases. Qual Life Res 2005; 14(5):1401-1406 https://doi.org/10.1007/s11136-004-5681-z
  23. Kind P, Dolan P, Gudex C, Williams A. Variations in population health status: results from a United Kingdom national questionnaire survey. BMJ 1998;316(7133):736-741
  24. K$\"{a}$nig HH, Bernert S, Angermeyer MC. Health Status of the German population: results of a representative survey using the EuroQol questionnaire. Gesundheitswesen 2005;67(3):173-182. (German) https://doi.org/10.1055/s-2005-857991
  25. Kontodimopoulos N, et al. Validity of the EuroQoL (EQ-5D) Instrument in a Greek General Population. Value Health 2008
  26. Lamers LM, McDonell J, Stalmeier PFM, Krabbe PFM, Busschbach JJV. The Dutch tariff: results and arguments for a costeffective design of national EQ-5D valuation studies. Health Econ 2006;15:1121-1132 https://doi.org/10.1002/hec.1124
  27. Lubetkin EI, Jia H, Franks P, Gold MR. Relationship among sociodemographic factors, clinical conditions, and health-related quality of life: examining the EQ-5D in the U.S. general population. Qual Life Res 2005;14(10): 2187-2196 https://doi.org/10.1007/s11136-005-8028-5
  28. Luo N, Johnson JA, Shaw JW, Feeny D, Coons SJ. Self-reported health status of the general adult U.S. population as assessed by the EQ-5D and Health Utilities Index. Med Care 2005;43(11):1078-1086 https://doi.org/10.1097/01.mlr.0000182493.57090.c1
  29. Saarni SI, Saarni ES, Saarni H. The health-related quality-of-life impact of chronic conditions varied with age in general population. J Clin Epidemiol 2007;60(12):1288-1297
  30. Shaw JW, Johnson JA, Coons SJ. US valuation of the EQ-5D health states: development and testing of the D1 valuation model. Med Care 2005;43:203-220 https://doi.org/10.1097/00005650-200503000-00003
  31. The EuroQoL Group. EuroQol-a new facility for the measurement of health-related quality of life. Health Policy 1990;16(3): 199-208 https://doi.org/10.1016/0168-8510(90)90421-9
  32. Tsuchiya A, et al. Estimating an EQ-5D population value set: the case of Japan. Health Econ 2002;11:341-353 https://doi.org/10.1002/hec.673
  33. Ware JE, Snow KK, Kosinski M, Gandek B. SF-36 Health Survey Manual and Interpretation Guide. Boston, MA. New England Medical Center, The Health Institute, 1993
  34. Zack MM, Moriarty DG, Stroup DF, Ford ES, Mokdad AH. Worsening trends in adult health-related quality of life and self-rated health-United States, 1993-2001. Public Health Rep 2004;119(5):493-505 https://doi.org/10.1016/j.phr.2004.07.007