Browse > Article
http://dx.doi.org/10.4332/KJHPA.2008.18.1.108

An Estimation of Health-Adjusted Life Expectancy(HALE) for Koreans  

Kang, Eun-Jeong (Korea Institute for Health and Social Affairs)
Kim, Na-Yeon (Korea Institute for Health and Social Affairs)
Yoon, Seok-Jun (Dept. of Preventive Medicine, College of Medicine, Korea University)
Publication Information
Health Policy and Management / v.18, no.1, 2008 , pp. 108-126 More about this Journal
Abstract
Summary measures of population health or SMPH is an index which can describe morbidity as well as mortality. Summary measures of population health can be divided into health-adjusted life years which is a life expectancy measure and disability-adjusted life years which represents the gap between the ideal health status and the current health status. This study aims at estimating health-adjusted life expectancy(HALE) which is a measure of health-adjusted life years, by calculating life expectancy adjusted by health status using EQ-5D. The mortality data was obtained from the life table of 2005 which was published by the National Statistical Office and the health status by sex and age was obtained from the EQ-5D scores using the third National Health and Nutrition and Examination Survey in 2005. With these mortality and morbidity data, health-adjusted life expectancy was calculated using Sullivan's method. The study results showed that the health-adjusted life expectancy of males and females was 67.49 and 69.61, respectively, while the life expectancy of males and females was 75.14 and 81.89. In other words, Korean males and females lose 7.65 and 12.28, respectively, from the decrease of quality of life due to diseases and/or injuries. These results can further be interpreted that males lose 10.2% of their life expectancy and females 15.0%. This study suggests that it may be possible to monitor population's health-adjusted life expectancy by continuing to include health-related quality of life measures such as EQ-5D in national health surveys like the National Health and Nutrition and Examination Survey.
Keywords
Summary measures of population health; Health-adjusted life expectancy; EQ-5D;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Wood R, Sutton M, Clark D, McKeon A, Bain M. Measuring inequalities in health: the case for healthy life expectancy. Journal of Epidemiology and Community Health 2006;60:1089-1092   DOI
2 남정자, 김혜련, 이상호, 최은영, 윤강재, 박인화 등. 98 국민건강영양조사 건강면접조사. 서울. 보건복지부.한국보건사회연구원;1999
3 서미경, 김혜련, 서동우, 선우덕, 신윤정, 최은진 등. 새국민건강증진종합계획수립. 서울. 보건복지부.한국보건사회연구원;2006
4 통계청. 2005년 생명표. 서울;통계청:2006
5 강은정, 최은진, 송현종, 유근춘, 남정자, 김나연 등. 국민건강영양조사 제3기(2005)-총괄. 서울. 보건복지부.한국보건사회연구원;2006b
6 Groot W. Adaptation and scale of reference bias in self-assessments of quality of life. Journal of Health Economics 2000;19:403-420   DOI   ScienceOn
7 Hartoum HT, Brazier JE, Akhras KS. Comparison of the responsiveness of the SF-6D index and the HUI-3 in patients with coronary artery disease. Quality of Life Research 2002;11(7):642
8 Horseman J, Furlong W, Feeny D, Torrance G. The Health Utilities Index(HUI(R)): concepts, measurement properties and applications. Health and Quality of Life Outcomes 2003;1:54   DOI   ScienceOn
9 Lee H, Yoon SJ, & Ahn HS. Measuring the burden of major cancers due to smoking in Korea. Cancer Science 2006;97(6):530-534   DOI   ScienceOn
10 Gold MR, Stevenson D, & Fryback DG. HALYs and QALYs and DALYs, Oh My: Similarities and differences in summary measures of population health. Annual Review of Public Health 2002;23:115-134   DOI   ScienceOn
11 Brazier JE, Tsuchiya A, Roberts J, Busschbach J. A comparison of the EQ-5D and the SF-6D across seven patient groups. Health Economics 2004;13:873-884   DOI   ScienceOn
12 Brazier J, Roberts J, Deverill M. The estimation of a preference-based single index measure for health from the SF-36. Journal of Health Economics 2002;21:271-292   DOI   ScienceOn
13 Chiang CL. The life table and its applications. Malabar, FL: Robert E Krieger, 1984
14 EuroQoL Group. EuroQol-a new facility for the measurement of health-related quality of life. Health Policy 1990;16(3): 199-208   DOI   ScienceOn
15 Bosch J, Hunink M. Comparison of the Health Utilities Index mark 3(HUI3) and the EuroQol EQ-5D in patients treated for intermittent claudication. Quality of Life Research 2000;9:591-601   DOI
16 강은정, 신호성, 조민우, 박혜자, 김세현, 김나연. EQ-5D를 이용한 건강수준에 대한 가치평가에 관한 연구. 서울. 한국보건사회연구원․건강증진사업지원단;2006a
17 Barton GR, Bankart J, Davis AC, Summerfield QA. Comparing utility scores before and after hearing-aid provision. Applied Health Economics and Health Policy 2004;3:103-105   DOI   ScienceOn
18 Bosch JL, Halpern EF, Gazelle GS. Comparison of preference-based utilities of the short-form 36 health survey and health utilities index before and after treatment of patients with intermittent claudication. Medical Decision Making 2002;22:403-409   DOI
19 김재용. 주요 상병으로 인한 질병부담 및 사회계층간 질병부담의 격차. 최정수 편. 한국인의 주요 상병 및 건강행태 분석. 서울: 보건복지부.한국보건사회연구원;2003. 쪽447-465
20 남해성, 김건엽, 권순석, 고광욱, Kind P, 양혜경, 권인선. 삶의 질 조사도구(EQ-5D)의 질가중치 추정 연구. 서울. 질병관리본부.충남대학교;2007
21 Espallargues M, Czoski-Murray C, Bansback N, Carlton J, Lewis G, Hughes L, Brand C, Brazier J. The impact of age related macular degeneration on health degeneration on health state utility values. Investigative Ophthalmology and Visual Science 2005;46:4016-4023   DOI   ScienceOn
22 O'Brien BJ, Spath M, Blackhouse G, Severens JL, Brazier JE. A view from the bridge: agreement between the SF-6D utility algorithm and the health utilities index. Health Economics 2004;12:975-982   DOI   ScienceOn
23 Park JH, Yoon SJ, Lee H, Jo HS, Lee SI, Kim Y, Kim YI, & Shin Y. Burden of disease attributable to obesity and overweight in Korea. International Journal of Obesity 2006;30:1661-1669   DOI
24 Roberge R, Berthelot J-M, Cranswick K. Adjusting life expectancy to account for disability in a population: a comparison of three techniques. Social Indicators Research 1999;48(2):217-243
25 Sullivan DF: A single index of mortality and morbidity. HSMHA Health Reports 1971;86:347-354   DOI
26 World Health Organization. The World Health Report 2004-Changing history. Geneva;World Health Organization:2004
27 Mathers, Sadana, Salomon, Murray, Lopez. Estimates of DALE for 191 countries: methods and results. Geneva: World Health Organization. GPE Discussion Paper No. 16. 2000
28 OECD, OECD Health Data 2005, Paris;OECD:2006
29 Longworth L, Bryan S. An empirical comparison of EQ-5D and SF-6D in liver transplant patients. Health Economics 2003;12(12):1061-1067   DOI   ScienceOn
30 Manuel DG, Schultz SE. Using linked data to calculate summary measures of population health: Health-adjusted life expectancy of people with diabetes mellitus. Population Health metrics 2004;2:4-12   DOI
31 Brazier J, Ratcliffe J, Salomon JA, Tsuchiya A. Measuring and valuing health benefits for economic evaluation. New York; Oxford University Press Inc.;2007
32 권영훈, 이중규, 도영경, 윤석준, 김창엽, 김용익 등. 국민건강면접조사를 이용한 한국인의 DALE(Disability-Adjusted Life Expectancy)에 관한 연구. 예방의학회지 2002;35(4):331-339
33 Manuel DG, Schultz SE, & Kopec JA. Measuring the health burden of chronic disease and injury using health adjusted life expectancy and the Health Utilities Index. Journal of Epidemiology of Community Health 2002;56:843-850   DOI