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山东大学学报 (医学版) ›› 2017, Vol. 55 ›› Issue (12): 71-76.doi: 10.6040/j.issn.1671-7554.0.2017.536

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基于EQ-5D效用值积分体系的山东省贫困人群健康相关生命质量研究

李谧,苏丽娜,徐凌忠   

  1. 山东大学公共卫生学院社会医学与卫生事业管理系, 山东 济南 250012
  • 出版日期:2017-12-20 发布日期:2022-09-27
  • 通讯作者: 徐凌忠. E-mail:lzxu@sdu.edu.cn
  • 基金资助:
    国家自然科学基金(71673169)

Health-related quality of life among vulnerable people in Shandong Province based on the EQ-5D utility value integral system

LI Mi, SU Lina, XU Lingzhong   

  1. Department of Social Medicine and Health Management, School of Public Health, Shandong University, Jinan 250012, Shandong, China
  • Online:2017-12-20 Published:2022-09-27

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摘要： 目的 分析山东省贫困人群健康相关生命质量及其影响因素。 方法 使用2013年第五次国家卫生服务调查中的山东省数据,基于我国EQ-5D效应值积分体系计算EQ-5D健康效用值,利用秩和检验、Tobit回归模型等方法对健康生命质量的影响因素进行分析。 结果 山东省贫困人群健康效用值中位数为1(0.783,1)。纳入20个变量进行生命质量影响因素分析,结果显示贫困人群的基本医疗保险、年龄、人均年收入、人均年消费、BMI、两周患病情况、慢性病患病情况、上一年住院情况、体育锻炼、日均刷牙次数、是否有健康档案及是否进行健康体检会对健康效用值产生一定影响。 结论 山东省贫困人群生命质量的影响因素是多方面的,应根据贫困人群自身特点,制定相应的卫生政策,以保证贫困人群的生命质量。

关键词: 欧洲五维健康量表, 健康效用值, 健康相关生命质量, Tobit回归, 贫困人群

Abstract: Objective To analyze the vulnerable peoples health-related quality of life and its influence factors in Shandong Province. Methods The data came from the fifth National Health Service Survey in Shandong Province. The utility value of health status was calculated by using EQ-5D social value set from China. The rank-sum test and Tobit model were employed to explore the influencing factors of health status in the vulnerable people. Results The vulnerable peoples median utility value of health status was 1(0.783,1). The factors affecting the health utility values among vulnerable people were the basic medical insurance, age, average income per person, consumption level, BMI, two-week prevalence rate, whether patients suffering from chronic diseases, hospitalization, exercise, brushing, health records, and regular physical examination. Conclusion The factors affecting the health utility values among vulnerable people in Shandong Province were various. Therefore, related medical policy should be formulated based on the characteristics of the vulnerable people in order to ensure their health status.

Key words: EQ-5D, Utility value of health status, Health-related quality of life, Tobit regression, Vulnerable people

中图分类号: 

  • R574
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