用EQ-5D评价我国农村居民的健康状况与健康公平性
|
摘要
研究目的:评价我国农村居民的健康相关生命质量与健康公平性,探索农村居民健康相关生命质量的潜在影响因素。
研究方法:采用欧洲五维度健康量表(EQ-5D)对我国农村居民的健康状况进行测量。用VAS评分作为健康状况指标,用伪洛伦兹曲线和伪基尼系数评价不同家庭经济收入人群健康公平性。
研究结果:①总人群:单因素分析中显示女性健康状况低于男性;随着年龄的增长,健康状况迅速恶化;丧偶人群的健康状况更差;受教育程度越高,健康状况相对越好;无业或失业人群的健康状况较差;有社保人群较比无社保人群健康状况更差;低收入人群面临更多健康问题;东、中、西部地区居民健康状况存在明显的地区差异;疼痛/不适和焦虑/抑郁两维度存在问题较多。多元线性回归F值为1844,P值为0.000,方程有统计学意义。对40个县农村居民自评健康得分(VAS)造成影响的因素中,有统计学意义的变量为性别、年龄、婚姻状况、就业状况、文化程度、收入五阶层、是否两周患病、有无慢病、是否住院。②农村已婚育龄妇女:已婚育龄妇女的总体健康状况好于一般人群,妇科疾病是妇女的主要健康问题,在婚、受教育程度高且无慢性妇科病的已婚育龄妇女生命质量较高。③农村老年人群:农村地区老年人总体生命质量明显低于一般人群,配偶健在、有亲友同住、家庭收入水平较好情况下,均有较好的生命质量,低龄老人健康优于70岁以上高龄老人。有慢性病的老年人生命质量较差。
政策建议:①在卫生政策制定时,要关注农村居民的主要健康问题,重点保护妇女、老人、无业/失业、较低文化程度,低收入、有两周患病、有慢性病、有住院情况的人群,提高其健康公平性;②要关注农村已婚育龄妇女的健康问题,增强其自我健康意识、调整好来自家庭与工作的压力,定期开展妇女病的普查工作,加大对女性受教育问题的重视,采取相应的政策措施,以提高妇女的生命质量;③农村老年人健康问题较多,生命质量的提高需要家庭、政府、社会等多方的共同努力,尤其要关注高龄老人、独居及丧偶老人的身心健康。政府部门除了要加大对低收入老年人的医疗和生活救助外,还要重视老年保健服务,最大限度地提高老年人群的生命质量。
Objectives: To evaluate the health-related quality of life (HRQoL) and health equality of rural people in China and analyze potential health-related influence factors.
Methods: The health states of rural residents were measured by the scale of EQ-5D. And use VAS scoring as the health state indicator as well as use pseudo Lorenz curve and pseudo coefficient to evaluate the health equality of people with different incomes.
Results:①General population:Single factor analysis show that women’s health was worse than that of men; with the aging,health rapidly deteriorates; widowed people have poorer health; people with higher education get more health benefits; unemployed people have poorer health states; people who have social security are in poor health than those who have not; low-income people meet more health-related problems; obviously, people’s health in east, middle and west China are different; more people had problems at the dimensions of“Pain/Discomfort”and“Anxiety/Depression”. Multiple Linear Regression :F value is 1844,P value is 0.000,the equation is statistically significant.Gender,age,marital status,employment,education,five class of income,whether the rural resident have two-week prevalence,chronic disease prevalence and annual hospitalization rates have statistical significance,they can influence the rural resident’s VAS of 40 counties.②Married women of childbearing age: the overall health state of married women of childbearing age was better than the others of general population. Gynecological diseases became the women’s main health problem. HRQoL of those women with higher level education and without gynecological diseases was better than others.③Elderly people: The overall HRQoL of the elderly in rural areas was significantly lower than that of the general population. The elderly people with spouse, family members living together or better economy states might have better health. The elderly people under 70 years old had higher HRQoL than who was over 70 years. The elderly with chronic diseases had worse health.
Policy recommendations:①Health policy-making should be given more attention to rural resident’s main health problems. Groups such as women, the elderly,the jobless,low-education people,low-income people,people who have two-week prevalence,chronic disease,annual hospitalization should be protected as priority so as to improve equity in health.②We should pay more attention to the health problems of married women in childbearing age. Married women in childbearing age should increase their awareness of health and well deal with the pressure from family and work. The Government should carry out the census and treatment on women's diseases periodically and pay more attention to women’s education. Relevant policies should be made to improve women’s health.③Elderly people have more health problems. To improve the elderly people, HRQoL need joint efforts from families, governments and society. Particularly we should focus on those groups such as the old-old people (over 70 years), solitary people and widowed elderly people. Apart from medical and living assistance to low-income elderly people, governments should pay attention to elderly people’s health care to increase their HRQoL.
研究方法:采用欧洲五维度健康量表(EQ-5D)对我国农村居民的健康状况进行测量。用VAS评分作为健康状况指标,用伪洛伦兹曲线和伪基尼系数评价不同家庭经济收入人群健康公平性。
研究结果:①总人群:单因素分析中显示女性健康状况低于男性;随着年龄的增长,健康状况迅速恶化;丧偶人群的健康状况更差;受教育程度越高,健康状况相对越好;无业或失业人群的健康状况较差;有社保人群较比无社保人群健康状况更差;低收入人群面临更多健康问题;东、中、西部地区居民健康状况存在明显的地区差异;疼痛/不适和焦虑/抑郁两维度存在问题较多。多元线性回归F值为1844,P值为0.000,方程有统计学意义。对40个县农村居民自评健康得分(VAS)造成影响的因素中,有统计学意义的变量为性别、年龄、婚姻状况、就业状况、文化程度、收入五阶层、是否两周患病、有无慢病、是否住院。②农村已婚育龄妇女:已婚育龄妇女的总体健康状况好于一般人群,妇科疾病是妇女的主要健康问题,在婚、受教育程度高且无慢性妇科病的已婚育龄妇女生命质量较高。③农村老年人群:农村地区老年人总体生命质量明显低于一般人群,配偶健在、有亲友同住、家庭收入水平较好情况下,均有较好的生命质量,低龄老人健康优于70岁以上高龄老人。有慢性病的老年人生命质量较差。
政策建议:①在卫生政策制定时,要关注农村居民的主要健康问题,重点保护妇女、老人、无业/失业、较低文化程度,低收入、有两周患病、有慢性病、有住院情况的人群,提高其健康公平性;②要关注农村已婚育龄妇女的健康问题,增强其自我健康意识、调整好来自家庭与工作的压力,定期开展妇女病的普查工作,加大对女性受教育问题的重视,采取相应的政策措施,以提高妇女的生命质量;③农村老年人健康问题较多,生命质量的提高需要家庭、政府、社会等多方的共同努力,尤其要关注高龄老人、独居及丧偶老人的身心健康。政府部门除了要加大对低收入老年人的医疗和生活救助外,还要重视老年保健服务,最大限度地提高老年人群的生命质量。
Objectives: To evaluate the health-related quality of life (HRQoL) and health equality of rural people in China and analyze potential health-related influence factors.
Methods: The health states of rural residents were measured by the scale of EQ-5D. And use VAS scoring as the health state indicator as well as use pseudo Lorenz curve and pseudo coefficient to evaluate the health equality of people with different incomes.
Results:①General population:Single factor analysis show that women’s health was worse than that of men; with the aging,health rapidly deteriorates; widowed people have poorer health; people with higher education get more health benefits; unemployed people have poorer health states; people who have social security are in poor health than those who have not; low-income people meet more health-related problems; obviously, people’s health in east, middle and west China are different; more people had problems at the dimensions of“Pain/Discomfort”and“Anxiety/Depression”. Multiple Linear Regression :F value is 1844,P value is 0.000,the equation is statistically significant.Gender,age,marital status,employment,education,five class of income,whether the rural resident have two-week prevalence,chronic disease prevalence and annual hospitalization rates have statistical significance,they can influence the rural resident’s VAS of 40 counties.②Married women of childbearing age: the overall health state of married women of childbearing age was better than the others of general population. Gynecological diseases became the women’s main health problem. HRQoL of those women with higher level education and without gynecological diseases was better than others.③Elderly people: The overall HRQoL of the elderly in rural areas was significantly lower than that of the general population. The elderly people with spouse, family members living together or better economy states might have better health. The elderly people under 70 years old had higher HRQoL than who was over 70 years. The elderly with chronic diseases had worse health.
Policy recommendations:①Health policy-making should be given more attention to rural resident’s main health problems. Groups such as women, the elderly,the jobless,low-education people,low-income people,people who have two-week prevalence,chronic disease,annual hospitalization should be protected as priority so as to improve equity in health.②We should pay more attention to the health problems of married women in childbearing age. Married women in childbearing age should increase their awareness of health and well deal with the pressure from family and work. The Government should carry out the census and treatment on women's diseases periodically and pay more attention to women’s education. Relevant policies should be made to improve women’s health.③Elderly people have more health problems. To improve the elderly people, HRQoL need joint efforts from families, governments and society. Particularly we should focus on those groups such as the old-old people (over 70 years), solitary people and widowed elderly people. Apart from medical and living assistance to low-income elderly people, governments should pay attention to elderly people’s health care to increase their HRQoL.
引文
[1]蔡善荣.健康相关生命质量的研究概况.国外医学社会医学分册,1999,16(1):4-7
[2]方积乾,万崇华,郝元涛.与健康有关的生存质量的研究概况.中国康复医学杂志,2000,15(1):40-43
[3]汤旦林,王松柏.生存质量测定及其在临床试验中的应用.中华医学杂志,1994,74(3):175-179
[4]刘声远,陈心广.生命问题研究进展.国外医学社会医学分册,1996,13(2):49-52
[5]方积乾,万崇华,史明丽等.生存质量研究概况与测定量表.现代康复,2000,4(8):1123-1133
[6] Aaronson NK. Quality of life assessment on clinical trials: methodological issues.Controlled Clinical Trials, 1989, 10:195
[7]Andrews FM, Withey SB. Social indicators of wellbeing.New York: plenum press, 1976, 120-125
[8]Crib A. Quality of life: a response to KC.Calman J Med Ethics, 1985, 11:142-145
[9]Holmes OW. The professor at the breakfast tables.London:Roul ledge&Son,1960,145-147
[10]Dobos R. The role of health and the quality of life.West J Med, 1976, 125:1
[11]Levi L, Anderson L. Population, environment and quality of life. Royal Ministry for Foreign Affair, 1987
[12]Cella DF, Cherin EA. Quality of life during and after cancer treatment.Comprr Ther, 1988, 14: 69-75
[13]Schumaker SA, Anderson RT. Czaikowski SM.Psychological tests and scales.In quality of life assessment in clinical trials.New York: Raven press,1990.95-113
[14]Schipper H. Guidelines and caveats for quality of life measurement in clinical practice and research.Oncology, 1990, 4: 51-57
[15]Hornquist JO. The concept of quality of life.Scand J Soc Med, 1982, 10:57-61
[16]Calman KC.Quality of life in cancer patients of life assessment instrumnet.Geneva, WHO, 1993
[17]冯立天.中国人口生活质量研究.北京:北京经济学院出版社,1992.34-42
[18]Mesweeny AJ et al. Chest, 1980; 77; 309-311
[19]Grogono AW et al.Lancet, 1971; 2; 1024
[20]Najman JM, Levine S. Ealuating the impact of medical care and technologies on the quality of life.Soc Sci Med, 1981, 15:107-115
[21]Ware JE Jr. J Chron Dis. 1987: 40: (6):473-480
[22]Schipper H and Levitt M Cancer Treatment Reports, 1985, 69(10):1115
[23]Bloom JR,et al.Quality of life after cancer:a policy perspective Cancer,1991,67(3):855-859
[24]Anronson NK, et al.Quality of life research in oncology: Past achievements and future promise.Cancer, 1991, 67:839-843
[25]Ferrell BR, Dow KH, Grant M.Quality of life research.1995, 4:523-531
[26]贾恩志.诺丁汉健康量表对恶性肿瘤患者生存质量的评估.中国临床康复,2002,6(14):2042-2044
[27]李洁,史美育,王剑等.慢性乙型肝炎300例的生命质量评价.世界华人消化杂志.2005,13(5):688-689
[28]张敏.我国健康相关生命质量应用研究现状、问题及对策:[硕士学位论文] .沈阳:沈阳药科大学,2006
[29]刘欣欣,王浩彦,徐秋芬等.SF-36在我国COPD患者中应用的评价.中国医师进修杂志,2006,29(12):28-30
[30]杨艳杰,邱晓惠,彭涛.乳腺癌患者WHOQOL-100调查分析.中国妇幼保健,2005,20(7):835-837
[31]陆敏,彭军,尤春景等.WHOQOL-BREF在脑卒中偏瘫患者中的应用.中华物理医学与康复杂志,2004,26(4):212-214
[32]田斐,高建民,郭海涛等.欧洲五维度健康量表(EQ-5D)研究与应用概况.卫生经济研究,2007,9:42-44
[33]万崇华,周曾芬,段丽萍等.慢性胃病患者生命质量QLICD-GM量表测定.中国公共卫生,2008,24(12):1451-1453
[34]万崇华,李晓梅,赵旭东等.慢性病患者生命质量测定量表体系研究.中国行为医学科学,2005,14(12):1130-1131
[35]万崇华,杨峥,杨玉萍等.慢性病患者生命质量测定量表体系共性模块的考评.中国行为医学科学,2007,16(6):559-561
[36]万崇华,高丽,李晓梅等.慢性病患者生命质量测定量表体系共性模块研制方法(一):条目筛选及共性模块的形成.中国心理卫生杂志,2005,19(11):723-726
[37] Wang H,Kindig D A,Mullahy J. Variation in Chinese Population Health Related Quality of life: Results from a EuroQol Study in Beijing, China. Journal of Quality of Life Research,2005,14(1):119-132.
[38]张里程,汪宏,王禄生等.中国西部农村居民健康相关生命质量研究.中国卫生经济,2005,24(3):8-11
[39]王丽娜.四县农村居民主观幸福感及其与健康的关系研究:[硕士学位论文].山东:山东大学,2007
[40]李明辉,刘国恩,马爱霞.中国城乡居民健康相关生存质量研究.中国药物经济学,2010(3):22-34
[41]罗娅珺,方芸,丁选胜.采用EQ-5D评价2型糖尿病患者的生活质量及影响因素研究.中国药物经济学,2009(2):12
[42]何敏媚,吴明.北京市某城区老年人居住模式与健康状况关系初步分析——以EQ-5D为健康测量量表.中国老年学杂志,2009,29(4):478-481
[43]刘艳,高建民.中国西部地区农民健康生命质量研究.中国医学伦理学,2010,23(4):100-101
[44]WHO. Constitution of World Health Organization. In: Basic documents, 38thedition (including amendments adopted up to 31 October 1990). Geneva.
[45] Whitehead M. The concepts and principles of equity and health. International Journal of Health Services, 1992; 22:429~45
[46] Bostr?m G, Persson G. The development and distribution of public health. Health in Sweden: tha Nation Public Health Report 2001, Persson G, Bostr?m G, Diderichsen F et all (eds). Scand J Public health 2001; Suppl 58: 17-36
[47]卫生部统计信息中心.中国卫生服务调查研究——第三次国家卫生服务调查分析报告.北京:中国协和医科大学出版社,2004
[48]李强.健康公平与和谐社会.卫生经济研究, 2006, (5): 3~6
[49]卫生部统计信息中心.中国卫生服务调查研究——第四次家庭健康询问调查分析报告.北京:中国协和医科大学出版社,2009
[50] Kind, P., et al. Variations in Population Health Status: Results from a United Kingdom National Questionnaire Survey.BMJ, 1998, 316(7133):736-741
[51] Badia, X., et al. Using the EuroQol 5D in the Catalan General Population: Feasibility and Construct Validity. Quality of Life Research.1998, 7(4):311-322
[52]Ikeda, S. and N. Ikegami, Health Status in Japanese Population: Results from Japanese EuroQol Study. Medical and Society (Japanese Journal).1999,9(3):83-91
[53]Johnson, J. A. and S. J. Coons, Comparison of the EQ-5D and SF-12 in An Adult US Sample. Quality of Life Research, 1998,7(2):155-166
[54]威廉·科克汉姆著,杨辉等译.医学社会学.北京:华夏出版社,2000.55-58
[55]陈家应.南通市居民健康与卫生服务公平性研究:[博士学位论文].上海:复旦大学,2001
[56]宋爱芹,王申广等.已婚育龄妇女生命质量现况调查.中国行为医学科学,2005,14(8):733-734
[57]林佩贤,钟倩红等.广州市社区老年伤害与生命质量的调查.中国老年学杂志, 2010,30:94-95
[58]郑玉仁,柯雪梅等.老年人生活质量及影响因素分析.中国公共卫生,2006,22(6):746-747
[59]史关荣,冯雪影等.平顶山市市区老年公寓117例老年人生命质量分析.按摩与康复医学,2010,3:119-122
[60]贾守梅,冯正仪等.上海市社区老年人生活质量及影响因素调查.护士进修杂志,2004;19(5):420-423
[61]宋爱芹,李印龙等.济宁市已婚育龄妇女生命质量的影响因素分析.中国自然医学杂志,2008,10(1):1-3
[62]卢愿清,赵海燕.常州和无锡市不同收入人群自评健康状况分析.中国公共卫生,2009,25(7):852-854
[63]许军,罗乐宣,钟先阳等.深圳特区不同经济收入人群自测健康研究.现代预防医学,2007,34(1):11-13
[64]许燕.社区人群健康相关生命质量研究:[硕士学位论文].上海:复旦大学,2002.
[1]龚幼龙.社会医学[M].北京:人民卫生出版社;2000,89-100
[2]汤明新,郭强,阎小妍,郭鹏飞.健康相关生命质量评价研究与应用现状[J].中国社会医学杂志,2006,23(1): 39
[3]贺远龙,刘斌.健康相关生命质量[J].现代诊断与治疗,2004,15(6):362-363
[4]贾恩志.诺丁汉健康量表对恶性肿瘤患者生存质量的评估[J].中国临床康复,2002,6(14):2042
[5]Sonja M Hunt, J Mcewen, S P Mckenna. Perceived health:age and sex comparisons in a community[J].Journal of Epidemiology and Community Health.1984,38:l56-l60
[6]Bureau-Chalot F, Novella JL, Jolly D, et a1.Feasibility,acceptability and internal consistency reliability of the Nottingham health profile in dementia patients[J]. Gerontology,2002,48(4):220-225
[7]Visser MC, Koudstaal PJ, Erdman RA, et a1.Measuring quality of life in patients with myocardial infarction or stroke: a feasibility study of four questionnaires in The Netherlands[J].Epidemiology Community Health,1995,49(5):5l3-5l7
[8]Montazeri A, Milroy R, Hole D, et a1.Quality of life in lung cancer patients: as an important prognostic factor[J].Lung Cancer,2001.3l(2-3):233-240
[9]Bonfill X, Montes J, Roque M, et al. Prospective assessment of clinical outcomes in patients with lung cancer[J].Med Clin(Barc),2000.114(3):104-111
[10] Pietrabissa A, Vistoli F, Carobbi A, et a1.Thoracoseopie splanchnicectomy for pain relief in unresectable pancreatic cancer[J].Arch Surg.2000,l35(3):332-335
[11]邓建华.Kappa值在Nottingham健康量表信度测量中的应用[J].中国卫生统计,1997,14 (1):17-19
[12]贾恩志,徐耀初,沈洪兵等.恶性肿瘤患者生命质最研究[J].中国行为医学科学,2000,9(1):23-26
[13]夏萍,李宁秀,吕玉波等.生命质量的跨文化研究现状[J].中国社会医学杂志,2006,23(3):146
[14]李洁,史美育,王剑等.慢性乙型肝炎300例的生命质量评价[J].世界华人消化杂志,2005,13(5):688
[15]McSweeny JA, Grant I, Heaton RK, Adams KM, Timms RM. Life quality of patients with chronic obstructive pulmonary disease. Arch Intern Med 1982;142:473
[16]万崇华,方积乾,史明丽,陈丽影,张玉祖.MOS SF-36量表用于药物成瘾者生命质量测定的对比研究[J].中国行为医学科学,1998,7(4): 260-261
[17]许贤平,杨晓苏,杨期东等.应用SF-36中文版对偏头痛患者生存质量的调查[J].神经疾病与精神卫生,2008, 8 (6): 417
[18]刘欣欣,王浩彦,徐秋芬等.SF-36在我国COPD患者中应用的评价[J].中国医师进修杂志,2006,29(12): 28
[19]李贝,毛宗福.SF-36量表评价农村福利院五保老人生活质量的信度和效度[J].广东医学, 2008, 29(10):1731
[19]Mahler DA, Mackowiak J I. Evaluation of the short - form 36 - item questionnaire to measure health - related quality of life in patients with COPD.Chest,1995,107(6):1585 -1589
[21]Ware JE. Measuring function and well-being. Durham: duke University Press, 1999
[22]Jenkinson C et al.Br Med [J].1993,306:1436
[23]郝元涛,方积乾,李彩霞,史明丽.世界卫生组织生命质量量表及其中文版[J].国外医学社会医学分册,1999,16(3):118-120
[24]孟庆法,韩群英,荆志伟等.WHOQOL-BREF量表对中风急性期病人生存质量的临床评价[J].中国中医基础医学杂志, 2005, 11,( 7 ):542
[25]张曙映,李春波,吴文源.WHOQOL-BREF在广泛性焦虑症患者中应用的信度及效度研究[J].中国临床心理学杂志, 2005, 13 ,(1): 37
[26]陆敏,彭军,尤春景等.WHOQOL-BREF在脑卒中偏瘫患者中的应用[J].中华屋里医学与康复杂志, 2004, 26( 4): 212
[27]宋爱芹,邱玉环,李印龙等.基于WHOQOL-100量表的已婚育龄妇女生命质量评价[J].医学与社会, 2007, 20(12): 4
[28]杨艳杰,邱晓惠,彭涛等.乳腺癌患者WHOQOL-100调查分析[J].中国妇幼保健, 2005, 20:835
[29] EQ-5D: http://www.euroqol.org/
[30] EQ-5D: http://www.euroqol.org/
[31]田斐,高建民,郭海涛,廉昭.欧洲五维度健康量表(EQ-5D)研究与应用概况[J].卫生经济研究,2007,9:42-44
[32]Dolan P.Modeling valuations for EuroQol health states[J].Med Care,1997,35(11):1095-1108
[33]Shaw JW, Johnson JA, Coons SJ.US valuation of the EQ 5D health states:development and testing of the D1 valuation model[J].Med Care,2005 ,43(3):203-220
[34]Tsuchiya A, Ikeda S, Ikeganli N, et a1.Estimating an EQ-5D population value set:the case of Japan[J].Health Econ,2002,1l(4):341-353
[35]Oliver Gunther, Christiane Roick, Matthias C. Angermeyer. The EQ-5D in alcohol dependent patients: Relationships among health-related quality of life ,psychopathology and social functioning [J].Drug and Alcohol Dependence, 2007,86:253-264
[36] A.Simon Pickard,Caitlyn Wilke, Eunmi Jung.Use of a preference-based measure of health(EQ-5D)in COPD and asthma [J].Respiratory Medicine,2008,102:519-536
[37] Hans-Helmut Konig, Christiane Roick, Matthias C. Angermeyer.Validity of the EQ-5D in assessing and valuing health status in patients with schizophrenic, schizotypal or delusional disorders [J].European Psychiatry 2007,22:77
[38] J. Ankri, B.Beaufils, J.L. Novella. Use of the EQ-5D among patients suffering from dementia[J].Journal of Clinical Epidemiology,2003,56:1055-1063
[39] Ting-Jung Chang, Yen-Huei Tarn, Ching-Lin Hsieh. Taiwanese Version of the EQ-5D: Validation in a Representative Sample of the Taiwanese Population [J].J Formos Med Assoc, 2007, 106(12):1023
[40] Hiroyuki Sakamaki.采用EQ-5D测量日本Ⅱ型糖尿病病人健康相关生存质量[J].中国药物经济学,2008(4):62
[41]Wang H, Kinding DA, Mullahy J. Variation in Chinese population health related quality of life: Results from a EuroQol study in Beijing, China[J].Qual Life Res,2005,14(1):119-132
[42]张里程,汪宏,王禄生,萧庆伦.中国西部农村居民健康相关生命质量研究[J].中国卫生经济,2005, 24(3):8
[43]张京新,马仲峰.老年移位型股骨颈骨折手术后疗效及生活质量的比较[J].中国矫形外科杂志,2006,14(16):1210
[44]张强,张琼,李宁秀.成都市城市社区老年人生命质量及影响因素分析[J].卫生研究,2007,36(5):584
[45]潘英,郭建军,梁睿等.早期降压对急性脑出血患者近期预后的影响[J].中西医结合心脑血管病杂志,2008 ,6 (11): 1289
[46]何敏媚,吴明.北京市某城区老年人居住模式与健康状况关系初步分析—以EQ-5D为健康测量量表[J].中国老年学杂志, 2009,29:478
[47]顾杰,陈慧勇,何东仪等.类风湿关节炎效用值测量方法的比较[J].中国临床医学.2009,16 (3 ):468
[48]罗娅珺,方芸,丁选胜.采用EQ-5D评估2型糖尿病患者的生活质量及影响因素研究[J].中国药物经济学,2009(2):12-18
[2]方积乾,万崇华,郝元涛.与健康有关的生存质量的研究概况.中国康复医学杂志,2000,15(1):40-43
[3]汤旦林,王松柏.生存质量测定及其在临床试验中的应用.中华医学杂志,1994,74(3):175-179
[4]刘声远,陈心广.生命问题研究进展.国外医学社会医学分册,1996,13(2):49-52
[5]方积乾,万崇华,史明丽等.生存质量研究概况与测定量表.现代康复,2000,4(8):1123-1133
[6] Aaronson NK. Quality of life assessment on clinical trials: methodological issues.Controlled Clinical Trials, 1989, 10:195
[7]Andrews FM, Withey SB. Social indicators of wellbeing.New York: plenum press, 1976, 120-125
[8]Crib A. Quality of life: a response to KC.Calman J Med Ethics, 1985, 11:142-145
[9]Holmes OW. The professor at the breakfast tables.London:Roul ledge&Son,1960,145-147
[10]Dobos R. The role of health and the quality of life.West J Med, 1976, 125:1
[11]Levi L, Anderson L. Population, environment and quality of life. Royal Ministry for Foreign Affair, 1987
[12]Cella DF, Cherin EA. Quality of life during and after cancer treatment.Comprr Ther, 1988, 14: 69-75
[13]Schumaker SA, Anderson RT. Czaikowski SM.Psychological tests and scales.In quality of life assessment in clinical trials.New York: Raven press,1990.95-113
[14]Schipper H. Guidelines and caveats for quality of life measurement in clinical practice and research.Oncology, 1990, 4: 51-57
[15]Hornquist JO. The concept of quality of life.Scand J Soc Med, 1982, 10:57-61
[16]Calman KC.Quality of life in cancer patients of life assessment instrumnet.Geneva, WHO, 1993
[17]冯立天.中国人口生活质量研究.北京:北京经济学院出版社,1992.34-42
[18]Mesweeny AJ et al. Chest, 1980; 77; 309-311
[19]Grogono AW et al.Lancet, 1971; 2; 1024
[20]Najman JM, Levine S. Ealuating the impact of medical care and technologies on the quality of life.Soc Sci Med, 1981, 15:107-115
[21]Ware JE Jr. J Chron Dis. 1987: 40: (6):473-480
[22]Schipper H and Levitt M Cancer Treatment Reports, 1985, 69(10):1115
[23]Bloom JR,et al.Quality of life after cancer:a policy perspective Cancer,1991,67(3):855-859
[24]Anronson NK, et al.Quality of life research in oncology: Past achievements and future promise.Cancer, 1991, 67:839-843
[25]Ferrell BR, Dow KH, Grant M.Quality of life research.1995, 4:523-531
[26]贾恩志.诺丁汉健康量表对恶性肿瘤患者生存质量的评估.中国临床康复,2002,6(14):2042-2044
[27]李洁,史美育,王剑等.慢性乙型肝炎300例的生命质量评价.世界华人消化杂志.2005,13(5):688-689
[28]张敏.我国健康相关生命质量应用研究现状、问题及对策:[硕士学位论文] .沈阳:沈阳药科大学,2006
[29]刘欣欣,王浩彦,徐秋芬等.SF-36在我国COPD患者中应用的评价.中国医师进修杂志,2006,29(12):28-30
[30]杨艳杰,邱晓惠,彭涛.乳腺癌患者WHOQOL-100调查分析.中国妇幼保健,2005,20(7):835-837
[31]陆敏,彭军,尤春景等.WHOQOL-BREF在脑卒中偏瘫患者中的应用.中华物理医学与康复杂志,2004,26(4):212-214
[32]田斐,高建民,郭海涛等.欧洲五维度健康量表(EQ-5D)研究与应用概况.卫生经济研究,2007,9:42-44
[33]万崇华,周曾芬,段丽萍等.慢性胃病患者生命质量QLICD-GM量表测定.中国公共卫生,2008,24(12):1451-1453
[34]万崇华,李晓梅,赵旭东等.慢性病患者生命质量测定量表体系研究.中国行为医学科学,2005,14(12):1130-1131
[35]万崇华,杨峥,杨玉萍等.慢性病患者生命质量测定量表体系共性模块的考评.中国行为医学科学,2007,16(6):559-561
[36]万崇华,高丽,李晓梅等.慢性病患者生命质量测定量表体系共性模块研制方法(一):条目筛选及共性模块的形成.中国心理卫生杂志,2005,19(11):723-726
[37] Wang H,Kindig D A,Mullahy J. Variation in Chinese Population Health Related Quality of life: Results from a EuroQol Study in Beijing, China. Journal of Quality of Life Research,2005,14(1):119-132.
[38]张里程,汪宏,王禄生等.中国西部农村居民健康相关生命质量研究.中国卫生经济,2005,24(3):8-11
[39]王丽娜.四县农村居民主观幸福感及其与健康的关系研究:[硕士学位论文].山东:山东大学,2007
[40]李明辉,刘国恩,马爱霞.中国城乡居民健康相关生存质量研究.中国药物经济学,2010(3):22-34
[41]罗娅珺,方芸,丁选胜.采用EQ-5D评价2型糖尿病患者的生活质量及影响因素研究.中国药物经济学,2009(2):12
[42]何敏媚,吴明.北京市某城区老年人居住模式与健康状况关系初步分析——以EQ-5D为健康测量量表.中国老年学杂志,2009,29(4):478-481
[43]刘艳,高建民.中国西部地区农民健康生命质量研究.中国医学伦理学,2010,23(4):100-101
[44]WHO. Constitution of World Health Organization. In: Basic documents, 38thedition (including amendments adopted up to 31 October 1990). Geneva.
[45] Whitehead M. The concepts and principles of equity and health. International Journal of Health Services, 1992; 22:429~45
[46] Bostr?m G, Persson G. The development and distribution of public health. Health in Sweden: tha Nation Public Health Report 2001, Persson G, Bostr?m G, Diderichsen F et all (eds). Scand J Public health 2001; Suppl 58: 17-36
[47]卫生部统计信息中心.中国卫生服务调查研究——第三次国家卫生服务调查分析报告.北京:中国协和医科大学出版社,2004
[48]李强.健康公平与和谐社会.卫生经济研究, 2006, (5): 3~6
[49]卫生部统计信息中心.中国卫生服务调查研究——第四次家庭健康询问调查分析报告.北京:中国协和医科大学出版社,2009
[50] Kind, P., et al. Variations in Population Health Status: Results from a United Kingdom National Questionnaire Survey.BMJ, 1998, 316(7133):736-741
[51] Badia, X., et al. Using the EuroQol 5D in the Catalan General Population: Feasibility and Construct Validity. Quality of Life Research.1998, 7(4):311-322
[52]Ikeda, S. and N. Ikegami, Health Status in Japanese Population: Results from Japanese EuroQol Study. Medical and Society (Japanese Journal).1999,9(3):83-91
[53]Johnson, J. A. and S. J. Coons, Comparison of the EQ-5D and SF-12 in An Adult US Sample. Quality of Life Research, 1998,7(2):155-166
[54]威廉·科克汉姆著,杨辉等译.医学社会学.北京:华夏出版社,2000.55-58
[55]陈家应.南通市居民健康与卫生服务公平性研究:[博士学位论文].上海:复旦大学,2001
[56]宋爱芹,王申广等.已婚育龄妇女生命质量现况调查.中国行为医学科学,2005,14(8):733-734
[57]林佩贤,钟倩红等.广州市社区老年伤害与生命质量的调查.中国老年学杂志, 2010,30:94-95
[58]郑玉仁,柯雪梅等.老年人生活质量及影响因素分析.中国公共卫生,2006,22(6):746-747
[59]史关荣,冯雪影等.平顶山市市区老年公寓117例老年人生命质量分析.按摩与康复医学,2010,3:119-122
[60]贾守梅,冯正仪等.上海市社区老年人生活质量及影响因素调查.护士进修杂志,2004;19(5):420-423
[61]宋爱芹,李印龙等.济宁市已婚育龄妇女生命质量的影响因素分析.中国自然医学杂志,2008,10(1):1-3
[62]卢愿清,赵海燕.常州和无锡市不同收入人群自评健康状况分析.中国公共卫生,2009,25(7):852-854
[63]许军,罗乐宣,钟先阳等.深圳特区不同经济收入人群自测健康研究.现代预防医学,2007,34(1):11-13
[64]许燕.社区人群健康相关生命质量研究:[硕士学位论文].上海:复旦大学,2002.
[1]龚幼龙.社会医学[M].北京:人民卫生出版社;2000,89-100
[2]汤明新,郭强,阎小妍,郭鹏飞.健康相关生命质量评价研究与应用现状[J].中国社会医学杂志,2006,23(1): 39
[3]贺远龙,刘斌.健康相关生命质量[J].现代诊断与治疗,2004,15(6):362-363
[4]贾恩志.诺丁汉健康量表对恶性肿瘤患者生存质量的评估[J].中国临床康复,2002,6(14):2042
[5]Sonja M Hunt, J Mcewen, S P Mckenna. Perceived health:age and sex comparisons in a community[J].Journal of Epidemiology and Community Health.1984,38:l56-l60
[6]Bureau-Chalot F, Novella JL, Jolly D, et a1.Feasibility,acceptability and internal consistency reliability of the Nottingham health profile in dementia patients[J]. Gerontology,2002,48(4):220-225
[7]Visser MC, Koudstaal PJ, Erdman RA, et a1.Measuring quality of life in patients with myocardial infarction or stroke: a feasibility study of four questionnaires in The Netherlands[J].Epidemiology Community Health,1995,49(5):5l3-5l7
[8]Montazeri A, Milroy R, Hole D, et a1.Quality of life in lung cancer patients: as an important prognostic factor[J].Lung Cancer,2001.3l(2-3):233-240
[9]Bonfill X, Montes J, Roque M, et al. Prospective assessment of clinical outcomes in patients with lung cancer[J].Med Clin(Barc),2000.114(3):104-111
[10] Pietrabissa A, Vistoli F, Carobbi A, et a1.Thoracoseopie splanchnicectomy for pain relief in unresectable pancreatic cancer[J].Arch Surg.2000,l35(3):332-335
[11]邓建华.Kappa值在Nottingham健康量表信度测量中的应用[J].中国卫生统计,1997,14 (1):17-19
[12]贾恩志,徐耀初,沈洪兵等.恶性肿瘤患者生命质最研究[J].中国行为医学科学,2000,9(1):23-26
[13]夏萍,李宁秀,吕玉波等.生命质量的跨文化研究现状[J].中国社会医学杂志,2006,23(3):146
[14]李洁,史美育,王剑等.慢性乙型肝炎300例的生命质量评价[J].世界华人消化杂志,2005,13(5):688
[15]McSweeny JA, Grant I, Heaton RK, Adams KM, Timms RM. Life quality of patients with chronic obstructive pulmonary disease. Arch Intern Med 1982;142:473
[16]万崇华,方积乾,史明丽,陈丽影,张玉祖.MOS SF-36量表用于药物成瘾者生命质量测定的对比研究[J].中国行为医学科学,1998,7(4): 260-261
[17]许贤平,杨晓苏,杨期东等.应用SF-36中文版对偏头痛患者生存质量的调查[J].神经疾病与精神卫生,2008, 8 (6): 417
[18]刘欣欣,王浩彦,徐秋芬等.SF-36在我国COPD患者中应用的评价[J].中国医师进修杂志,2006,29(12): 28
[19]李贝,毛宗福.SF-36量表评价农村福利院五保老人生活质量的信度和效度[J].广东医学, 2008, 29(10):1731
[19]Mahler DA, Mackowiak J I. Evaluation of the short - form 36 - item questionnaire to measure health - related quality of life in patients with COPD.Chest,1995,107(6):1585 -1589
[21]Ware JE. Measuring function and well-being. Durham: duke University Press, 1999
[22]Jenkinson C et al.Br Med [J].1993,306:1436
[23]郝元涛,方积乾,李彩霞,史明丽.世界卫生组织生命质量量表及其中文版[J].国外医学社会医学分册,1999,16(3):118-120
[24]孟庆法,韩群英,荆志伟等.WHOQOL-BREF量表对中风急性期病人生存质量的临床评价[J].中国中医基础医学杂志, 2005, 11,( 7 ):542
[25]张曙映,李春波,吴文源.WHOQOL-BREF在广泛性焦虑症患者中应用的信度及效度研究[J].中国临床心理学杂志, 2005, 13 ,(1): 37
[26]陆敏,彭军,尤春景等.WHOQOL-BREF在脑卒中偏瘫患者中的应用[J].中华屋里医学与康复杂志, 2004, 26( 4): 212
[27]宋爱芹,邱玉环,李印龙等.基于WHOQOL-100量表的已婚育龄妇女生命质量评价[J].医学与社会, 2007, 20(12): 4
[28]杨艳杰,邱晓惠,彭涛等.乳腺癌患者WHOQOL-100调查分析[J].中国妇幼保健, 2005, 20:835
[29] EQ-5D: http://www.euroqol.org/
[30] EQ-5D: http://www.euroqol.org/
[31]田斐,高建民,郭海涛,廉昭.欧洲五维度健康量表(EQ-5D)研究与应用概况[J].卫生经济研究,2007,9:42-44
[32]Dolan P.Modeling valuations for EuroQol health states[J].Med Care,1997,35(11):1095-1108
[33]Shaw JW, Johnson JA, Coons SJ.US valuation of the EQ 5D health states:development and testing of the D1 valuation model[J].Med Care,2005 ,43(3):203-220
[34]Tsuchiya A, Ikeda S, Ikeganli N, et a1.Estimating an EQ-5D population value set:the case of Japan[J].Health Econ,2002,1l(4):341-353
[35]Oliver Gunther, Christiane Roick, Matthias C. Angermeyer. The EQ-5D in alcohol dependent patients: Relationships among health-related quality of life ,psychopathology and social functioning [J].Drug and Alcohol Dependence, 2007,86:253-264
[36] A.Simon Pickard,Caitlyn Wilke, Eunmi Jung.Use of a preference-based measure of health(EQ-5D)in COPD and asthma [J].Respiratory Medicine,2008,102:519-536
[37] Hans-Helmut Konig, Christiane Roick, Matthias C. Angermeyer.Validity of the EQ-5D in assessing and valuing health status in patients with schizophrenic, schizotypal or delusional disorders [J].European Psychiatry 2007,22:77
[38] J. Ankri, B.Beaufils, J.L. Novella. Use of the EQ-5D among patients suffering from dementia[J].Journal of Clinical Epidemiology,2003,56:1055-1063
[39] Ting-Jung Chang, Yen-Huei Tarn, Ching-Lin Hsieh. Taiwanese Version of the EQ-5D: Validation in a Representative Sample of the Taiwanese Population [J].J Formos Med Assoc, 2007, 106(12):1023
[40] Hiroyuki Sakamaki.采用EQ-5D测量日本Ⅱ型糖尿病病人健康相关生存质量[J].中国药物经济学,2008(4):62
[41]Wang H, Kinding DA, Mullahy J. Variation in Chinese population health related quality of life: Results from a EuroQol study in Beijing, China[J].Qual Life Res,2005,14(1):119-132
[42]张里程,汪宏,王禄生,萧庆伦.中国西部农村居民健康相关生命质量研究[J].中国卫生经济,2005, 24(3):8
[43]张京新,马仲峰.老年移位型股骨颈骨折手术后疗效及生活质量的比较[J].中国矫形外科杂志,2006,14(16):1210
[44]张强,张琼,李宁秀.成都市城市社区老年人生命质量及影响因素分析[J].卫生研究,2007,36(5):584
[45]潘英,郭建军,梁睿等.早期降压对急性脑出血患者近期预后的影响[J].中西医结合心脑血管病杂志,2008 ,6 (11): 1289
[46]何敏媚,吴明.北京市某城区老年人居住模式与健康状况关系初步分析—以EQ-5D为健康测量量表[J].中国老年学杂志, 2009,29:478
[47]顾杰,陈慧勇,何东仪等.类风湿关节炎效用值测量方法的比较[J].中国临床医学.2009,16 (3 ):468
[48]罗娅珺,方芸,丁选胜.采用EQ-5D评估2型糖尿病患者的生活质量及影响因素研究[J].中国药物经济学,2009(2):12-18
© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号 地址：北京市海淀区学院路29号 邮编：100083 电话：办公室：(+86 10)66554848；文献借阅、咨询服务、科技查新：66554700 |