17 - Quality of Life Flashcards
What is TPQ?
Technical Perceived Quality: Visual, Feel, Sound, Smell Quality
What are the 5 factors to making healthcare decisions together?
- Patient experience (skills, knowledge, values)
- Other people and information (media, patients, family, social context)
- Health, illness and treatment (consultation, understanding, agreed choice)
- Health professional (experience, skills, knowledge)
- Other people and information (guidelines, team, infrastructure)
What is quality of life?
A person’s judgement of their overall experience of life influenced by all aspects life
What is a person’s ‘goodness of life’ judgement?
- Multi-dimensional
- Dynamic
- Subjective
What is multi-dimensional judgement?
Different aspects of his/her life
What is dynamic judgement?
Changes over time (transient/permanent)
What is subjective judgement?
His/her judgment within his/her culture
What are the 6 domains of a multi-dimensional quality of life?
- Physical health (e.g. pain, energy, sleep)
- Psychological factors (e.g. emotions, self-esteem, memory; feelings; body image)
- Level of independence (e.g. daily activities, work, self-care; treatment; work capacity)
- Social relationships (e.g. personal relationships, support)
- Relation to the environment (e.g. safety, home, money)
- Personal beliefs (e.g. religion)
What is health related QoL?
The functional effect of a medical condition and/or its therapy, as assessed by the patient
A person’s view on the impact of their illness and/or treatment on their life
What is PROMS?
Patient Reported Outcome Measures
Patient ratings of the effects of a disease, condition and/or treatment on their quality of life.
How can health outcomes to improve patient care be measured?
- Inform patient and professional: increase understanding illness experience for patient and professional.
- Monitor Treatment: measure treatment effects on subjective (PROM) outcomes.
- Treatment Planning: record multidimensional impact of treatment on patient experience/discuss alternatives.
How can impact illness and treatment be measured?
- Informal – ask patients to rate the impact of the illness and treatment on their life.
- Use Patient Reported Outcome Measures of Health- Related Quality of Life.
What are the 2 types of Patient Reported Outcome Measures (PROM) of Health- Related Quality of Life?
- Generic (e.g. EQ-5D – EuroQol group 5 dimensions scale)
* Disease-Specific (e.g. KDQoL – kidney disease QoL, EORTC QLQ-C30)
What is generic PROM EQ-5D with visual analogue?
5 dimensions scale with health rating scale
Use of Health Outcomes: Population Level
- Identify which treatments work or more/less effective (clinical trials and routine practice)
- Identify national and international variation • Promote equality
- Monitor performance against national targets, over time
- Identify which Trusts/Regions are more effective
- Promote quality improvement at local level (efficiency)
