7 - QoL

Question 1

HRQoL

Answer 1

the impact of disease or illness on key aspects of physical, social and psychological functioning

Question 2

QoL

Answer 2

a person’s general evaluation of their life and how it aligns to their values, goals and expectations

Question 3

what 3 factors should be included when assessing QoL?

Answer 3

• health status
• patient reported outcomes
• patient reported outcome measures (PROMs)

Question 4

is QoL objective or subjective?

Answer 4

subjective

Question 5

what are patient reported outcomes?

Answer 5

any clinical outcome reported directly by the patient

Question 6

what are patient reported outcome measures?

Answer 6

standardised, validated questionnaires that are completed by patients to ascertain:
* perceptions of health stats
* perceived level of impairment
* disability
* health-related QoL

Question 7

QALY

Answer 7

1 year of life pain and disability free

Question 8

what are 3 considerations of QALY?

Answer 8

• ADL
• freedom from pain
• mental ill health and wellbeing

Question 9

what are the NICE guidelines surrounding QALY and cost-effectiveness?

Answer 9

• <£20,000 per QALY - clearly cost-effective
• £20,000-£30,000 per QALY - other benefits or considerations must be evident
• > £30,000 - strong case needs to be made for tech to be recommended