S2) Health-related Quality of Life Flashcards
Identify 4 reasons for measuring health
- Target resources where they are most needed
- Monitor patients’ progress
- Indication of the need for healthcare
- Evaluate the quality of health services
Identify 3 commonly used measurements of health
- Mortality
- Morbidity
- Patient-based outcomes
What are patient based outcomes?
Patient-based outcomes are an attempt to assess well-being from the patient’s point of view
E.g. health-related quality of life, health status, functional abilities
When are patient based outcomes used?
Used in conditions where the aim is managing rather than curing
What are patient-reported outcome measures?
- Patient-reported outcome measures (PROMs) are measures of health that come directly from patients
- They work by comparing scores before and after treatment or over longer-periods
Which four clinical procedures are covered by PROMs?
- Hip replacements
- Knee replacements
- Groin hernia
- Varicose vein
Identify 4 challenges of PROMs
- Time and cost of collection, analysis, and presentation of data
- Achieving high rates of patient participation
- Providing appropriate output to different audiences
- Avoiding misuse of PROMs
What is quality of life?
Quality of life in clinical medicine represents the functional effect of an illness and its consequent therapy upon a patient, as perceived by the patient
Identify 5 criteria used when measuring HRQoL
- Physical function
- Symptoms
- Psychological well-being
- Social well-being
- Satisfaction with care
Describe the use of generic instruments
- Can be used with any population
- Generally cover perceptions of overall health (social, emotional and physical functioning, pain and self-care)
Identify 3 advantages of generic instruments
- Used for broad range of health problems
- Used if no disease-specific instrument
- Enable comparisons across treatment groups
Identify 3 disadvantages of generic instruments
- Less detailed
- Loss of relevance
- Less acceptable to patients
Identify 2 examples of generic measures
- The Short-Form 36-item questionnaire (SF-36)
- The EuroQol EQ-5D
What do specific instruments do?
Specific instruments evaluates a series of health dimensions specific to a disease, site or dimension
Identify 3 types of specific instruments and provide examples for each
- Disease specific – e.g. Asthma Quality of Life Questionnaire
- Site specific – e.g. Oxford Hip Score
- Dimension specific – e.g. Beck Depression Inventory
