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Health-related quality of life and well-being health state values among Dutch oldest old

机译：与荷兰最老的荷兰语中的健康状生活质量和健康状态价值

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Background: Valuing hypothetical health states is a demanding personal process, since it involves the psychological evaluation of hypothetical health states. It seems plausible that elderly individuals will value hypothetical health states differently than the general population. It is, however, important to understand the psychological division that oldest old subgroups construct between acceptable and unacceptable health states. This information can produce important evidence regarding well-being and disability conceptualization. Objective: To investigate how Dutch oldest old, conceptualize health-related quality of life health states when compared to well-being health states. In addition, we aim to compare subgroups, based on dependency classification. Methods: Ninety-nine elderly living in the Groningen, Hoogeveen and Veendam areas of the Netherlands participated in the study. Respondents were classified into three groups based on dependency levels. The respondents were asked to value hypothetical health states, a generic preference-based HRQoL and a well-being instrument, using a visual analog scale. Results: All three groups ranked the same health states, from both questionnaires, below the average across the health states. The health-related quality of life health states was consistently ranked lower than the current well-being health states. Conclusions: Health state valuations performed by the oldest old indicate that conceptually, respondents view below average health-related and well-being health states as undesirable. The results indicated that the oldest old do view deficits in health-related health states as more important than deficits in well-being health states. Since the oldest old performed the valuations, focused interventions to improve below average health-related outcomes might be the most cost-effective way to increase oldest old well-being outcomes.
机译：背景：估值假设的健康状况是一个苛刻的个人过程，因为它涉及假设健康状态的心理评估。老年人似乎是合理的，老年人将比一般人群不同的假设的健康状况。然而，了解最古老的亚组在可接受和不可接受的健康状态之间建设的心理划分是很重要的。这些信息可以为福祉和残疾概念化产生重要证据。目的：调查荷兰最古老的老年人，概念化与健康国家的幸福状态相比有关的健康状况。此外，我们的目标是基于依赖性分类比较子组。方法：荷兰的格罗宁根，Hoogevenen和Veendam地区的九十九岁的老年人参加了这项研究。基于依赖水平，受访者被分为三组。使用视觉模拟规模，要求受访者批评假设的健康状态，基于通用偏好的HRQOL和良好的仪器。结果：所有三个团体从两种问卷中排名同样的健康国家，低于健康国家的平均值。与健康相关的生活质量卫生国家始终如一地排名低于当前健康国家。结论：最古老的旧的卫生国家估值表明，概念上，受访者认为低于平均水平与健康状况和健康状况不可观。结果表明，最古老的旧人在健康相关的健康状况中认为赤字比健康国家的赤字更重要。自从最古老的老年人表现出估值以来，重点的干预措施改善了平均水平的健康状况可能是增加最古老的旧幸福成果的最具成本效益的方法。

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