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首页> 外文期刊>Value in health: the journal of the International Society for Pharmacoeconomics and Outcomes Research >Using a survey to estimate health expectancy and quality-adjusted life expectancy to assess inequalities in health and quality of life
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Using a survey to estimate health expectancy and quality-adjusted life expectancy to assess inequalities in health and quality of life

机译：使用调查来估计健康预期和质量调整后的预期寿命，以评估健康和生活质量方面的不平等

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Background: There has been a policy debate in the United Kingdom about moving beyond traditional measures of life expectancy and economic output to developing more meaningful ways of measuring national well-being. Objective: To test whether quality adjusted life expectancy (QALE) was a useful indicator of health inequalities. Methods: EuroQol five-dimensional questionnaire data from a well-being survey was combined with actuarial life expectancy (LE) data to estimate healthy LE (HLE), that is, years of life lived in good health, and QALE, that is, quality-adjusted life-years (QALYs) lived for Wirral, a borough in the north west of England. Results: The gap between Wirral and the most deprived areas was 4.45 years for LE, 5.34 for QALE, and 7.55 for HLE. The gap in QALE was 20% greater than the gap in LE, while the gap in HLE was 70% greater. Conclusions: The fact that the QALE gap value lies between the HLE value and the LE value suggests that QALE is a more sensitive indicator than HLE, as in this study QALE is derived from 243 possible EuroQol five-dimensional questionnaire profiles whereas HLE is based only on whether or not an individual rates his or her health as good, a binary variable. This study discusses how QALE could be a useful indicator for measuring health inequalities in future, especially as cost utility and QALYs are seen as the gold standard used by the National Institute for Health and Clinical Excellence in the United Kingdom to measure outcomes for health interventions in England, and discusses how a monetary valuation of QALYs could be used to put a societal cost on health inequalities.
机译：背景：英国进行了一场政策辩论，涉及从传统的预期寿命和经济产出指标转变为开发更有意义的方法来衡量国民福祉。目的：检验质量调整的预期寿命（QALE）是否是健康不平等的有用指标。方法：将来自一项幸福感调查的EuroQol五维问卷数据与精算预期寿命（LE）数据相结合，以估算健康LE（HLE）（即健康的寿命）和QALE（即质量）调整生命年（QALYs）生活在英格兰西北部自治市维尔勒（Wirral）。结果：威勒尔和最贫困地区之间的差距为LE为4.45年，QALE为5.34年，HLE为7.55年。 QALE的差距比LE的差距大20％，而HLE的差距大70％。结论：QALE差距值介于HLE值和LE值之间的事实表明QALE比HLE更为敏感，因为在本研究中QALE源自243种可能的EuroQol五维问卷概况，而HLE仅基于一个人是否将自己的健康状况评为良好，这是一个二元变量。这项研究讨论了QALE如何成为将来衡量健康不平等的有用指标，尤其是在成本效用和QALY被视为英国国家卫生与临床卓越研究所使用的黄金标准中，该指标衡量了卫生干预措施的结果。英格兰，并讨论了如何使用QALY的货币估值来为健康不平等带来社会成本。

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