Is Health Related Quality of Life (HRQoL) a valid indicator for health systems evaluation?

Abstract

The purpose of this review is to do a discussion about the use of the HRQoL as a health measure of the populations that enable to analyze its potential use as a measure of development and efficiency of health systems. The principal use of the HRQoL is in health technologies economics evaluation; however this measure can be use in public health when need to know the health state of population. The WHO recognizes its potential use but its necessary to do a discussion about your difficulties for its application and restrictions for its use as a performance indicator for the health systems.The review show the different aspects about the use of HRQoL how a measure of efficiency ot the health system, each aspect identified in the literature is analyzed and discussed, developing the pros and cons of their possible use, especially when it comes as a cardinal measure.The analysis allows recognize that measuring HRQoL in countries could serve as a useful indicator, especially when it seeks to measure the level of health and disease, as do most of the indicators of current use. However, the methodological constraints that do not allow comparability between countries especially when you have large socioeconomic differences have yet to be resolved to allow comparison between different regions.Electronic supplementary materialThe online version of this article (doi:10.1186/2193-1801-2-664) contains supplementary material, which is available to authorized users.

Quality of life in end stage renal disease patients

“…Out of 65 articles, there were November 6, 2014|Volume 3|Issue 4| WJN|www.wjgnet.com [3] , 2013 Discussion article EpiCast [4] , 2014 Report Couser et al [5] , 2012 Policy Forum Obrador et al [6] , 2014 Review Schatell et al [7] , 2012 Report Berman et al [9] , 2008 Systematic Review Edgell et al [11] , 1996 Review Gentile et al [12] , 2003 Review Kimmel et al [21] , 2006 Review Johansen [30] , 2007 Report Kutner [31] , 2010 Rehabilitation Report Valderrábano et al [46] , 2001…”

“…Researchers have defined attributes [10] or used frameworks [22] or models [3] that encompasses certain aspects of QOL, such as demographic data, information on diet, treatments and their impact, anthropometric biomarkers [50] , and data related to mental health such as depression or anxiety. Most of the existing QOL instruments derived mainly quantitative information.…”

“…It is a broad ranging concept affected by the person's complex physical health, psychological state, level of independence, social relationships, personal beliefs and their relationship to salient features of their environment [2] . QOL can be used to gauge health system performance, mortality indicators, and compare health of groups [3] . This review focused on adult ESRD patients since renal disease is a serious illness and treatment is challenging and prolonged.…”

Фактори, Що Визначають Якість Життя В Оперованих Та Неоперованих Дорослих Із Вродженими Вадами Серця Із Серцевою Недостатністю

“…Тому вивчення ЯЖПЗ, з'ясування показників, асоційованих і неасоційованих із захворюванням, має диференційовано визначити вплив хвороби та її лікування на психологічний, емоційний стан хворого, його соціальний статус у суспільстві. Також вони є важливими високоінформативними інструментами в наданні медичної допомоги пацієнтам як із серцево-судинною патологією, так і безпосередньо із вродженими аномаліями серця та магістральних судин [7,8,11,16].…”

Qualidade De Vida Relacionada À Saúde De Pacientes Com Câncer Em Cuidados Paliativos

“…The concept is interrelated to the subjectivity of the individual's own assessment of his/her own health, focusing on the impact that this condition may have on one's own life. [6][7] The assessment of QoL in cancer patients has been widely used in clinical trials, cross-sectional and longitudinal studies. Studies [8][9] that present evidence of impacts in the QoL can serve as a compass to direct public health policies, as well as guide programs and therapeutic approaches for the treatment of cancer.…”