The Use of Indices of the Quality of Life of the Population as Integral Criteria for Evaluating of Efficiency of Medical Preventive Programs

Abstract

Modern socially-oriented policy in Russia prioritizes the complex of prevention activities with the use of modern health-saving technologies. At that it is necessary to substantiate methodologically and methodically integrated quantitative and qualitative characteristics, based on which evaluation of the types of functioning and conditions of life affecting health and quality of human life is possible. On the basis of specially developed complex program (15 scales) the study of the quality of life and health of the urban working population of St. Petersburg (n=2276) was executed. The method of the determination of the risk groups according to types of functioning and health groups was developed. Performed medico-social and clinical-statistical study allowed to identify changes of the quality of life indices according to the type of functioning at various conditions and characteristics of life and health. According to indices of the quality of life there was revealed the high proportion of urban residents in groups of relative and absolute risk. Especially significant decrease in the quality of life indices in these groups was noted on indices of socio-hygienic functioning, socio-economic well-being, socio-psychological comfort, social adaptation, recreational activities, medico-social activity and prevention activities. There was established a higher probability of the formation of chronic disease and the decrease in the satisfaction with the quality of life in urban residents in groups of the absolute risk with dissatisfaction with the living conditions and livelihoods. The proposed scales and types of functioning in the structure of health-related quality of life can be used in a comprehensive hygienic studies implemented on the basis of a risk assessment methodology, under comparison of indices of livelihoods and satisfaction with living conditions, in complex evaluation of the efficiency of medical preventive, social and environmental programs

Health-related quality of life assessment when implementing ecology programs

“…The stages of an integrated research methodology was used for assessing the quality of life related to health [10,20], as an integral subjective measure of satisfaction with the living conditions of the habitat when exposed to risk factors [6,13]. Developed and tested a multidimensional generic questionnaire study of health-related quality of life, consisting of 15 scales [10] used for comparative analysis of the severity of the main types of functioning (social-hygienic, physical, social adaptation, recreational activities, emotional state) of urban residents. The assessment of health and specific environmentally related clinical and functional abnormalities affecting the client satisfaction with the health-related quality of life in their respective habitat conditions [8,11,22].…”