Influence of health-related quality of life on health service utilization in addition to socio-demographic and morbidity variables among primary care patients in China
Influence of health-related quality of life on health service utilization in addition to socio-demographic and morbidity variables among primary care patients in China
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DOI：
10.1007/s00038-009-0057-3
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发表时间：
2009-10-01
影响因子：
4.6
通讯作者：
Li, Lu
中科院分区：
文献类型：
--
作者：
Chen, Tianhui;Li, Lu
为探讨健康相关生活质量（HRQOL）是否影响卫生服务利用，以及这种影响是否与社会人口学和发病率变量独立存在，对中国大陆737名初级保健患者进行了回顾性研究。卫生服务利用的衡量标准是每月门诊咨询次数和年住院率。通过SF-36测量HRQOL。在整个分析过程中采用了聚类回归模型，HRQOL越低，利用率越高。8个SF-36分量表中有3个与门诊咨询相关，另外2个与住院咨询相关。SF-36的一个分量表（心理健康）与门诊咨询的独立影响（11.8%）相关，SF-36的另一个子量表（一般健康）与26.0%的独立影响与住院咨询有关。卫生服务利用随HRQOL下降而显著增加，HRQOL对卫生服务利用的独立影响小于社会人口学变量和发病率变量。
We aimed to investigate whether health-related quality of life (HRQOL) influences health service utilization and whether such influence exists independently in addition to socio-demographic and morbidity variables.A retrospective design was carried out among 737 primary care patients in mainland China. Health service utilization was measured by the number of monthly outpatient consultations and the annual hospitalization rate. HRQOL was measured by the SF-36. A clustered regression model was adopted throughout the analysis.Lower HRQOL was associated with a higher utilization rate. Three out of the eight SF-36 subscales were associated with outpatient consultation, and additional two with inpatient consultation. One subscale of the SF-36 (mental health) was associated with an independent influence of 11.8% with outpatient consultation, and another subscale of the SF-36 (general health) was associated with an independent influence of 26.0% with inpatient consultation.Health service utilization increased significantly with decreasing HRQOL, and the independent influence of HRQOL on health service utilization was smaller than that of socio-demographic and morbidity variables among primary care patients in mainland China.