An empirical comparison of well-being measures used in the UK

An empirical comparison of well-being measures used in the UK
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英国使用的福利措施的实证比较

DOI:
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发表时间:
2016
期刊:
影响因子:
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通讯作者:
J. Brazier
J. Brazier
中科院分区:
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文献类型:
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作者:
C. Mukuria;D. Rowen;T. Peasgood;J. Brazier

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政府各部门采用了一些不同但相关的主观幸福感(SWB)和健康指标。根据其衡量国民幸福计划,国家统计局采用了简短的沃里克爱丁堡精神健康量表(SWEMWBS)和一般健康调查问卷(GHQ-12),这是一种精神健康筛查措施,以及四个简要的主观(个人)幸福问题,询问生活满意度,昨天的幸福和焦虑,以及幸福感(ONS-4)。除了在ONS框架内使用的测量外,国家健康与护理卓越研究所(NICE)目前在评估医疗技术和公共卫生干预措施时更喜欢EQ-5D,这是一种健康相关生活质量(HRQoL)的测量,而社会护理指南包括能力和需求的测量,老年人/成年人调查选择实验能力措施(ICECAP-A和ICECAP-O)和成人社会护理成果工具包(阿斯科特)。关于这些措施如何相互关联的证据有限,这导致难以比较包含不同措施的数据集和评价的结果,也难以为跨部门决策提供信息。鉴于这些措施被用来为整个政府的决策提供信息,因此必须更好地了解这些措施的比较情况。卫生部已要求卫生和保健干预措施经济评价政策研究股(EEPRU)对这六项常用的健康和福祉指标进行概念和经验比较:SWEMWBS、GHQ-12、ONS-4、ICECAP-A、阿斯科特和EQ-5D。本报告总结了心理测量分析,包括因子分析,旨在比较ONS- 4、SWEMWBS/WEMWBS、GHQ-12、ICECAP-A或ICECAP- O、阿斯科特、EQ-5D和SF-6D。报告还考虑了数据集中发现的其他SWB指标,以进一步阐明这些比较和指标背后的概念。
A number of different, yet related, measures of subjective well-being (SWB) and health are used across government departments. Under its Measuring National Well-being Programme, the Office of National Statistics (ONS) has adopted the use of the short Warwick Edinburgh Mental Well-being Scale (SWEMWBS) and the General Health Quest ionnaire (GHQ-12) which is a mental health screening measure, as well as four summary subjective (personal) well-being questions which ask about life satisfaction, happiness and anxiety yesterday, and worthwhileness (the ONS-4). I n addition to the measures used within the ONS framework, the National Institute for Health and Care Excellence (NICE) currently preferthe EQ-5D, a measure of health-related quality of life (HRQoL), in the assessment of medical technologies and public health interventions, while social care guidance includes measures of capability and need, the Investigating Choice Experiments Capability Measures for Older people/Adults(ICECAP-A and ICECAP-O) and the Adult Social Care Outcomes Toolkit (ASCOT). There is limited evidence on how these measures relate to each other, which causes difficulty in the comparison of results across datasets and evaluations containing different measures as well as for informing decisions across sectors. Given that these measures are used to inform policy making throughout Government, it is important to better understand how these measures compare. The Department of Health has asked the Policy Research Unit in Economic Evaluation of Health and Care Interventions (EEPRU) to undertake a conceptual and empirical comparison of these six commonly used measures of health and well-being: SWEMWBS, GHQ-12, ONS-4, ICECAP-A, ASCOT and EQ-5D. This report summarises psychometric analysis including factor analysis which sought to compare the ONS- 4, the SWEMWBS/WEMWBS, the GHQ-12, the ICECAP-A or ICECAP- O, ASCOT, the EQ-5D and the SF-6D. The report also takes into consideration additional measures of SWB found within the datasets to shed further light on these comparisons and the concepts behind the measures.