Mode of administration is important in US national estimates of health-related quality of life
Mode of administration is important in US national estimates of health-related quality of life
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DOI：
10.1097/mlr.0b013e3181354828
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发表时间：
2007-12-01
期刊：
影响因子：
3
通讯作者：
Fryback, Dennis G.
中科院分区：
文献类型：
--
作者：
Hanmer, Janel;Hays, Ron D.;Fryback, Dennis G.
背景资料：这是未知的，如果不同的国家调查，不同的管理模式产生类似的国家平均健康相关的生活质量（HRQoL）的目的：检查HRQoL分数从4个调查代表非制度化的美国成年人口的模式有关的年龄，性别和管理模式。（JAPOH;电话调查）、2002年医疗支出专门小组调查（MEPS;邮件调查）、国家健康测量研究（NHMS;电话调查）和EuroQol EQ-5D健康状况调查的美国评估（USVEQ;在访谈者在场的情况下自我管理）。我们比较了EQ-5D、视觉模拟量表、健康效用指数Mark 3和按年龄和性别分层的一般自测健康的估计值。在每次调查和汇总analysis.Results：我们使用了4939名受试者，从JAPANH，23,006从MEPS，3844从NHMS，3878从USVEQ的年龄和性别的分数也回归。大多数年龄和性别分层的工具完成率超过85%。当给药方式（自我或访谈者给药）相同时，HRQoL评分的年龄和性别分层估计值趋于一致。在老年组中，电话给药比自我给药产生了更积极的HRQoL估计。年龄较大的年龄组和女性报告较低的HRQoL比年轻的年龄组和男性，无论模式administration.Conclusions：当选择调查收集的HRQoL分数进行比较的目的，分析师需要考虑到管理模式。
Background: It is unknown if different national surveys that vary in mode of administration yield similar national averages for health-related quality of life (HRQoL).Purpose: Examine HRQoL scores from 4 surveys representative of the noninstitutionalized US adult population for patterns related to age, gender, and mode of administration.Methods: We use data from the Joint Canada/United States Survey of Health (JCUSH; telephone survey), 2002 Medical Expenditure Panel Survey (MEPS; mail survey), National Health Measurement Study (NHMS; telephone survey), and US Valuation of the EuroQol EQ-5D Health States Survey (USVEQ; self-administered with interviewer present). We compare estimates from the EQ-5D, Visual Analog Scale, Health Utilities Index Mark 3, and general self-rated health stratified by age and gender. Scores were also regressed on age and gender within each survey and in a pooled analysis.Results: We used 4939 subjects from JCUSH, 23,006 from MEPS, 3844 from NHMS, and 3878 from USVEQ. The majority of age and gender strata had instrument completion rates above 85%. Age- and gender-stratified estimates of HRQoL scores tended to be consistent when mode of administration (self- or interviewer-administered) was the same. Telephone administration yielded more positive HRQoL estimates than self-administration in older age groups. Older age groups and females reported lower HRQoL than younger age groups and males regardless of mode of administration.Conclusions: When choosing survey-collected HRQoL scores for comparative purposes, analysts need to take mode of administration into account.