Health status

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Health status

  1. 1. MEASUREMENT OF HEALTH STATUS IN FAMILY PRACTICE PATIENTS JANKO KERSNIK Department of family medicine, University Ljubljana
  2. 2. QUALITY OF LIFE <ul><li>Health status has become central in the assessing the quality of health care </li></ul><ul><li>Health status is defined as individual’s perception of health related problems with his/her own health in a defined period requiring the measurement of general, physiologic, mental, physical, and social health and patient satisfaction </li></ul>
  3. 3. METHODS <ul><li>A sample of 2160 family practice patients aged 18 and over visiting practices under study in the study period </li></ul><ul><li>EuroQol EQ-5D instrument for measuring functional status and health status: possible answ.: 0, 1, 2 </li></ul>
  4. 4. RESULTS - 1/6 <ul><li>83% response rate </li></ul><ul><li>A moderate problem on at least one dimension reported by 73% of respondents </li></ul>
  5. 5. RESULTS - 2/6 <ul><ul><li>13,4% reported problems with self care, </li></ul></ul><ul><ul><li>46,7% reported mobility problems , </li></ul></ul><ul><ul><li>52,7% reported problems in their usual daily activities , </li></ul></ul><ul><ul><li>57,7% reported psychological problems and </li></ul></ul><ul><ul><li>72,5% reported pain </li></ul></ul>
  6. 6. RESULTS - 3/6 <ul><li>12% of respondents reported any extreme problem </li></ul>
  7. 7. RESULTS - 4/6 <ul><ul><li>0,5% reported serious mobility problems </li></ul></ul><ul><ul><li>0,7% reported serious problems with self care </li></ul></ul><ul><ul><li>3,7% reported severe psychological problems </li></ul></ul><ul><ul><li>5,7% reported serious problems in their usual daily activities and </li></ul></ul><ul><ul><li>6,5% reported severe pain </li></ul></ul>
  8. 8. RESULTS - 5/6 <ul><li>Having any problem was more likely for females (OR: 1,29; CI:1,04-1,60, P=0,02) </li></ul><ul><li>No. of reported health care problems increased significantly with the age (P<0.001) </li></ul>
  9. 9. RESULTS - 6/6 <ul><li>Lower education  higher No. of problems with </li></ul><ul><ul><li>daily activities (OR: 1,63 ; CI: 1,34-1,97; P<0,001) </li></ul></ul><ul><ul><li>pain (OR: 1,65 ; CI: 1,33-2,02; P<0,001) </li></ul></ul><ul><ul><li>mobility (OR: 1,73 ; CI: 1,42-2,04; P<0,001) </li></ul></ul><ul><ul><li>self care (OR: 2,33 ; CI: 1,74-3,13; P<0,001) </li></ul></ul><ul><ul><li>but not significant differences with anxiety or depression problems (P=0,06) </li></ul></ul>
  10. 10. CONLUSIONS <ul><li>Patients in FP experience very high rates of health related problems </li></ul><ul><li>FP and his primary care team have to address them besides clinical symptoms </li></ul><ul><li>EuroQol questionnaire has proved itself to be a feasible instrument for evaluation of generic health status for the use in FM </li></ul>

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