جستجوی مقالات مرتبط با کلیدواژه « eq-5d » در نشریات گروه « پزشکی »

Healthcare reform is analyzed from an economic perspective. First, the economic rationale for providing access to healthcare lies in the benefit from knowing that those without means would be able to access health services. However, this does not explain why they should be entitled to the same quality of service. In practice, even in high-income countries, patients who are willing and able to pay tend to have better access to specialist services. Secondly, the division of labor has not increased efficiency in healthcare because health services are provided by professionals who have autonomy. However, efficiency can be increased by standardizing the process with clinical pathways and shifting service delivery from physicians to nurses and technicians. Thirdly, cost-effectiveness analysis is being used to making decisions on listing pharmaceutical products in the national formulary, but pricing and prescribing have continued to be made idiosyncratically. Lastly, Japan’s healthcare system is analyzed based on this framework.

 Examining the results of the treatment of patients after discharge from the hospital is an important question in measuring the effectiveness of the treatment of COVID-19 for health systems. Therefore, the purpose of this study is to investigate the Quality of Life of cured patients with covid-19 using the well-known EQ-5D scale.

A systematic search was conducted in known databases including PubMed, Scopus, Web of Science, and EMBASE from the beginning of January 2019 to the beginning of July 2022. After three stages of screening, studies related to the quality of life of COVID-19 survivors were included in the study.

Data were categorized and extracted based on the 5 dimensions of the EQ-5D questionnaire. Finally, the analysis of the results of the studies indicated that the utility score was above 70% so, in more than half of them, the most complaint among the dimensions of the questionnaire was related to disruption in usual activities and self-care. Next, mobility and pain had the greatest impact on reducing the quality of life of recovered patients. The least complaints of the discharged patients were related to anxiety/depression.

Considering that the symptoms of the disease are present in the cured patients, therefore, it is necessary to follow up these symptoms in order to prevent them from getting worse by simple and important actions. So, an organized follow-up structure in health centers is very important to improve the quality of life for the survivors of COVID-19.

Chronic obstructive pulmonary disease (COPD) is a major cause of mortality characterized by progressive airflow obstruction and inflammation in the airways, which has an impact on health-related quality of life. The EQ-5D-5L is one of the most used preference-based, health-related quality of life questionnaire. The objective of this study was to provide normative values of EQ-5D-5L for Spanish people suffering from COPD.
Data were extracted from the Spanish National Health Survey (2011/2012). Overall, 1130 people with COPD participated in this survey. The utility index of EQ-5D-5L and the Visual Analog Scale (VAS) score were defined by gender, region, and age.
Mean (SD) EQ-5D-5L utility index and VAS score for Spanish people with COPD were 0.742 (0.309) and 60.466 (21.934) respectively. In general, men reported better health status than women. Ceiling effect of the whole sample was 30.35%.
The current study provides normative values of EQ-5D-5L for Spanish people affected by COPD. Ceiling effect was high and better results were observed in men compared with women.

Preference weights for EQ-5D-3L based on visual analogue scale (VAS) has recently been developed in Iran. The aim of the current study was to compare performance of this value set against the UK VAS-based value set.
The mean scores for all possible 243 health states were compared using Student t test. Absolute agreement and consistency were investigated using concordance correlation coefficient (CCC) and Bland-Altman plot. Health gains for 29 403 possible transitions between pairs of EQ-5D-3L health states were compared. Responsiveness to change and discriminative ability across subgroups of health transitions were assessed.
The mean EQ-5D-3L scores were similar for two value sets (mean = 0.31, P = 1.00). For 36% of health states, the absolute differences were greater than 0.10. There were three pairwise logical inconsistencies in the Iranian value set. The Iranian scores were lower (higher) for severe (mild) health states than the United Kingdom. The CCC (95% CI) was 0.85 (0.81 to 0.88) and Bland-Altman plot showed good agreement. The mean health gain for all possible transitions predicted by the Iranian value set was higher (0.22 vs. 0.20, P The Iranian value set attribute lower values to most severe health states and higher values to mild health states compared with the UK value set. Such systematic differences might translate into discrepant health gains and cost-effectiveness which should be taking into account for informed decision-making.

A consistent and comparative description of the burden of diseases, injuries and risk factors that cause them is an important input to health decision-making and planning processes.
The aim of this cross-sectional study was to compare the extent and pattern of variation in generic utility measures with respect to capturing the clinical nature of acute poisonings from the moment of onset until restoration of health after treatment.
Patients and We measured the health status of patients admitted to the emergency medical toxicology ward of our teaching hospital, Mashhad, Iran. We measured their EuroQol both at admission and pre-discharge, and they were asked for time they traded-off for their current illness.
The study enrolled 82 patients (34 males, 48 females) admitted to the emergency medical toxicology department. A questionnaire was completed for all patients at the two time intervals. The results varied from 22222 to 33333 at initial management; at the time of discharge, this rating varied from 11111 to 11122. These significant changes occurred over just a few days.
This study attempted to compare the course of acute poisonings with some other diseases to show how self-induced poisoning affects one’s health perception, and how this change takes place over a short time.