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Article: The effect of health-related quality of life (HRQOL) on health service utilisation of a Chinese population

TitleThe effect of health-related quality of life (HRQOL) on health service utilisation of a Chinese population
Authors
KeywordsChinese
Consultation rates
Hong Kong
Quality of life
Service utilisation
SF-36
Issue Date2002
PublisherPergamon. The Journal's web site is located at http://www.elsevier.com/locate/socscimed
Citation
Social Science And Medicine, 2002, v. 55 n. 9, p. 1635-1646 How to Cite?
Abstract
This study was designed to find out whether health-related quality of life (HRQOL) was an independent determinant of health service utilisation of a Chinese population and to determine whether the addition of HRQOL data to sociodemographic and morbidity factors could significantly increase the explanatory power of risk-adjustment models. A cross-sectional random telephone survey of the general adult Chinese population in Hong Kong was conducted among 2410 Chinese aged 18-88yr old, 52% were females and 38% had one or more chronic diseases. Health service utilisation was measured by annual consultation, monthly consultation and hospitalisation rates. HRQOL was measured by the SF-36. Multivariate regressions were used to test the dependence of service utilisation rates on sociodemographic factors, chronic morbidity and the SF-36 scores. Structured multiphase regression analyses were used to determine the magnitude of the effect of the SF-36 scores, in addition to those of sociodemographic and chronic morbidity factors, on service utilisation. Five of eight SF-36 scores were independent determinants of consultation rates. They doubled and tripled the percentages of variance explained for annual and monthly consultation rates, respectively. Role limitation by physical problems and bodily pain scores had a significant effect on hospitalisation rates. This was the first study showing a linear relationship between HRQOL and service utilisation on a Chinese population. It confirmed the clinical relevance of the SF-36 to a culture and health care system that is different from that of the United States where the instrument originated. © 2002 Elsevier Science Ltd. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/48493
ISSN
2013 Impact Factor: 2.558
2013 SCImago Journal Rankings: 1.789
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLam, CLKen_HK
dc.contributor.authorFong, DYTen_HK
dc.contributor.authorLauder, IJen_HK
dc.contributor.authorLam, TPDen_HK
dc.date.accessioned2008-05-22T04:15:03Z-
dc.date.available2008-05-22T04:15:03Z-
dc.date.issued2002en_HK
dc.identifier.citationSocial Science And Medicine, 2002, v. 55 n. 9, p. 1635-1646en_HK
dc.identifier.issn0277-9536en_HK
dc.identifier.urihttp://hdl.handle.net/10722/48493-
dc.description.abstractThis study was designed to find out whether health-related quality of life (HRQOL) was an independent determinant of health service utilisation of a Chinese population and to determine whether the addition of HRQOL data to sociodemographic and morbidity factors could significantly increase the explanatory power of risk-adjustment models. A cross-sectional random telephone survey of the general adult Chinese population in Hong Kong was conducted among 2410 Chinese aged 18-88yr old, 52% were females and 38% had one or more chronic diseases. Health service utilisation was measured by annual consultation, monthly consultation and hospitalisation rates. HRQOL was measured by the SF-36. Multivariate regressions were used to test the dependence of service utilisation rates on sociodemographic factors, chronic morbidity and the SF-36 scores. Structured multiphase regression analyses were used to determine the magnitude of the effect of the SF-36 scores, in addition to those of sociodemographic and chronic morbidity factors, on service utilisation. Five of eight SF-36 scores were independent determinants of consultation rates. They doubled and tripled the percentages of variance explained for annual and monthly consultation rates, respectively. Role limitation by physical problems and bodily pain scores had a significant effect on hospitalisation rates. This was the first study showing a linear relationship between HRQOL and service utilisation on a Chinese population. It confirmed the clinical relevance of the SF-36 to a culture and health care system that is different from that of the United States where the instrument originated. © 2002 Elsevier Science Ltd. All rights reserved.en_HK
dc.format.extent120366 bytes-
dc.format.extent241905 bytes-
dc.format.mimetypeapplication/pdf-
dc.format.mimetypeapplication/pdf-
dc.languageengen_HK
dc.publisherPergamon. The Journal's web site is located at http://www.elsevier.com/locate/socscimeden_HK
dc.relation.ispartofSocial Science and Medicineen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectChineseen_HK
dc.subjectConsultation ratesen_HK
dc.subjectHong Kongen_HK
dc.subjectQuality of lifeen_HK
dc.subjectService utilisationen_HK
dc.subjectSF-36en_HK
dc.titleThe effect of health-related quality of life (HRQOL) on health service utilisation of a Chinese populationen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0277-9536&volume=55&issue=9&spage=1635&epage=1646&date=2002&atitle=The+effect+of+health-related+quality+of+life+(HRQOL)+on+health+service+utilisation+of+a+Chinese+populationen_HK
dc.identifier.emailLam, CLK: clklam@hku.hken_HK
dc.identifier.emailFong, DYT: dytfong@hku.hken_HK
dc.identifier.emailLam, TPD: tplam@hku.hken_HK
dc.identifier.authorityLam, CLK=rp00350en_HK
dc.identifier.authorityFong, DYT=rp00253en_HK
dc.identifier.authorityLam, TPD=rp00386en_HK
dc.description.naturepostprinten_HK
dc.identifier.doi10.1016/S0277-9536(01)00296-9en_HK
dc.identifier.pmid12297248en_HK
dc.identifier.scopuseid_2-s2.0-0036842124en_HK
dc.identifier.hkuros75580-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0036842124&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume55en_HK
dc.identifier.issue9en_HK
dc.identifier.spage1635en_HK
dc.identifier.epage1646en_HK
dc.identifier.isiWOS:000178838600012-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridLam, CLK=24755913900en_HK
dc.identifier.scopusauthoridFong, DYT=35261710300en_HK
dc.identifier.scopusauthoridLauder, IJ=35564928000en_HK
dc.identifier.scopusauthoridLam, TPD=55232643600en_HK

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