The importance of quality of life research for health care reform in the USA and the future of public health

Ga, Gellert

doi:10.1007/bf00449431

Cited by 25 publications

(21 citation statements)

References 20 publications

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“…This shift in perspective went simultaneously with an increased demand towards measuring the effectiveness of health care [3]. Taking this together, this highlights the importance of measuring HRQoL in today’s health care [4]. …”

Section: Introductionmentioning

confidence: 99%

Health Related Quality of Life in a Dutch Rehabilitation Population: Reference Values and the Effect of Physical Activity

Krops

Jaarsma

Dijkstra³

et al. 2017

PLoS ONE

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PurposeTo establish reference values for Health Related Quality of Life (HRQoL) in a Dutch rehabilitation population, and to study effects of patient characteristics, diagnosis and physical activity on HRQoL in this population.MethodFormer rehabilitation patients (3169) were asked to fill in a questionnaire including the Dutch version of the RAND-36. Differences between our rehabilitation patients and Dutch reference values were analyzed (t-tests). Effects of patient characteristics, diagnosis and movement intensity on scores on the subscales of the RAND-36 were analyzed using block wise multiple regression analyses.ResultsIn total 1223 patients (39%) returned the questionnaire. HRQoL was significantly poorer in the rehabilitation patients compared to Dutch reference values on all subscales (p<0.001) except for health change (p = 0.197). Longer time between questionnaire and last treatment was associated with a smaller health change (p = 0.035). Higher age negatively affected physical functioning (p<0.001), social functioning (p = 0.004) and health change (p = 0.001). Diagnosis affected outcomes on all subscales except role limitations physical, and mental health (p ranged <0.001 to 0.643). Higher movement intensity was associated with better outcomes on all subscales except for mental health (p ranged <0.001 to 0.190).ConclusionsHRQoL is poorer in rehabilitation patients compared to Dutch reference values. Physical components of HRQoL are affected by diagnosis. In rehabilitation patients an association between movement intensity and HRQoL was found. For clinical purposes, results of this study can be used as reference values for HRQoL in a rehabilitation setting.

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Section: Introductionmentioning

confidence: 99%

Health Related Quality of Life in a Dutch Rehabilitation Population: Reference Values and the Effect of Physical Activity

Krops

Jaarsma

Dijkstra³

et al. 2017

PLoS ONE

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“…In the case of Dentistry and its allied subspecialties, such as Orthodontics the confidence in technology (complex therapeutic techniques and highly advanced diagnostic resources) needs to be mitigated, as public health services must be in motion towards less costly and uncomplicated health care alternatives, providing appropriate counseling about the negative effects of malocclusion and guaranteeing preventive measures to deal with occlusal and skeletal alterations to as many users as possible and as timely as feasible. 30 In this regard, public health policies should be tailored for the appropriate Severe malocclusion negatively impacts adolescents' QoL Bretz et al…”

Section: Discussionmentioning

confidence: 99%

“…The literature urges that healthcare services encourage communication among the provider, the patient and his/her guardians. If it happens otherwise, with epidemiology 28 and the concept of quality of life 30 failing to orient public health initiatives, health care expenditures will rise and public health services may suffer unprecedented challenges. For further research, more in-depth studies on malocclusion among adolescents and its association with bullying are suggested, since few publications on this topic have been found in the literature.…”

Section: Discussionmentioning

confidence: 99%

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Severe malocclusion negatively impacts adolescents' quality of life

Bretz¹,

Souza²,

Corradi-Dias³

et al. 2019

CRORJ

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Palavras-chaves: Má Oclusão. Adolescente. Qualidade de Vida. Epidemiologia. Saúde Pública. RESUMOObjetivo: Avaliar o impacto da má oclusão severa na qualidade de vida relacionada à saúde bucal de adolescentes (OHRQoL). Métodos: Este estudo consistiu em uma amostra de 117 adolescentes entre 11 e 12 anos, que responderam à versão brasileira da forma abreviada do Child Perception Questionnaire (CPQ11-14). Este questionário tem 16 itens distribuídos igualmente em quatro domínios: sintomas bucais (SO), limitações funcionais (LF), bem-estar emocional (BE) e bemestar social (BS). Escores mais altos indicam um impacto negativo maior na OHRQoL. A má oclusão foi avaliada por meio do Índice Estético Dental. Os adolescentes foram alocados nas seguintes categorias: sem má oclusão/má oclusão leve, má oclusão definitiva e má oclusão severa. Análise descritiva, teste de Kruskal Wallis, teste de Dunn, regressão logística univariada e multivariada foram conduzidas. Resultados: Indivíduos com má oclusão severa apresentaram escores significativamente mais elevados do que aqueles sem má oclusão/má oclusão leve para o BE (p=0,001), BS (p=0,027) e para o escore total do CPQ11-14 (p=0,015). Adolescentes com má oclusão severa apresentaram 2,63 vezes mais chance de apresentar um impacto negativo alto na OHRQoL do que aqueles sem má oclusão/má oclusão leve, independentemente das variáveis de confusão (IC=1,07-6,45, p=0,035). Conclusão: A má oclusão severa afeta negativamente a OHRQoL dos adolescentes. ABSTRACT Aim:To assess the impact of severe malocclusion on adolescents' oral healthrelated quality of life (OHRQoL). Methods: This study consisted of a sample of 117 adolescents between 11 and 12 years, who answered the Brazilian version of the short form of the Child Perception Questionnaire ). This questionnaire has 16 items distributed equally across four domains: oral symptoms (OS), functional limitations (FL), emotional well-being (EW) and social well-being (SW). Higher scores indicate a greater negative impact on OHRQoL. Malocclusion was evaluated using the Dental Aesthetic Index. Adolescents were assigned to the following categories: no or slight malocclusion, defined malocclusion and severe malocclusion. Descriptive analysis, the Kruskal Wallis test, post hoc test, univariate and multivariate logistic regression were conducted. Results: Individuals with severe malocclusion presented significantly higher scores than those with no or slight malocclusion for the EW (p=0.001), SW (p=0.027) and for the overall CPQ 11-14 score (p=0.015). Adolescents with severe malocclusion showed a 2.63 greater chance of presenting a high negative impact on OHRQoL than those with no or slight malocclusion regardless of the confounding variables (CI=1.07-6.45, p=0.035). Conclusion: Severe malocclusion negatively impacts adolescents' OHRQoL.

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“…Concepts as Health, Quality of Life and Health Related Quality of Life, have gained, in the last decades, a great importance in regard to the assessment of treatment outcomes and expectations, as well as patients' selfperception [1]. According to the definition given by the World Health Organization, Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity [2].…”

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confidence: 99%

Relation Between Clinical Oral Health Status, Oral Health Related Quality of Life, Denture Material Type and Self-perceived General Health, in a General Population

Grecu¹,

Aungurencei²,

Dumitraşcu³

2019

Rev. Chim.

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The purpose of the current study was to assess the oral health related quality of life (OHRQoL), general health related quality of life (HRQoL), clinical oral and denture status, as well as their interrelation, within a hospitalized general population. The Romanian versions of the Oral Health Impact Profile-49 (OHIP-49Ro), SF-36 questionnaires, together with an additional set of oral health assessment questions, were administered under the interview format to 170 patients, hospitalized in the Second Medical Clinic of Internal Medicine, Cluj-Napoca, Romania. The patients also underwent clinical examination, based on which the DMFT was calculated. Denture status, was as well, registered, together with the denture material. Each patient provided informed consent, prior to any examination. Questionnaire scores were calculated and used for the univariate descriptive statistics, reflecting oral health, OHRQoL and HRQoL sample tendencies. Successively, multiple regression analysis was applied, with the purpose of investigating the relationship between: the clinical oral health status, OHRQoL and HRQoL. In the first model, OHRQoL, while in the second model the dependent variable was represented by the HRQoL, each having a set of established predictors. Additionally, for denture wearing patients, OHRQoL variations in respect to the denture material were assessed, using one-way ANOVA. The mean OHIP-49Ro overall score was 31.90. The mean SF-36 subscales score was 60.66. The mean DMFT score was 18.47. For both regression analyses, all the regression models were significant. For the first model, the predictors accounted for 48.5% of variance in OHRQoL. For the second model, the highest percent of variance, explained by the predictors, was registered for the Mental Health subscale (22.8%). DMFT, as a clinical measure, was a statistically significant predictor rather for the perception in general health. However, OHRQoL was a good predictor for HRQoL, as an integrated part of it. Moreover, the one-way ANOVA indicated statistically significant differences in OHRQoL perception, in respect to the denture material F(2, 82) = 3.253, p = 0.044. The current study indicated complex relations between the patients� clinical status, the OHRQoL and HRQoL. The clinical determinants presented direct impact on both OHRQoL and HRQoL. More balanced HRQoL scores suggested that patients focused more on the perception of general health outcomes.

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The importance of quality of life research for health care reform in the USA and the future of public health

Cited by 25 publications

References 20 publications

Health Related Quality of Life in a Dutch Rehabilitation Population: Reference Values and the Effect of Physical Activity

Health Related Quality of Life in a Dutch Rehabilitation Population: Reference Values and the Effect of Physical Activity

Severe malocclusion negatively impacts adolescents' quality of life

Relation Between Clinical Oral Health Status, Oral Health Related Quality of Life, Denture Material Type and Self-perceived General Health, in a General Population

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