适应生活满意度和自我评估健康的残疾 - 来自英国的证据
Jannis Stöckel1, Job van Exel2, Werner B F Brouwer2
1Erasmus School of Health Policy & Management (ESHPM), Erasmus University Rotterdam, Rotterdam, the Netherlands; Erasmus Centre for Health Economics Rotterdam (EsCHER), Erasmus University Rotterdam, Rotterdam, The Netherlands; London School of Economics and Political Science, Department of Health Policy, LSE Health, London, United Kingdom.
Social science & medicine (1982)
|June 8, 2023
概括
个人适应长期的疾病或残疾,随着时间的推移,生活质量指标如生活满意度得到改善. 然而,适应性在不同群体和健康状况之间有很大差异.
科学领域:
- 卫生经济学 卫生经济学
- 社会学 社会学 社会学
- 心理学 心理学 心理学
背景情况:
- 健康的恶化显著影响生活质量.
- 适应理论表明,个人可能会适应慢性健康状况,可能掩盖真正的健康影响.
- 关于适应的存在,规模和异质性的经验证据是不确定的,这引发了对健康技术评估的伦理担忧.
研究的目的:
- 研究适应长期疾病或残疾的现象.
- 量化残疾发病后主观生活质量指标 (自我评估的健康和生活满意度) 的纵向变化.
- 检查跨人口和严重程度群体适应的异质性.
主要方法:
- 利用了来自"理解社会"调查的大量英国普通人口样本 (n=9,543).
- 员工使用订制响应固定效应模型来分析纵向数据.
- 专注于经历长期疾病或残疾的个人.
主要成果:
- 残疾发病导致自我评估健康和生活满意度的最初显著下降.
- 生活质量的主观指标显示,随着时间的推移,特别是生活满意度的减弱.
- 残疾影响和随后的适应程度在不同的人口和严重程度群体之间有很大差异.
结论:
- 适应残疾发生,导致主观福祉的部分恢复,但不能完全恢复生活质量到发病前的水平.
- 适应的异质性强调了在评估健康影响和干预益处时需要细微的方法.
- 这些发现对使用观测数据来衡量生活质量结果和评估医疗技术具有重要意义.
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