CHIROPODY AND THE QALY - A CASE-STUDY IN ASSIGNING CATEGORIES OF DISABILITY AND DISTRESS TO PATIENTS

被引:24
作者
BRYAN, S
PARKIN, D
DONALDSON, C
机构
[1] UNIV NEWCASTLE UPON TYNE,DIV EPIDEMIOL & PUBL HLTH,NEWCASTLE TYNE NE1 7RU,TYNE & WEAR,ENGLAND
[2] UNIV ABERDEEN,HLTH ECON RES UNIT,ABERDEEN AB9 1FX,SCOTLAND
关键词
QALY; CHIROPODY; DISABILITY AND DISTRESS; ECONOMICS;
D O I
10.1016/0168-8510(91)90098-I
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Quality adjusted life years (QALYs) are claimed to be a universal means of measuring output form health care interventions. However, existing QALY research has been carried out mainly in 'high-tech', life extending areas of health care. This paper presents an application of QALY measurement to a 'low-tech' life-quality enhancing area of health care, chiropody. Information on changes in quality of life following chiropody interventions was elicited from both practitioners and patients. We found the apparently low benefit, but low cost service of chiropody to be a potentially cost-effective use of NHS resources. Methodological issues are also addressed relating to the assignment of patients to health states, and whether practitioners' or patients' assessments of changes in quality of life should be used. © 1991.
引用
收藏
页码:169 / 185
页数:17
相关论文
共 17 条
[1]
CARTWRIGHT A, 1986, MORE TROUBLE FEET
[2]
CULYER AJ, 1971, SOCIAL TRENDS, V2
[3]
SHOULD QALYS BE PROGRAM-SPECIFIC [J].
DONALDSON, C ;
ATKINSON, A ;
BOND, J ;
WRIGHT, K .
JOURNAL OF HEALTH ECONOMICS, 1988, 7 (03) :239-257
[4]
GUDEX C, 1988, 38 U YORK CTR HLTH E
[5]
GUDEX C, 1986, 20 CTR HLTH EC DISC
[6]
KEMP J, 1983, PROBLEMS AFOOT NEED
[7]
Kind P, 1982, VALUE LIFE SAFETY
[8]
THE USE OF QALYS IN HEALTH-CARE DECISION-MAKING [J].
LOOMES, G ;
MCKENZIE, L .
SOCIAL SCIENCE & MEDICINE, 1989, 28 (04) :299-308
[9]
MCGROTHER CW, 1988, COMMUNITY MED, V10, P14
[10]
REES CL, 1988, CHIROPODIST, V43, P152