陕西省城乡居民健康相关生命质量研究:基于EQ-5D量表效用值的测算  

Analyzing the Health-related Quality of Life of Urban and Rural Residents in Shaanxi: Estimation Based on the EQ-5D Value Sets

作　　者：周忠良[1] 周志英[2] 厉旦 王丹[1] 施超[2] 沈迟[2] 方宇[2] 高建民[1] 陈钢[3] 

机构地区：[1]西安交通大学公共政策与管理学院,西安710049 [2]西安交通大学医学部,西安710061 [3]澳大利亚弗林德斯大学医学院

出　　处：《中国卫生经济》2015年第2期13-16,共4页Chinese Health Economics

基　　金：教育部哲学社会科学研究重大课题攻关项目(08JZD0022);美国中华医学基金会卫生政策与体系科学培养项目

摘　　要：目的:测量陕西省城乡居民健康生命质量并分析其影响因素。方法:数据来源于陕西省第五次卫生服务调查,基于英国和我国的EQ-5D效应值积分体系计算EQ-5D健康效应值,采用Tobit回归模型分析健康效应值影响因素。结果:基于英国积分体系计算城乡居民健康效应值分别为0.945 6和0.935 2,基于中国积分体系计算的城乡居民健康效应值分别0.956 9和0.948 3。结论:陕西省城市居民的健康相关生命质量高于农村居民,居民经济水平、年龄、教育程度以及基本医疗保险参保情况等对健康相关生命质量有显著影响。Objective:To estimate and analyze the urban and rural residents' health-related quality of life and its influence fac-tors in Shaanxi.Methods:The data came from the fifth National Health Service Survey in Shaanxi. The utility value of health statuswas calculated bRy using EQ-5D social value set from UK and China. The Tobit regression model was employed to analyze the factorsof utility value.esults:The urban and rural residents' utility values of health status were 0.945 6 and 0.935 2 respectively by us-ing social value set from UK and 0.956 9 and 0.948 3 respectively by using social set from China.Conclusion:Urban residents hadbetter health-related quality of life than rural residents in Shaanxi. Economic level, age, education degree and primary health insur-ance had significant influence on health-related quality of life.

关 键 词：健康相关生命质量 EQ-5D量表 健康效应值 TOBIT回归模型 陕西 

分 类 号：R161[医药卫生—公共卫生与预防医学]