Munguti N D, Kirigia J M
Health Economics Unit, Department of Community Health, University of Cape Town. WHO/AFRO, P.O. Box BE 773, Harare, Zimbabwe.
Afr J Health Sci. 1998 Jul-Dec;5(3-4):185-9.
The achievement of health policy goals of cost-saving, efficiency and equity critically depends on health status of the personnel implementing those policies at the facility level. An aim of our study was to elicit using the EQ-SD instrument self-descriptions, ratings and valuations of the current health related quality of life (HRQoL) from a sample health care professionals in a tertiary hospital. The setting for the study was Groot Schuur Hospital, Cape Town, South Africa. A total of 99 health care professionals in Groot Schuur Hospital completed the EQ-SD. 55% of the respondents were in perfect health state 11111 (no problems with mobility, self-care, usual activities, pain/discomfort, and anxiety/depression).12% had some problems with mobility. 2% had some problems with self-care. 7% had either some or extreme problems with usual activities of daily living. 32% had either moderate pain/discomfort or extreme pain/discomfort 27% were either moderately anxious/depressed or extremely anxious/depressed. Regression analysis coefficients for usual activities, pain/discomfort and anxiety/depression were negative and statistically significant at 5 per cent level. Significant numbers of the hospital health care personnel were not in their normal health status. Thus, there is a need for regular monitoring of health status of health care personnel with a view to implementing appropriate preventive and curative intervention policies.
实现节约成本、提高效率和公平性的卫生政策目标，关键取决于在机构层面实施这些政策的人员的健康状况。我们研究的一个目的是使用欧洲五维度健康量表（EQ-5D）工具，从一家三级医院的样本医护人员中获取对当前健康相关生活质量（HRQoL）的自我描述、评分和估值。研究地点是南非开普敦的格罗特舒尔医院。格罗特舒尔医院共有99名医护人员完成了欧洲五维度健康量表调查。55%的受访者处于完美健康状态11111（行动、自我护理、日常活动、疼痛/不适和焦虑/抑郁均无问题）。12%的人在行动方面有一些问题。2%的人在自我护理方面有一些问题。7%的人在日常生活活动方面有一些或极端问题。32%的人有中度疼痛/不适或极端疼痛/不适，27%的人有中度焦虑/抑郁或极端焦虑/抑郁。日常活动、疼痛/不适和焦虑/抑郁的回归分析系数为负，且在5%的水平上具有统计学意义。相当数量的医院医护人员健康状况不佳。因此，有必要定期监测医护人员的健康状况，以便实施适当的预防和治疗干预政策。
