PHMR Ltd.-Health Economics, Pricing and Reimbursement, London, UK; Health Economics Research Group, Department of Clinical Sciences, Brunel University London, London, UK.
Health Economics Research Group, Department of Clinical Sciences, Brunel University London, London, UK.
Value Health. 2018 Jul;21(7):830-838. doi: 10.1016/j.jval.2018.01.002. Epub 2018 May 24.
The recent shift to an integrated approach to health and social care aims to provide cohesive support to those who are in need of care, but raises a challenge for resource allocation decision making, in particular for comparison of diverse benefits from different types of care across the two sectors.
To investigate the relationship of social care needs and well-being with a generic health status measure using multivariate regression.
We empirically compared responses to health and well-being measures and social care needs from a cross-sectional data set of the general population (the Health Survey for England). Multivariate regression analyses were conducted to examine whether social care needs measured by the Barthel index can be explained by health status as captured by the EuroQol five-dimensional questionnaire (EQ-5D) and two well-being measures-the Warwick Edinburgh Mental Wellbeing Scale (WEMWBS) and the General Health Questionnaire (GHQ-12).
Our study found that poor overall scores for EuroQol visual analogue scale, EQ-5D index, GHQ-12, and WEMWBS indicated a need for social care. Investigation of the dimensions found that the EQ-5D dimensions self-care and pain/discomfort were statistically significantly associated with the need for social care. Two dimensions of the WEMWBS ("been feeling useful" and "had energy to spare") were statistically significantly associated with the Barthel index, but none of the GHQ-12 dimensions were.
The results show that the need for social care, which is dependent on the ability to perform personal day-to-day activities, is more closely related to the EQ-5D dimensions than the well-being measures WEMWBS and GHQ-12.
最近向健康和社会保健综合方法的转变旨在为有需要的人提供连贯的支持，但这给资源分配决策带来了挑战，特别是在比较两个部门中不同类型的护理的不同益处时。
使用多元回归研究社会保健需求和幸福感与通用健康状况衡量标准的关系。
我们从一般人群的横断面数据集（英格兰健康调查）中对健康和幸福感衡量标准以及社会保健需求进行了实证比较。进行多元回归分析，以检验巴塞尔指数（Barthel index）所衡量的社会保健需求是否可以用欧洲五维健康量表（EQ-5D）和两个幸福感衡量标准-华威爱丁堡心理健康量表（WEMWBS）和一般健康问卷（GHQ-12）所捕获的健康状况来解释。
我们的研究发现，欧洲五维健康量表视觉模拟评分、EQ-5D 指数、GHQ-12 和 WEMWBS 的总体得分较差表明需要社会保健。对各维度的调查发现，EQ-5D 维度的自我护理和疼痛/不适与社会保健需求具有统计学显著相关性。WEMWBS 的两个维度（“感觉有用”和“有多余的精力”）与巴塞尔指数具有统计学显著相关性，但 GHQ-12 维度均无相关性。
结果表明，依赖于完成日常个人活动的能力的社会保健需求与 EQ-5D 维度的关系比幸福感衡量标准 WEMWBS 和 GHQ-12 更为密切。
