scholarly journals Comparisons of the Severity between the Kidney and Non-Kidney Disabled Persons by the Number of Chronic Diseases, Out-of-Pocket Expenditure, and Quality of Life: using Korea Health Panel

2019 ◽  
Author(s):  
Sun Mi Shin ◽  
Hee Woo Lee
Keyword(s):  
Quality Of Life ◽  
Chronic Diseases ◽  
Subjective Health ◽  
Disabled Persons ◽  
Medical Expenditure ◽  
Subjective Health Status ◽  
Chi Square ◽  
Respiratory Organ ◽  
Stage Renal Disease

Abstract Background: Due to End-Stage Renal Disease, patients who have received dialysis for more than three months or who have already received a kidney transplant are eligible for registration as the Kidney Disabled in Korea. This study aimed to identify the severity between the Kidney and Non-Kidney Disabled by the number of chronic diseases, out-of-pocket expenditure, and quality of life. Methods: This study used the Korean Health Panel from 2009 to 2013. We compared the number of chronic diseases, out-of-pocket expenditure, and quality of life between the Kidney and Non-Kidney Disabled. The Non-Kidney Disabled included heart, liver, respiratory organ, colostomy or urostomy, and epilepsy. Chi-Square, t-test, and ANCOVA were conducted, and then the trends for five years were explored through panel analysis. Results: Of the 308 subjects, 136 (44.2%) had Kidney Disability and 172 (55.8%) had Non-Kidney Disabilities. The number of chronic diseases was 4.7 in the Kidney Disabled and 3.3 in the Non-Kidney Disabled (P<0.001). The annual out-of-pocket expenditure for the Kidney Disabled was $1,310 and that for the Non-Kidney Disabled $812 (P<0.001). Today’s subjective health status for the quality of life (from the worst 0 points to the best 100 points ) was 48.9 for the Kidney Disabled and 60.4 for the Non-Kidney Disabled (P<0.001). In addition, the five years trends for the number of chronic diseases, annual out-of-pocket medical expenditure, and quality of life also differed between the Kidney and the Non-Kidney Disabled (P<0.01). Conclusion: The Kidney Disabled was more serious than the Non-Kidney Disabled in the aspect of the number of chronic diseases, the out-of-pocket medical expenditure, and quality of life. Therefore, it is necessary to consider greater interest in the health care of the Kidney-Disabled people in terms of equity.

scholarly journals Relationship between Active Aging and Quality of Life in Middle-Aged and Older Koreans: Analysis of the 2013–2018 KNHANES

Healthcare ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 240
Author(s):  
MiJung Eum ◽  
HyungSeon Kim
Keyword(s):  
Quality Of Life ◽  
Old Age ◽  
Subjective Health ◽  
Active Aging ◽  
Middle Aged ◽  
Subjective Health Status ◽  
Healthcare Needs ◽  
Unmet Healthcare Needs ◽  
Health Factors

With the increase in the aging population worldwide, social interest in having a vibrant and valuable old age has been increasing with changes in the perspectives on old age. This study aimed to determine the relationship between active aging and health-related quality of life (HRQOL) in middle-aged and older Korean using national data. The subjects were 14,117 adults aged ≥55 years. HRQOL was evaluated using the EuroQol–5 Dimension (EQ-5D) questionnaire, and active aging was defined based on the health factors, participation factors, and security factors. The average EQ-5D score was 91.04 ± 0.143. Hierarchical multiple regression analysis sequentially inputting the health, participation, and security factors showed that health factors had the strongest influence on HRQOL (F = 216.656, p < 0.001). In the final model, which included all variables, activity limit (B = −10.477, p < 0.001) and subjective health status (B = −7.282, p < 0.001) were closely related to the HRQOL. In addition, economic activity, income level, home ownership, private health insurance, and unmet healthcare needs were associated with HRQOL. The R2 of the model was 38.2%. To improve the HRQOL of middle-aged and older people, it is necessary to consider active aging factors. Furthermore, follow-up studies using various indicators reflecting active aging should be conducted.

Follow-up of tetralogy of Fallot patients: tertiary centre versus satellite clinic

2011 ◽  
Vol 21 (4) ◽  
pp. 444-453 ◽  
Author(s):  
Camille L. Hancock Friesen ◽  
Mark Robertson ◽  
David Liu ◽  
Haley Burton ◽  
Katherine Fleming ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Status ◽  
Tetralogy Of Fallot ◽  
Health Centre ◽  
Subjective Health ◽  
Subjective Health Status ◽  
Sf 36 ◽  
Patient Reported

AbstractBackgroundCanadian Cardiovascular Society consensus guidelines recommend that tetralogy of Fallot patients be seen by a congenital cardiologist every 2 years. In Atlantic Canada, tetralogy of Fallot patients are followed up at either tertiary or satellite clinics, which are held in the community and attended by paediatric cardiologists. The effectiveness of satellite clinics in congenital cardiac disease follow-up is unproven. Our objective was to compare patient-reported quality of life measures to determine whether these were impacted by the site of follow-up.MethodsWe included patients with tetralogy of Fallot undergoing surgical repair at the Izaak Walton Killam Health Centre from 1 November, 1972 to 31 May, 2002. Quality of life surveys, SF-10 or SF-36v2, were administered to consenting patients. We analysed the subjective health status by patient age and site of follow-up.ResultsOf the 184 eligible patients, 72 were lost to follow-up. Of the locatable patients, 61% completed the questionnaires. In all, 90% (101 out of 112) were followed up at recommended intervals. Of the 112 (68%) patients, 76 were followed up at a tertiary clinic. These patients were older, with a mean age of 18.4 years versus 14.7 years, and scored higher on the SF-36 physical component summary (52.6 versus 45.7, p = 0.02) compared with satellite clinic patients. The SF-36 mental component summary scores were similar for patients regardless of the site of follow-up. SF-10 physical and psychosocial scores were similar regardless of the site of follow-up.ConclusionTetralogy of Fallot patients followed at either satellite or tertiary clinics have similar subjective health status.

scholarly journals The Relationship between Health Literacy, Quality of Life, and Subjective Health: Results of a Cross-Sectional Study in a Rural Region in Germany

2020 ◽  
Vol 17 (5) ◽  
pp. 1683 ◽  
Author(s):  
Anna T. Ehmann ◽  
Oliver Groene ◽  
Monika A. Rieger ◽  
Achim Siegel
Keyword(s):  
Quality Of Life ◽  
Health Literacy ◽  
Healthcare System ◽  
Subjective Health ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Subjective Health Status ◽  
Cross Sectional ◽  
Integrated Healthcare

Low health literacy is associated with poorer health and quality of life. An open question is whether a regional integrated healthcare system whose management strives to enable and empower its members with regard to health issues can contribute to a higher level of health literacy in the population. Against this background, in a cross-sectional study we surveyed a random selection of members of an integrated healthcare system in southwestern Germany (n = 180). The standardized questionnaire included, inter alia, questions on health literacy and subjective health. In this sample we wanted to (1) determine the proportion of respondents with sufficient health literacy and (2) investigate whether the association between health literacy and quality of life and subjective health status—as found in other studies—can be replicated. In our sample a health literacy score could be calculated in 126 subjects (70%). A sufficient level of health literacy was detected in 62% of respondents. Confirming the findings of a meta-analysis based on international studies, we found moderate correlations between health literacy and quality of life (r = 0.41) and health literacy and subjective health status (r = 0.40); these correlations hardly decreased when we controlled for various sociodemographic characteristics. As the proportion of respondents with sufficient health literacy was higher in our sample than in comparable studies conducted in Germany, we may hypothesize that an integrated healthcare system like the one we surveyed could have contributed to increased health literacy in the population. Thus, it could be worthwhile to investigate this research question with a more rigorous study design and a larger sample.

Quality of life of adult Fontan patients

2020 ◽  
pp. 1-8
Author(s):  
Alexandra Soufi ◽  
Marielle Gouton ◽  
Olivier Metton ◽  
Julia Mitchell ◽  
Yvette F. Bernard ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Status ◽  
Subjective Health ◽  
Complex Congenital Heart Disease ◽  
Analog Scale ◽  
Subjective Health Status ◽  
Linear Analog ◽  
Sf 36 ◽  
Fontan Patients

Abstract Background: Progress in the management of complex congenital heart disease (CHD) led to an improvement in survival rates of adults with a Fontan-like circulation. The objective of this study was to assess the subjective health status and quality of life of this population. Methods and results: Patients aged more than 18 years at the time of the study, who underwent a Fontan-like procedure. Subjective health status was assessed by the SF-36 questionnaire and a linear analog scale was used to score patients’ self-perception of their quality of life; cardiac and demographic parameters were collected. Results: Among 65 eligible patients, 60 (23 females; mean ± SD age: 25.7 ± 7.2 years) answered the SF-36 questionnaire and 46 of these were interviewed to evaluate their perceived quality of life. Among them, 20 (33.3%) were working full-time and 21 (35%) experienced arrhythmias. The physical SF-36 scores were lower in patients than in the general population (p ≤ 0.05). The New York Hear Association (NYHA) class and occupation were correlated with SF-36 scores of physical activity (respectively, p = 0.0001 and p = 0.025). SF-36 scores of psychological status were associated with the number of drugs and occupation (respectively, p = 0.0001 and p = 0.02). The mean ± SD quality of life score measured using a linear analog scale was 7.02 ± 1.6 and was linked to education and occupation (p ≤ 0.05) but not with cardiac parameters. Conclusion: Adult Fontan patients perceive an impaired physical health but report a good overall quality of life. Education and occupation impacts significantly on Fontan patients’ quality of life.

scholarly journals Quality of life patients on hemodialysis in Kerala

2019 ◽  
pp. 22
Author(s):  
Tessy Grace Mathews ◽  
E. Mathew
Keyword(s):  
Quality Of Life ◽  
Kidney Disease ◽  
Burden Of Illness ◽  
Descriptive Analysis ◽  
Personal Data ◽  
Poor Quality ◽  
Chi Square ◽  
Stage Renal Disease ◽  
Esrd Patients

Background: End Stage Renal Disease (ESRD) is on the rise in the recent years which carries with it emotional, physical, psychological, social, and existential burdens that impact their Quality of life (QOL). The QOL describes life satisfaction and life concerns and are affected by health and illness. Maintenance of QOL with the effects of chronic illness is a challenging, multifaceted, complex endeavour for patients, their families and the health professionals. Objective: To assess the kidney disease related quality of life in patients with ESRD, its association with selected demographic, socio economic, disease and treatment related characteristics of ESRD patients. Materials and methods: Descriptive survey was conducted on 112 participants diagnosed with ESRD and on hemodialysis at least for a minimum duration of 1 month, were recruited from both government and private hospitals through purposive sampling as per the inclusion and exclusion criteria. The Kidney Disease Quality of Life (KDQOLTM-36) and Personal Data Sheet were used to assess the QOL and to obtain information as per the objectives. Descriptive analysis and Chi square test were used to analyze the data. Results: Majority of the ESRD subjects had poor quality of life in all the domains, higher proportion being in the burden of illness (71.4%) and effects of illness (68.8%) domains. There was a significant association between the burden of illness and marital status(p=.01), type of bystander(p=.01); symptom and type of bystander(p=.03) Conclusion: Majority of the ESRD patients had low KDQOL scores indicating poor quality of life in all the domains requiring intervention. This emphasizes the need to identify as well as manage QOL among them and develop appropriate intervention

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