Health Related Quality of Life of Patient with Depression in Thai Health Service Delivery: A Multilevel Analysis

Abstract

Introduction: Although health related quality of life (HRQOL) has become an important to focus specificallyon the impact of illness and treatments for patients with depression, few studies have conducted to exploreHRQOL of patients from different types of hospitals. Therefore, in the first phase of this study aimed atexamining a change in HRQOL of patients from various types of hospitals and explored health servicesystem factors and personal factors of patients that could reflect their HRQOL in the second phase.Method: This was a quantitative study. The general questionnaire was used for organization-level data.Moreover, 495 participants’ data from 15 settings located in Bangkok metropolis and central regions ofThailand were collected by Hamilton rating scale for Depression Thai version, the multidimensional Scaleof Perceived Social Support Thai and WHOQOL-BREF Thai version for patient-level data.Results: The patient-level factors significantly were age, living arrangement (p<.05), severity of depressivesymptoms, social support (p<.001), but health service delivery of the organization-level factor was notsignificant (p>.05). However, the random part of Generalized linear mixed model (GLMM) could not beidentified because intra-class correlation (ICC) was the quite low.Conclusion: Apart from patient-level factors, these findings reflected HRQOL in patient with depression interms of resources available in different types of hospital that could be used as baseline data for developmentof Thai mental health service systems.