Abstract
PurposeThis study aimed to estimate the health preference scores of the Chinese population with Diabetes Mellitus (DM) using the EQ-5D-5L Hong Kong (HK) population tariff according to different sociodemographic characteristics in HK.MethodsData were obtained from a cross-sectional, territory-wide study of patient experience on specialist outpatient services in a public setting in HK. The EQ-5D-5L HK was used to collect the patients’ health status. A total of 2326 respondents were reported to suffer from DM, and their information was elicited and used for the analysis in this study. A robust ANOVA method was used to compare the differences in EQ-5D-5L index scores among subgroups. Binary logistic regressions were used to predict the probability of respondents reporting full health, and ordinal least square (OLS) model was used to assess the relationship between DM and health-related quality of life (HRQoL).ResultsThe mean EQ-5D-5L index score for DM patients was 0.84. A total of 229 EQ-5D health states were reported. Altogether, 47.5% of the respondents reported having some problems with pain/discomfort, followed by mobility (26.4%), usual activities (26.0%), and anxiety/depression (23.5%). Logistic regression and OLS models indicated that male and fully employed respondents were less likely to report having problems with any of the five dimensions and index score of EQ-5D than female and non-fully employed respondents. The findings of OLS model also showed that DM patients that experience comorbidity with three and more chronic conditions were more likely to show a lower index score than respondents who reported living with DM alone.ConclusionThe EQ-5D index scores varied among DM patient characteristics and were more highly impaired with multimorbidity status. Interventions targeting at-risk subgroups, such as modifying single-diseased guidelines, might be helpful to improve their HRQoL.
Highlights
IntroductionGiven the globally increasing prevalence of Diabetes mellitus (DM), strategies to assess the influence of this disease as well as the outcomes of clinical interventions and effectiveness of
Diabetes mellitus (DM) is a chronic condition that is due to a lack of insulin from the pancreas or an inadequate efficiency of insulin level leading to severe complications in
The findings show that the mean of health preference-based index scores for individuals with DM was 0.84, which is comparatively lower than the index score of 0.92 in the general population [24]
Summary
Given the globally increasing prevalence of DM, strategies to assess the influence of this disease as well as the outcomes of clinical interventions and effectiveness of. Measuring HRQoL can capture the variations in health status of patients with different demographic backgrounds and socioeconomic characteristics at different stages of DM [12]. Quantifying these differences in the health status of DM patients is critical for enabling healthcare professionals to understand the relationship between DM and individuals’ health and well-being. GPBMs can provide information on different domains of health and/or well-being for resource allocation by conducting economic evaluation of healthcare polices or clinical interventions and facilitating decision-making [13, 14]
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