多国视角下中国居民生命质量:基于中、英、日、韩EQ-5D效用值体系研究

Study on the Quality of Life of Chinese Residents from Different Countries' Perspective:Based on the EQ-5D Value Set of China,Britain,Japan and Korea

目的:研究中国、英国、日本、韩国EQ-5D-3L效用值体系特点,从多角度评价中国居民健康相关生命质量。方法:基于第五次国家卫生服务调查数据,利用Pearson相关系数研究基于不同效用值体系计算的我国居民健康生命质量的关联性。结果:中国、英国、日本和韩国效用值上限均为1,下限分别为-0.149、-0.594、-0.171和-0.106,四国视角下的中国居民效用值平均是分别为0.958 8、0.913 0、0.949 9和0.964 3。中国与英国、日本和韩国视角下中国居民效用值相关系数分别为0.951 1、0.976 7和0.987 5。结论:中国与日本、韩国对健康评价偏好更为一致,更加关注一般问题和自我照顾对于健康的影响,而英国更加关注极端问题及其疼痛的影响。中、韩视角下对于中国居民生命质量的态度乐观一致,英国和日本对于65岁及以上老人和低收入等人群健康状况评价相对悲观。

Objective： To study the characteristics of EQ-SD-3L value set in China, UK, Japan and Korea, and conduct the evaluation of health-related quality of life in China from multiple perspectives. Methods： Based on the 5th national health service survey data, Pearson correlation coefficient was used to study the relationship between health quality of life of residents in China based on different utility value system. Results： The upper limit of utility values in China, Britain, Japan and South Korea were 1, the lower limit were -0.149, -0.594, -0.171 and -0.106. From the perspectives of the four countries, the average values of China＇ s residents were 0.9588, 0.9130, 0.9499 and 0.9643. Conclusion： China, Japan and South Korea were more consistent in their preferences for health assessment and more concerned about the health effects of general problems and self-care, while the UK was more concerned about extreme problems and the impact of pain. From the perspective of China and South Korea, the attitude towards the quality of life of Chinese residents was optimistic. UK and Japan were relatively pessimistic about the health status of the elderly and low-income people aged 65 and above.