Measuring Population Health

OBJECTIVES: The relative performance of three widely used generic health status measures (EQ-5D, a modified HUI3 [mHUI3], and SF-12) was compared within a general population sample. MATERIALS AND METHODS: Data were taken from a cohort of persons identified from the patient list of a large general practice in York, UK. Two-way comparisons were made between EQ-5D and mHUI3 and EQ-5D and SF-12. The measures were assessed in terms of their practical viability, coverage, and discrimination. Practical viability was evaluated in terms of the extent of missing responses and the proportion indicating difficulty with a measure. Coverage examined the range of responses across the items in the measures. Discrimination examined the capacity of the measures to discriminate between persons according to their self-reported morbidity and socioeconomic status. RESULTS: One thousand one hundred twenty-six persons completed a postal questionnaire containing EQ-5D and either mHUI3 (n = 593) or SF-12 (n = 533). Missing responses were low across all three instruments. SF-12 showed a broad distribution of responses across its items however, responses on the mHUI3 hearing, speech and dexterity dimensions and the EQ-5D self-care dimension were highly skewed, with few persons reporting problems. In terms of summary scores, mHUI3 identified more mild health states than EQ-5D. EQ-5D and mHUI3 showed slightly better discrimination than SF-12. CONCLUSIONS: Despite the inherent differences in their descriptive systems and scoring functions, no one instrument performed better or worse than the other with respect to the criteria applied in this study. Some of the issues to be considered when choosing a population health measure are discussed

Cohort · Descriptive statistics · Disease · Environmental health · EQ-5D · Health related quality of life · Missing data · Population · Sample (material) · Socioeconomic status · Statistics · Chronic Disease Management Strategies · Demography · Health disparities and outcomes · Health Systems, Economic Evaluations, Quality of Life · Mathematics · Medicine · Psychology

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• Predicting EQ-5D utility scores from the 25-item National Eye Institute Vision Function Questionnaire (NEI-VFQ 25) in patients with age-related macular degeneration

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• The EQ-5D-5L index score is more discriminative than the EQ-5D-3L index score in diabetes patients

  Open Access•Chen-Wei Pan, Hongpeng Sun et al.•Quality of Life Research•2014

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• Validation of the EQ-5D quality of life instrument in patients after myocardial infarction

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• EQ-5D-3L as a health measure of Brazilian adult population

  Open Access•Renata de Miranda Menezes, Mônica Viegas Andrade et al.•Quality of Life Research•2015

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• Evaluating the discriminatory power of EQ-5D, HUI2 and HUI3 in a US general population survey using Shannon’s indices

  Open Access•Mathieu F Janssen, Erwin Birnie et al.•Quality of Life Research•2007

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• Quantification of the level descriptors for the standard EQ-5D three-level system and a five-level version according to two methods

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• Measurement properties of the EQ-5D-5L compared to the EQ-5D-3L across eight patient groups

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• The Demography of Mental Health Among Mature Adults in a Low-Income, High-HIV-Prevalence Context

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• Relative Efficiency of the EQ-5D, HUI2, and HUI3 Index Scores in Measuring Health Burden of Chronic Medical Conditions in a Population Health Survey in the United States

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