01-10-2010 | Forum | Uitgave 7/2010
Effectmaat langdurige zorg?
- Tijdschrift:
- Tijdschrift voor gezondheidswetenschappen > Uitgave 7/2010
Belangrijke opmerkingen
Centre for Health Economics, University of York
Afdeling Epidemiologie en Biostatistiek en EMGO+ Instituut, VU Medisch Centrum, Amsterdam
Vakgroep Gezondheid, Ethiek en Filosofie, Universiteit Maastricht
Sectie Gezondheidseconomie en Doelmatigheidsonderzoek, Afdeling Gezondheidswetenschappen, VU, Amsterdam
Bernard van den Berg, Centre for Health Economics, Alcuin ’A’ Block, University of York; Heslington, York, YO10 5DD, Verenigd Koninkrijk, tel. +44 (0)1904 321461,
Effect measure long-term care?
Main aim of interventions in medical care is to achieve health gains. Cost-utility analysis is an important instrument to assess relative efficiency of health care interventions. Main effect measure in a cost-utility analysis is ‘health-related quality of life’. Interventions in long-term care focus to a considerable degree on managing or reducing the effect of impairment on people’s daily lives and therefore on maintaining or improving well-being. Therefore health-related quality of life cannot be used to measure outcomes in long-term care aimed primarily at well-being. A first step in development of an outcome measure for long-term care is determining which domains of well-being this sector aims to improve. This article presents and discusses which aspects play an important role in the well-being of people with long-term physical, cognitive, psychological and/or sensory impairments.
Keywords: long-term care; social care; outcome measures; instruments; economic evaluations
Samenvatting
Effect measure long-term care?
Main aim of interventions in medical care is to achieve health gains. Cost-utility analysis is an important instrument to assess relative efficiency of health care interventions. Main effect measure in a cost-utility analysis is ‘health-related quality of life’. Interventions in long-term care focus to a considerable degree on managing or reducing the effect of impairment on people’s daily lives and therefore on maintaining or improving well-being. Therefore health-related quality of life cannot be used to measure outcomes in long-term care aimed primarily at well-being. A first step in development of an outcome measure for long-term care is determining which domains of well-being this sector aims to improve. This article presents and discusses which aspects play an important role in the well-being of people with long-term physical, cognitive, psychological and/or sensory impairments.
Keywords: long-term care; social care; outcome measures; instruments; economic evaluations