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The descriptive system of the EuroQol Instrument

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Summary

The EuroQol descriptive system has developed within the context of a generic, index measure of HRQoL. Dimensions have been chosen based on a conceptual process rather than by statistical means such as factor analysis, and have been identified through a review of other generic health status measures. Emphasis has been placed on identifying a common core set of dimensions rather than attempting comprehensive coverage of all those possible, allowing the instrument to be used alongside both other generic measures as well as disease-specific instruments. Another strategic consideration was the requirement to generate a feasible number of health states for later valuation.

The result is a 5-dimensional system covering mobility, self-care, usual activities, pain/discomfort and anxiety/depression. With 3 levels within each dimension, a total of 243 different health states are described. This system can be used to generate a profile of HRQoL for a single individual, a group of patients, or a whole population, and can also be used to assess changes in HRQoL across time.

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References

  • Badia X, Fernandez E, Segura A. Influence of sociodemographic and health status variables on valuation of health states in a Spanish population. European Journal of Public Health 1995;5(2):87–93.

    Google Scholar 

  • Bergner M, Bobitt R A, Kressel S, Pollard W E, Gilson B S and Morris J R. The Sickness Impact Profile: conceptual formulation and methodology for the development of a health status measure. International Journal of Health Services 1976;6(2):393–415.

    PubMed  CAS  Google Scholar 

  • Brooks R. Health status measurement: a perspective on change. Hampshire: Macmillan Press Ltd, 1995.

    Google Scholar 

  • van Dalen H, Williams A and Gudex C. Lay people’s evaluations of health: are there variations between different subgroups? Journal of Epidemiology and Community Health 1994;48:248–253.

    Article  PubMed  Google Scholar 

  • Gudex C. Are we lacking a dimension of energy in the EuroQol Instrument? In Bjork S (ed). EuroQol Conference Proceedings, Lund, October 1991. IHE Working Paper 92:2. Lund, Swedish Institute for Health Economics 1992:61–72.

    Google Scholar 

  • Hunt S and McEwen J. The development of a subjective health indicator. Social Health and Illness 1980; 2:231–246.

    CAS  Google Scholar 

  • Kind P and Gudex C. Measuring health status in the community: a comparison of methods. Journal of Epidemiology and Community Health 1991;48:86–91.

    Google Scholar 

  • Patrick D L, Bush J W and Chen M M. Methods for measuring levels of well-being for a health status index. Health Services Research 1973;8:228–245.

    PubMed  CAS  Google Scholar 

  • Patrick D L and Erickson P. Health status and health policy: quality of life in health care evaluation and resource allocation. New York: Oxford University Press, 1993.

    Google Scholar 

  • Rosser R and Kind P. A scale of valuations of states of illness: is there a social consensus? International Journal of Epidemiology 1978;7:347–358.

    PubMed  CAS  Google Scholar 

  • Sintonen H. An approach to measuring and valuing health states. Social Science and Medicine 1981;15c: 55–65.

    Google Scholar 

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Gudex, C. (2005). The descriptive system of the EuroQol Instrument. In: Kind, P., Brooks, R., Rabin, R. (eds) EQ-5D concepts and methods: A developmental history. Springer, Dordrecht. https://doi.org/10.1007/1-4020-3712-0_2

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