Variations in population health status: results from a United Kingdom national questionnaire survey

BMJ 1998;316:736-741 ( 7 March )

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Variations in population health status: results from a United Kingdom national questionnaire survey

Paul Kind, senior research fellow, Paul Dolan, research fellow, Claire Gudex, research fellow, Alan Williams, professor of economics.

Centre for Health Economics, University of York, York YO1 5DD

Correspondence to: Dr Kind pk1{at}york.ac.uk

Objective: To measure the health of a representative sample of the population of the United Kingdom by using the EuroQoLEQ-5D questionnaire.
Design: Stratified random sample representative of the general population aged 18 and over and living in the community.
Setting: United Kingdom.
Subjects: 3395 people resident in the United Kingdom.
Main outcome measures: Average values for mobility, self care, usual activities, pain or discomfort, and anxiety ordepression.
Results: One in three respondents reported problems with pain or discomfort. There were differences in the perceptionof health according to the respondent's age, social class, education,housing tenure, economic position, and smoking behaviour.
Conclusions: The EQ-5D questionnaire is a practical way of measuring the health of a population and of detecting differencesin subgroups of the population.

Key messages

Measurement of health outcome requires the observation of states of health
Patients' involvement in recording and assessing their own state of health is a major element in the process of evaluating the impact of health care
The EuroQoL EQ-5D questionnaire highlights variations in states of health which are consistent with previously published results
High degrees of pain are reported in the general population. A category for pain is absent and thus undetected in the survey of disability by the Office of Population Censuses and Surveys

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