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Tytuł pozycji:

Evaluating Health Inequality in Five Caribbean Basin Countries Using EQ-5D-5L.

Tytuł:
Evaluating Health Inequality in Five Caribbean Basin Countries Using EQ-5D-5L.
Autorzy:
Bailey HH; Department of Economics, The University of the West Indies, St Augustine Campus, Trinidad and Tobago. .; HEU, Centre for Health Economics, The University of the West Indies, St Augustine Campus, Trinidad and Tobago. .
Janssen MF; Section Medical Psychology and Psychotherapy, Department of Psychiatry, Erasmus MC, Rotterdam, The Netherlands.
Alladin FM; Department of Behavioural Sciences, Trinidad and Tobago, The University of the West Indies, St Augustine Campus, Trinidad and Tobago.
La Foucade A; HEU, Centre for Health Economics, The University of the West Indies, St Augustine Campus, Trinidad and Tobago.
Varela R; Center for Entrepreneurship Development, Universidad Icesi, Cali, Colombia.
Moreno JA; Center for Entrepreneurship Development, Universidad Icesi, Cali, Colombia.
Wharton M; Sagicor Cave Hill School of Business and Management, The University of the West Indies, Cave Hill Campus, Cave Hill, Barbados.
Castillo P; Faculty of Management and Social Sciences, University of Belize, Belmopan, Belize.
Boodraj G; College of Business and Management, University of Technology, Jamaica, Kingston, Jamaica.
Źródło:
Applied health economics and health policy [Appl Health Econ Health Policy] 2022 Nov; Vol. 20 (6), pp. 857-866. Date of Electronic Publication: 2022 Aug 22.
Typ publikacji:
Journal Article
Język:
English
Imprint Name(s):
Original Publication: Auckland, N.Z. : Open Mind Journals Ltd., c2002-
MeSH Terms:
Health Status*
Quality of Life*
Adult ; Humans ; Health Status Disparities ; Surveys and Questionnaires ; Self Care
References:
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Entry Date(s):
Date Created: 20220822 Date Completed: 20221027 Latest Revision: 20221116
Update Code:
20240104
PubMed Central ID:
PMC9596582
DOI:
10.1007/s40258-022-00754-9
PMID:
35994209
Czasopismo naukowe
Background: EQ-5D-5L is a standardized health outcomes instrument that can be added to national surveys to measure inequality in health outcomes. The aim of this study was to produce baseline values of health inequality using EQ-5D-5L for five countries in the Caribbean Basin region based on national surveys in 2012-2014.
Methods: The EQ-5D-5L questionnaire was included in adult population surveys of Barbados, Belize, Colombia, Jamaica and Trinidad and Tobago. EQ-5D-5L measures were calculated for demographic groups using stratifiers from the World Health Organization's PROGRESS-Plus framework, and generalized linear models were used to test for association between EQ-5D-5L and the PROGRESS-Plus variables. Ordered logit models were used to obtain odds ratios for the effect of the PROGRESS-Plus variables on reporting problems on the EQ-5D-5L dimensions. The Kakwani index was calculated for each country.
Results: Data were obtained for representative samples in each country, giving a combined total of 11,284 respondents. Different patterns of inequality were observed among the five countries. The biggest drivers of inequality were age and gender, and the biggest EQ-5D factors were self-care in Belize and pain/discomfort in the other four countries.
Conclusion: This study demonstrated that the EQ-5D-5L instrument can easily be added to national surveys. Inequality measures from this study can be used as baseline values for comparisons with future similar surveys in these five countries to infer changes in health inequality as measured by EQ-5D outcomes. These can be used to track the performance of policy initiatives aimed at specific demographic groups.
(© 2022. The Author(s).)

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