| 摘要: | 本研究主要目的是推估中部五縣市一般民眾經生活品質(Quality of life)調整後的存活餘命(Quality adjusted life year,QALY),生活品質量化係採美國學者所發展的SF36及英國學者Rosser等所發展的3D及單一向量指標(Index)來探討,為求生活品質量化的信度,資料分析部分分別以省家計所82年度「台灣地區老人保健與生活調查」779筆樣本、中國醫藥學院83及84年度「中部五縣市民眾中醫利用之縱斷面研究」2,164及3,099筆樣本進行生活品質量化信度的探討,結果顯示此三個研究,不論在年齡或性別之特質上,生活品質之量化指數三個研究結果具一致性。接著本研究根據黃景祥等提出之方法,將生活品質與存活率結合用以推估經生活品質調整後之存活餘命,本研究針對84年度之資料進行推估,中部區域 84年度未經調整過的平均存活餘命,男性為71.18歲,女性為77.49歲。經生活品質調整後的存活餘命,男性為67.5歲,女性為71.9歲,調整後男女之間平均存活餘命的差距由6.3歲縮小至4.4歲,本研究並分別針對中部五縣市及每五歲年齡進行QALY的推估,所有結果皆納入地理資訊系統 (GIS)中,不但可直接由線上查詢,並期透過此資料庫與其他研究結合。
The objective of this study is to estimate the quality-adjusted life year (QALY) for the general population in central Taiwan. We use the method of Rosser's measures to discuss the quality of life from three dimensions such as disability, discomfort and distress and from a utility measure such as Rosser's index. The data are based on three data set gathered from 1993, 1995 and 1996 in central Taiwan. The sample sizes are 779, 2164 and 3099 respectively. The results show that the trend of quality of life among different ages and gender are consistent when they are compared from the three years of data. We then use the method proposed by Huang to incorporate the measure of quality of life to survival curve to estimate the QALY. The unadjusted life year for the male in central Taiwan in 1995 is 71.18; and that for the female is 77.49. After adjusted for the quality of life, the QALY for the male is estimated to be 67.5 and that for the female is 71.9. The distances of life year between female and male after adjusting for the quality of life become narrow, that is from 6.3 to 4.4. The QALY were also estimated based on the quality of life of each city in the central Taiwan and for each five years interval. We also incorporate the result into the geographic information system not only for on-line inquiry but also being kept in the database system for the future use. |
