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  1. Does admission to a department of internal medicine improve patients'quality of life ?

    Article - En anglais

    Objectives

    The Tromso Medical Department Health Benefit Study was designed to estimate health gains from admissions to a department of internal medicine.

    We have previously reported that the hospital stays had no effect on the life expectancy of 61% of the patients.

    However, it has been claimed that modern medicine has a greater effect on quality of life (QoL) than on life expectancy.

    The aim of the present study was to investigate this issue by estimating gains in QoL for patients admitted to a department of internal medicine.

    Design

    The time trade-off method (TTO) was used for assessing QoL gain from consecutive admissions during a 6-week period.

    The assessments were made by one of two expert panels, each consisting of an internist, a surgeon and a general practitioner, on the basis of summaries of all relevant clinical information about the patients.

    Short-term improvements in QoL during the stay or shortly after discharge were scored on an ordinal scale.

    Results

    Of the admitted patients, 41% had gains in QoL measured with the TTO (mean gain=0.06 : 95% confidence interval=0.05-0.07 ; n=422), and eight of these had gains equal to or greater than 0.50.

    Another 40% had gains in health-related short-term QoL measured with the ordinal scale. (...)

    Mots-clés Pascal : Admission hôpital, Médecine générale, Interne, Qualité vie, Service santé, Bénéfice, Influence, Analyse statistique, Homme, Malade

    Mots-clés Pascal anglais : Hospital admission, Internal medicine, Internal, Quality of life, Health service, Profit, Influence, Statistical analysis, Human, Patient

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0534556

    Code Inist : 002B30A01C. Création : 23/03/1999.