Does admission to a department of internal medicine improve patients'quality of life ?
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.
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.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0534556
Code Inist : 002B30A01C. Création : 23/03/1999.