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Health, Health-Related Quality of Life, and Quality of Life: What is the Difference?

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  • Milad Karimi

    (University of Sheffield)

  • John Brazier

    (University of Sheffield)

Abstract

The terms health, health-related quality of life (HRQoL), and quality of life (QoL) are used interchangeably. Given that these are three key terms in the literature, their appropriate and clear use is important. This paper reviews the history and definitions of the terms and considers how they have been used. It is argued that the definitions of HRQoL in the literature are problematic because some definitions fail to distinguish between HRQoL and health or between HRQoL and QoL. Many so-called HRQoL questionnaires actually measure self-perceived health status and the use of the phrase QoL is unjustified. It is concluded that the concept of HRQoL as used now is confusing. A potential solution is to define HRQoL as the way health is empirically estimated to affect QoL or use the term to only signify the utility associated with a health state.

Suggested Citation

  • Milad Karimi & John Brazier, 2016. "Health, Health-Related Quality of Life, and Quality of Life: What is the Difference?," PharmacoEconomics, Springer, vol. 34(7), pages 645-649, July.
  • Handle: RePEc:spr:pharme:v:34:y:2016:i:7:d:10.1007_s40273-016-0389-9
    DOI: 10.1007/s40273-016-0389-9
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    References listed on IDEAS

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    1. Brazier, John & Ratcliffe, Julie & Salomon, Joshua & Tsuchiya, Aki, 2016. "Measuring and Valuing Health Benefits for Economic Evaluation," OUP Catalogue, Oxford University Press, edition 2, number 9780198725923.
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    4. Ebrahim, Shah, 1995. "Clinical and public health perspectives and applications of health-related quality of life measurement," Social Science & Medicine, Elsevier, vol. 41(10), pages 1383-1394, November.
    5. Rachel Baker & Angela Robinson, 2004. "Responses to standard gambles: are preferences ‘well constructed’?," Health Economics, John Wiley & Sons, Ltd., vol. 13(1), pages 37-48, January.
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