Quality of Life Assessment of Patients Undergoing Hip Replacement Surgery in the Public and Private Healthcare Systems
Author(s)
Luca F. Kajos, MSc1, Bálint Molics, MSc, PhD2, Dalma Pónusz-Kovács, MSc1, Bettina Kovács, MSc1, Tímea Csákvári, MSc, PhD3, Róbert Pónusz, MSc, PhD1, József Bódis, MD, Ph.D., Habil4, Imre Boncz, MSc, PhD, MD1;
1University of Pécs, Faculty of Health Sciences, Institute for Health Insurance, Pécs, Hungary, 2University of Pécs, Faculty of Health Sciences, Institute of Physiotherapy and Sport Science, Pécs, Hungary, 3University of Pécs, Faculty of Health Sciences, Institute for Health Insurance, Zalaegerszeg, Hungary, 4University of Pécs, National Laboratory on Human Reproduction, Pécs, Hungary
1University of Pécs, Faculty of Health Sciences, Institute for Health Insurance, Pécs, Hungary, 2University of Pécs, Faculty of Health Sciences, Institute of Physiotherapy and Sport Science, Pécs, Hungary, 3University of Pécs, Faculty of Health Sciences, Institute for Health Insurance, Zalaegerszeg, Hungary, 4University of Pécs, National Laboratory on Human Reproduction, Pécs, Hungary
Presentation Documents
OBJECTIVES: The quality of life is an important indicator of the surgery’s effectiveness and the success of the postoperative period. The aim of this study was to evaluate the quality of life of patients undergoing hip replacement surgery through a three-month follow-up, comparing the public and private healthcare systems in Pécs, Hungary.
METHODS: Patients were selected by a simple convenience sampling method from a private and a public hospital in Pécs (Hungary). Quality of life was assessed at three months follow-up using the Oxford Hip Score (OHS) disease-specific questionnaire and the SF-36 general health questionnaire. Statistical analysis was performed using SPSS software, with Kolmogorov-Smirnov test, paired T-test, Wilcoxon test, ANOVA, and mixed ANOVA (p<0.05).
RESULTS: A total of 318 participants were included in the study (161 public and 157 private patients), with a mean age of 66.19 years (67.68 years for public patients and 64.65 years for private patients). Both the Oxford Hip Score and the SF-36 Physical and Mental Health scores showed significant improvement by the third month postoperatively for public and private patients (p<0.001) (OHS: 18.55 to 37.93, SF-36 Physical Health: 31.31 to 65.47, SF-36 Mental Health: 68.47 to 80.82). Except for the preoperative SF-36 Mental Health score, results were better for the private patients. Regarding the extent of improvement during the follow-up period, the OHS score improved similarly in both groups (p=0.181), but the SF-36 results showed a greater improvement in the private patients (Physical Health: p=0.001, Mental Health: p=0.007).
CONCLUSIONS: Significant improvements in patients' quality of life were observed in public and private patients following hip replacement surgery, with those in the private healthcare system showing superior outcomes in both physical and mental health. These differences suggest that the type of healthcare provision may influence postoperative outcomes.
METHODS: Patients were selected by a simple convenience sampling method from a private and a public hospital in Pécs (Hungary). Quality of life was assessed at three months follow-up using the Oxford Hip Score (OHS) disease-specific questionnaire and the SF-36 general health questionnaire. Statistical analysis was performed using SPSS software, with Kolmogorov-Smirnov test, paired T-test, Wilcoxon test, ANOVA, and mixed ANOVA (p<0.05).
RESULTS: A total of 318 participants were included in the study (161 public and 157 private patients), with a mean age of 66.19 years (67.68 years for public patients and 64.65 years for private patients). Both the Oxford Hip Score and the SF-36 Physical and Mental Health scores showed significant improvement by the third month postoperatively for public and private patients (p<0.001) (OHS: 18.55 to 37.93, SF-36 Physical Health: 31.31 to 65.47, SF-36 Mental Health: 68.47 to 80.82). Except for the preoperative SF-36 Mental Health score, results were better for the private patients. Regarding the extent of improvement during the follow-up period, the OHS score improved similarly in both groups (p=0.181), but the SF-36 results showed a greater improvement in the private patients (Physical Health: p=0.001, Mental Health: p=0.007).
CONCLUSIONS: Significant improvements in patients' quality of life were observed in public and private patients following hip replacement surgery, with those in the private healthcare system showing superior outcomes in both physical and mental health. These differences suggest that the type of healthcare provision may influence postoperative outcomes.
Conference/Value in Health Info
2025-05, ISPOR 2025, Montréal, Quebec, CA
Value in Health, Volume 28, Issue S1
Code
PCR235
Topic
Patient-Centered Research
Topic Subcategory
Patient Behavior and Incentives, Patient-reported Outcomes & Quality of Life Outcomes
Disease
SDC: Injury & Trauma, SDC: Mental Health (including addition), SDC: Musculoskeletal Disorders (Arthritis, Bone Disorders, Osteoporosis, Other Musculoskeletal), STA: Surgery