Health Related Quality of Life of Patient with Depression in Thai Health Service Delivery: A Multilevel Analysis

Abstract

Introduction: Although health related quality of life (HRQOL) has become an important to focus specifically
on the impact of illness and treatments for patients with depression, few studies have conducted to explore
HRQOL of patients from different types of hospitals. Therefore, in the first phase of this study aimed at
examining a change in HRQOL of patients from various types of hospitals and explored health service
system factors and personal factors of patients that could reflect their HRQOL in the second phase.
Method: This was a quantitative study. The general questionnaire was used for organization-level data.
Moreover, 495 participants’ data from 15 settings located in Bangkok metropolis and central regions of
Thailand were collected by Hamilton rating scale for Depression Thai version, the multidimensional Scale
of Perceived Social Support Thai and WHOQOL-BREF Thai version for patient-level data.
Results: The patient-level factors significantly were age, living arrangement (p<.05), severity of depressive
symptoms, social support (p<.001), but health service delivery of the organization-level factor was not
significant (p>.05). However, the random part of Generalized linear mixed model (GLMM) could not be
identified because intra-class correlation (ICC) was the quite low.
Conclusion: Apart from patient-level factors, these findings reflected HRQOL in patient with depression in
terms of resources available in different types of hospital that could be used as baseline data for development
of Thai mental health service systems.