An Investigation of the Causal Relationship between Social Reintegration and Health-Related Quality of Life in Type 2 Insured Individuals

Akihiro Suzuki
Purpose:

To clarify whether health-related quality of life influences returning to work and assuming social roles.

Methods:

This study is a cross-sectional study.Inclusion criteria: 1) Stroke and neurological disease patients who utilized outpatient rehabilitation services between January 2020 and January 2023; 2) Aged 40 to 65 years (Type 2 insured individuals).Outcome：Retrospective extraction of data on EQ5D5L scores, Ministry of Health Basic Checklist (KCL), walking time, care level, employment status, and social role presence (either returning to work or household tasks)Statistical analysis: Statistical analysis was performed using R4.2.1, with a 5% significance threshold. Logistic regression was employed with dependent variables being employment status and social role presence one year later, and independent variables being EQ5D5L, walking time, care level, and activities of daily living of KCL , depression of KCL.

Results:

Out of 123 registrants, 61 participants were analyzed . Logistic regression results showed that returning to work was significantly associated with EQ5D5L (6.34), daily living (0.845), and walking time (-1.81). The odds ratios (95% confidence intervals) were 592.5 (3.5-575292.0), 2.327 (1.5-4.1), and 0.164 (0.01-1.18), respectively. Social role assumption was significantly associated with EQ5D5L (2.23), with an odds ratio (95% confidence interval) of 9.319 (0.5-235.1).

Conclusion(s):

This study revealed that health-related quality of life plays a role in both returning to work and assuming social roles. Healthcare professionals’ perspectives on health and disease have shifted towards a biopsychosocial model, which emphasizes not only physical health but also the psychological and social dimensions of patient care. In terms of returning to work and social roles, it is essential for rehabilitation to support quality of life and to manage social participation effectively.

Implications:

The EQ5D5L is a comprehensive assessment tool designed to measure health-related quality of life. It serves as a key metric for evaluating the cost-effectiveness of treatments and the stages of disease progression in relation to health-related quality of life. There is an expectation that medical economic evaluations of returning to work and acquiring social roles will further advance in the future.

Funding acknowledgements:
nothing
Keywords:
Health-Related Quality of Life
returning to work
assuming social roles
Primary topic:
Globalisation: health systems, policies and strategies
Second topic:
Disability and rehabilitation
Third topic:
Health promotion and wellbeing/healthy ageing/physical activity
Did this work require ethics approval?:
Yes
Name the institution and ethics committee that approved your work:
Hamamatsu City Rehabilitation Hospital
Provide the ethics approval number:
23-30
Has any of this material been/due to be published or presented at another national or international conference prior to the World Physiotherapy Congress 2025?:
No

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