Quality of Life Research

, Volume 14, Issue 3, pp 655–663

The health status of the Dutch population as assessed by the EQ-6D


DOI: 10.1007/s11136-004-1214-z

Cite this article as:
Hoeymans, N., Lindert, H.. & Westert, G.P. Qual Life Res (2005) 14: 655. doi:10.1007/s11136-004-1214-z


This study uses the Six-Dimensional EuroQol instrument (EQ-6D) to describe the health status of the Dutch population and investigates sociodemographic differences. The subjects participated in the second Dutch National Survey of General Practice, which was conducted in 2001. Five percent of all listed patients of 104 practices (99% of the Dutch are listed in a general practice) were invited for a health interview. Analyses were prepared for 9685 respondents aged 18 years or more. The EQ-6D is an extended EQ-5D (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) with a cognitive dimension. The EQ-6D construct validity was examined by comparing it with the SF-36, with good results. Most respondents reported no health problems, while 33% reported pain or discomfort. Women and elderly people generally reported more problems; only depression/anxiety was unrelated to age. Educational level was closely related to problems in all dimensions. The cognitive dimension of the EQ-6D, used for the first time in a general population, gave satisfactory results. This paper includes normative data by age and gender for both the EQ-6D and the EQ-5D. We conclude that the EQ-6D is an efficient tool for establishing the health status in the community, so that different population subgroups can be compared.


EuroQol General population Health survey Netherlands Socioeconomic factors 



second Dutch National Survey of General Practice




Health Utility Index


Medical Outcomes Study 36-Item Short Form Health Survey


International Quality of Life Assessment


Nottingham Health Profile


Sickness Impact Profile

Copyright information

© Springer 2005

Authors and Affiliations

  1. 1.National Institute for Public Health and the EnvironmentBilthoven
  2. 2.NIVEL, Netherlands Institute of Health Services ResearchUtrechtThe Netherlands
  3. 3.Department of Public Health Status and ForecastsNational Institute for Public Health and the EnvironmentBilthovenThe Netherlands

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