We sought to evaluate the health-related quality of life (HRQOL) of patients with diabetes and hypertension, participating in the Chronic Disease Management Program (Prolanis) in the Purwokerto Regency, Indonesia using the five-level version of the EuroQol five-dimension instrument (EQ-5D-5L). A cross-sectional study was conducted on 267 diabetic and 349 hypertensive patients in six community health centers, using the Indonesian version of the EQ-5D-5L. The EQ-5D-5L utility index was calculated using the Indonesian value set as well as the percentages of the problem in each dimension. Statistical analyses were performed to identify differences in the EQ-5D utility index between diabetes and hypertension and in the study characteristics. The mean EQ-5D-5L score among diabetic patients was 0.879 ± 0.115, while that for hypertensive patients was 0.879 ± 0.116. Separately, the EQ visual analogue scale (EQ-VAS) of diabetes was 80.030 ± 12.893 and that for hypertension was 79.180 ± 14.223. The most frequently reported problems were pain/discomfort (67.42% in diabetes and 62.75% in hypertension) followed by anxiety/depression (36.33% in diabetes and 41.11% in hypertension). There was no significant difference between the utility index values (p = 0.056) nor EQ-VAS scores (p = 0.573) of diabetic and hypertensive patients. Work status had a significant effect on the HRQOL of diabetic patients (p = 0.016). This study suggests that health care professionals should pay more attention to pain and depression management to improve the lives of patients with chronic disease.
Key words: EQ-5D-5L, health-related quality of life, diabetes, hypertension, Indonesia, chronic disease management
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