Self-rated health, physician-rated health and mortality

Self-rated and physician-rated health associated with mortality

Self-rated health was strongly related to all-cause mortality after 5 and 15 years of follow-up. Physician-rated health was an independent predictor of 15-year all-cause mortality. Self-rated health predicted cancer mortality and physician-rated health predicted cardiovascular mortality. Self-rated health provided information beyond physician-rated health and may help clinicians to optimize the decision-making surrounding treatment, hospital referral and follow-up visits to achieve “patient-centered care”.

Measuring self-rated and physician-rated health

Self-rated health has been identified by the American Institute of Medicine as one of the 20 key indicators valuable in measuring the health of populations. In 1985, self-rated health was measured on a four-point scale in the Zutphen Elderly Study. Physician-rated health was evaluated with a five-point scale.

About the Zutphen Elderly Study

The Zutphen Elderly Study is an extension of the original Zutphen Study with a sample of the same age where detailed information on the diet of all the participants was collected four times between 1985 and 2000.  Read more about the Zutphen (Elderly) Study.

More about healthy aging

From 1984 onwards, additional studies started to examine indicators of healthy ageing in the elderly populations of in the SCS and related studies.


Disability and depressive symptoms

In elderly men from Finland, Italy and the Nethelands in the FINE Study, self-reported information on disability and depressive symptoms was collected in 1990 and 1995.