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Assessing Functional Health Status in Clinical Practice: The Clinical Utility of the COOP Chart System. Executive Summary and Final Narrative Progress Report

机译:评估临床实践中的功能健康状况:COOp图表系统的临床效用。执行摘要和最终叙述进展报告

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摘要

The objective of the study was to determine whether routine measurement of function in very old or chronic disease patients would improve their medical care. During an 18-month period, 864 patients were evaluated and managed by 37 primary care clinicians using the Dartmouth Charts. A comparison group of 34 physicians managed 794 patients in their usual fashion. Intervention physicians claimed that at least once during the 18-month period, findings on the Dartmouth Charts triggered a clinical action for 25% of their patients. The study concludes that routine measurement of patient function can improve physician performance and seems to make women feel that their emotional and social support needs are being better addressed, while men note more attention to their pain. Older women may also have some improvement in emotional well being. However, large variation in physician response to similar functional problems of their patients was observed.

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