Functional health status levels of primary care patients
E. Nelson, B. Conger, R. Douglass, D. Gephart, J. Kirk, R. Page, A. Clark, K. Johnson, K. Stone, J. Wasson and M. Zubkoff
A cross-sectional study was conducted on functional status of adults
visiting primary care practices. Limitations in physical and mental
function were assessed independently in 28 practices by patients (N =
1,227) and physicians (N = 47) using a simple global index of disability.
Results indicated 12% of patients rated their physical limitations as major
and 8% rated major emotional limitations during the past month. Comparable
assessments by physicians were 5% and 4%, respectively. Differences between
patients and physicians were statistically significant and are demonstrated
to be clinically relevant. Patients' functional limitations were associated
with increased utilization of ambulatory care, older age, lower level of
education, unemployment, and a primary diagnosis of a chronic condition. We
conclude that functional status can be routinely recorded in medical
practice to help describe severity, predict utilization, and improve the
physician-patient relationship.
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