Patient-based health status measurement in clinical practice : a study of its impact on epilepsy patients'care.
The objective was to assess the potential benefits of the routine use of the MOS SF-36 Health Survey (SF-36) in the care of ambulatory patients.
The design was a longitudinal, prospective, randomized, controlled study set in the outpatient neurology clinic at the New England Medical Center.
There were 163 consecutive patients with epilepsy who had 210 follow-up visits with one of two epileptologists.
The patients completed the SF-36 before the patient-physician encounter and the forms were optically scanned.
The SF-36 results of the intervention group patients were given to the physicians before the encounter and withheld for control group patients.
For intervention group patients, the physicians completed a questionnaire assessing the impact of the SF-36 on the process of care.
After the visit, all patients completed a satisfaction questionnaire.
The main outcome measures were the physicians'responses to standardized questions about the usefulness of the SF-36 for communication with and management of epilepsy patients and the patients'responses to standardized questions about their satisfaction with care.
The physicians indicated that the SF-36 profided new information in 63% of the intervention group encounters.
A change in therapy was prompted in 13%. The physicians rated the SF-36 as at least moderately useful for communication in 14% of the encounters and to management in 8%. (...)
Mots-clés Pascal : Ethique, Epilepsie, Système nerveux pathologie, Maladie, Information, Santé, Evaluation, Méthodologie, Ambulatoire, Soin, Nursing, Autoévaluation, Questionnaire, Satisfaction, Utilisateur, Processus, Technique mesure, Aide décision
Mots-clés Pascal anglais : Ethics, Epilepsy, Nervous system diseases, Disease, Information, Health, Evaluation, Methodology, Ambulatory, Care, Nursing, Self evaluation, Questionnaire, Satisfaction, User, Process, Measurement technique, Decision aid
Notice produite par :
ORS Auvergne - Observatoire Régional de la Santé d'Auvergne
Code Inist : 002B30A11. Création : 21/07/1998.