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  1. Patient-based health status measurement in clinical practice : a study of its impact on epilepsy patients'care.

    Article - En anglais

    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.