"INTERMED" : A method to assess health service needs. II. Results on its validity and clinical use.
The validity and clinical use ofa recently developed instrument to assess health care needs of patients with a physical illness, called INTERMED, is investigated.
The INTERMED combines data reflecting patients'biological, psychological, and social characteristics with information on health care utilization characteristics.
An example ofa patient population in which such an integral assessment can contribute to the appropriateness of care, are patients with low back pain of degenerative or unknown origin.
It supports the validity and the clinical usefulness of the INTERMED when clinically relevant subgroups in this heterogeneous population can be identified and described based on their INTERMED scores.
The INTERMED was utilized in a group of patients (N=108) having low back pain who vary on the chronicity of complaints, functional status, and associated disability.
All patients underwent a medical examination and responded to a battery of validated questionnaires assessing biological, psychological, and social aspects of their life.
In addition, the patients were assessed by the INTERMED.
It was studied whether it proved to be possible to form clinically meaningful groups of patients based on their INTERMED scores ; for this, a hierarchical cluster analysis was performed.
In order to clinically describe them, the groups of patients were compared with the data from the questionnaires. (...)
Mots-clés Pascal : Psychométrie, Méthode mesure, Besoin utilisateur, Service santé, Santé mentale, Validation test, Homme
Mots-clés Pascal anglais : Psychometrics, Measurement method, User need, Health service, Mental health, Test validation, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0222179
Code Inist : 002B18B01. Création : 16/11/1999.