1. J Stroke Cerebrovasc Dis. Sep-Oct;20(5) doi: /j. jstrokecerebrovasdis Epub Sep 2. Disabil Rehabil. Apr-Jun;15(2) Functional status in primary care: COOP/WONCA charts. Van Weel C(1). Author information: (1)University of. COOP/WONCA Functional Assessment Charts are widely in use in research and objective is to describe our experiences with COOP/WONCA Charts and to.
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Functional status in primary care: COOP/WONCA charts.
A Manual 27provides further information about the development and use of the charts, how to translate the charts, and a contact list for further assistance, including authors of the various translations.
The measurement of clinical pain intensity: ICPC-2 edited rubrics by rubrics in 22 languages and Q-Codes in 10 languages with multiterminological mappings. Pictorial depictions of the five possible responses accompany the text. The charts can be used independently or in groups. Open in a separate window. It is one of the set of global measures of health status, which also include assessments of clinical status and quality of life. When the charts are used in new cultural settings, it is important to establish that the concepts measured are appropriate and specific to that environment.
The average time for completion is less than five minutes. A total of 95 patients presenting with acute low back pain were recruited from 15 single-handed general practices in northern Germany.
As a research instrument the test-retest reliability will always be an issue for indicators that are global and influenced by so many variables.
The functional status of patients. Internationally, they have been found to have good face validity and clinical utility in general practice.
For example, Rubric 28 of component one symptoms and complaints of all chapters of ICPC refers to limited function and disabilities. The Medical Outcomes Trust Short Form 36 item inventory and derivatives of this instrument have been widely used in primary care settings.
Functional status in primary care: COOP/WONCA charts.
Do high prescribers diagnose differently? Prescribing antibiotics for respiratory tract infections in primary care: This article has been cited by other articles in PMC. With any measure of functional status, cultural and context issues need to be explored. Support Center Support Center. Some studies of the charts have suggested that they do not exhibit cross-cultural stability. Instruments for measuring functional status. However, one study has shown a correlation between self-assessment and provider assessment.
Only the chart measuring change in health was correlated with ratings of pain and wonac at baseline. These measurements are particularly important in dealing with ageing and those with chronic problems. Baseline and follow-up measurements woncw the charts were compared and correlations of chart scores with patients’ measurements of pain intensity on a visual analogue scale, general practitioners’ ratings of impairment and patients’ measurements of recovery were analysed.
As the complexity and chronicity of medical problems increase, community medical practitioners will become more reliant on indicators of functioning as well as disease status to monitor their interventions and measure health outcomes. Several studies have looked at these issues. Author information Copyright and License information Disclaimer. Functional status could be coded in this component with the addition of an extra digit.
COOP Charts Primary Health Care Classification Consortium – WICC WONCA
Several have been used in general practice settings. For example, hypertension and diabetes in one patient can both impact on functional status, but their relative importance and effects cannot be determined from routine recording. The preferred method of use of these charts is self administration. These charts were modified by the classification committee and promoted for use in conjunction with ICPC.
How can it be measured in physicians’ offices? Similarly, the Duke Health Profile has been used successfully in North American settings In Europe, several other instruments have been used.
To date the Charts have been published in the following languages: Validity with respect to the change in asthma. The aim of the PRIMEGE Regional Information System in General Practice Project is to collect anonymized data directly from the consultation software without the doctor’s effort in order to supply a database for research purposes in general medicine. Each chart consists of a lead sentence with five options for response. There are now six charts: A copy of the Chart is available at the bottom of this file.
The WICC is in charge of the scientific content and leads the consortium. Some of these instruments were designed for research not clinical purposes, for example, the Sickness Impact Profile.
National Center for Biotechnology InformationU. A study was carried out to determine whether the charts are able to measure the degree of functional impairment associated with acute illness and the improvement in functional ability accompanying the process of recovery. An analysis of German routine data.
There are a plethora of indicators currently available. Of the six charts only the change in health chart proved to be a suitable scale for measuring short-term changes in functional ability among general practice patients with acute low back pain. The charts ask patients to use the wlnca of the past two weeks when rating their condition.