The short-term effect of patient health status assessment in a health maintenance organization
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This study was designed to test the short-term effects of health assessment on the process of care and patient satisfaction. The 29 Chart physicians used the Dartmouth COOP Charts to measure their adult patients' health status during a single clinical encounter; the 27 control clinicians used no measure of health status. We compared the change between baseline and post-intervention information for a sample of all study clinicians' patients. Most of the patients were female (67%), well educated (70% had at least a college education) and young (approximately 90% were aged 59 years or younger). We found that the ordering of tests and procedures for women was increased by exposure to the COOP Charts (52% vs. 35%; p<0.01); the effect in men was not as significant (37% vs. 23%: p=0.06). Although women reported no change in satisfaction with care, men claimed that the clinician helped in the management of pain (p=0.02). We conclude that the use of health status measures during a single clinical encounter in an HMO changes clinician test ordering behaviour and may improve the help male patients receive for pain conditions. The long-term impact of these management changes is not known.
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- The short-term effect of patient health status assessment in a health maintenance organization
Quality of Life Research
Volume 1, Issue 2 , pp 99-106
- Cover Date
- Print ISSN
- Online ISSN
- Kluwer Academic Publishers
- Additional Links
- Functional assessment
- health status
- Industry Sectors
- Author Affiliations
- 1. Department of Community and Family Medicine, Dartmouth Medical School, 03755-3862, Hanover, NH, USA
- 2. RAND, Santa Monica, CA, USA
- 3. Department of Medicine, Division of Geriatric Medicine, University of California at Los Angeles, CA, USA
- 4. Hospital Corporation of America, Nashville, TN, USA
- 5. Harvard Community Health Plan, Boston, MA, USA