Quality of Life Research

, Volume 1, Issue 2, pp 99–106

The short-term effect of patient health status assessment in a health maintenance organization

  • J. Wasson
  • R. Hays
  • L. Rubenstein
  • E. Nelson
  • J. Leaning
  • D. Johnson
  • A. Keller
  • J. Landgraf
  • C. Rosenkrans
Research Papers

DOI: 10.1007/BF00439717

Cite this article as:
Wasson, J., Hays, R., Rubenstein, L. et al. Qual Life Res (1992) 1: 99. doi:10.1007/BF00439717

Abstract

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.

Key words

Functional assessmenthealth status

Copyright information

© Rapid Communications of Oxford Ltd 1992

Authors and Affiliations

  • J. Wasson
    • 1
  • R. Hays
    • 2
  • L. Rubenstein
    • 3
  • E. Nelson
    • 4
  • J. Leaning
    • 5
  • D. Johnson
    • 1
  • A. Keller
    • 1
  • J. Landgraf
    • 1
  • C. Rosenkrans
    • 5
  1. 1.Department of Community and Family MedicineDartmouth Medical SchoolHanoverUSA
  2. 2.RANDSanta MonicaUSA
  3. 3.Department of Medicine, Division of Geriatric MedicineUniversity of California at Los AngelesUSA
  4. 4.Hospital Corporation of AmericaNashvilleUSA
  5. 5.Harvard Community Health PlanBostonUSA