Improving patient quality of life with feedback to physicians about functional status
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OBJECTIVE: To improve functional status among primary care patients.
INTERVENTION: 1) Computer-generated feedback to physicians about the patient’s functional status, the patient’s self-reported “chief complaint,” and problem-specific resource and management suggestions; and 2) two brief interactive educational sessions for physicians.
DESIGN: Randomized controlled trial.
SETTING: University primary care clinic.
PARTICIPANTS: All 73 internal medicine houseofficers and 557 of their new primary care patients.
MEASURES: 1) Change in patient functional status from enrollment until six months later, using the Functional Status Questionnaire (FSQ); 2) management plans and additional information about functional status abstracted from the medical record; and 3) physician attitude about whether internists should address functional status problems.
RESULTS: Emotional well-being scores improved significantly for the patients of the experimental group physicians compared with those of the control group physicians (p<0.03). Limitations in social activities indicated as “due to health” decreased among the elderly (>70 years of age) individuals in the experimental group compared with the control group (p<0.03). The experimental group physicians diagnosed more symptoms of stress or anxiety than did the control group physicians (p<0.001) and took more actions recommended by the feedback form (p<0.02).
CONCLUSIONS: Computer-generated feedback of functional status screening results accompanied by resource and management suggestions can increase physician diagnoses of impaired emotional well-being, can influence physician management of functional status problems, and can assist physicians in improving emotional well-being and social functioning among their patients.
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- Improving patient quality of life with feedback to physicians about functional status
Journal of General Internal Medicine
Volume 10, Issue 11 , pp 607-614
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- functional status
- quality of life
- emotional well-being
- Industry Sectors
- Author Affiliations
- 1. VA Medical Center (152), 16111 Plummer Street, 91343, Sepulveda, CA
- 2. UCLA, Los Angeles
- 3. the Rand Corporation, Santa Monica, California
- 4. California State University at Fuller-ton (CSUF), Fullerton