ASSESSMENT OF PATIENTS' HEALTH STATUS IN FAMILY MEDICINE
General Practitioners feel increasing pressure from Public Health authorities to evaluate their work but generally accept outcome indices such as morbidity and mortality are too far away from GP practices to allow direct evaluative conclusions. A simple instrument is needed to assess the evolution i...
Published in: | International Journal for Quality in Health Care |
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Oxford University Press
1990
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fthighwire:oai:open-archive.highwire.org:intqhc:2/2/161 2023-05-15T18:11:08+02:00 ASSESSMENT OF PATIENTS' HEALTH STATUS IN FAMILY MEDICINE Schillemans, Leo De Muynck, Aimé Van Der Stuyft, Patrick Saenen, Rita Baeten, Rita 1990-06-01 00:00:00.0 text/html http://intqhc.oxfordjournals.org/cgi/content/short/2/2/161 https://doi.org/10.1093/intqhc/2.2.161 en eng Oxford University Press http://intqhc.oxfordjournals.org/cgi/content/short/2/2/161 http://dx.doi.org/10.1093/intqhc/2.2.161 Copyright (C) 1990, International Society for Quality in Health Care Articles TEXT 1990 fthighwire https://doi.org/10.1093/intqhc/2.2.161 2013-05-28T01:55:19Z General Practitioners feel increasing pressure from Public Health authorities to evaluate their work but generally accept outcome indices such as morbidity and mortality are too far away from GP practices to allow direct evaluative conclusions. A simple instrument is needed to assess the evolution in the health status of the populations the GP serves. To design such an instrument we developed a short, inexpensive questionnaire, to be filled in by the GP, that covers as many fields of health care as possible and reflects as closely as possible the specific approach in family practice. To construct this instrument five Guttman scales were first developed that refer to the five frameworks of thought that a general practitioner uses, and submitted them to a process of validation. A composite index (SAMI) was mathematically derived from these five scales; it proved to be a valid instrument for measuring health status. To field test the SAMI index, a prospective cohort study was carried out in two subpopulations, Belgians and migrants, consulting seven GP practices. The evolution of four reasons for encounter (low back pain, pregnancy, diabetes and epigastralgia) were monitored by means of the five scales and the SAMI index. The evaluative conclusion that, despite special efforts of the GPs, their approach to migrants has to be reconsidered, is drawn. Above all the field test has shown that the five measurement scales and the global SAMI index are valid instruments, of easy use in general practice, that allow to assess the global health status of patient populations and give opportunities for evaluation of PHC services. Text sami HighWire Press (Stanford University) International Journal for Quality in Health Care 2 2 161 170 |
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HighWire Press (Stanford University) |
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English |
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Articles |
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Articles Schillemans, Leo De Muynck, Aimé Van Der Stuyft, Patrick Saenen, Rita Baeten, Rita ASSESSMENT OF PATIENTS' HEALTH STATUS IN FAMILY MEDICINE |
topic_facet |
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description |
General Practitioners feel increasing pressure from Public Health authorities to evaluate their work but generally accept outcome indices such as morbidity and mortality are too far away from GP practices to allow direct evaluative conclusions. A simple instrument is needed to assess the evolution in the health status of the populations the GP serves. To design such an instrument we developed a short, inexpensive questionnaire, to be filled in by the GP, that covers as many fields of health care as possible and reflects as closely as possible the specific approach in family practice. To construct this instrument five Guttman scales were first developed that refer to the five frameworks of thought that a general practitioner uses, and submitted them to a process of validation. A composite index (SAMI) was mathematically derived from these five scales; it proved to be a valid instrument for measuring health status. To field test the SAMI index, a prospective cohort study was carried out in two subpopulations, Belgians and migrants, consulting seven GP practices. The evolution of four reasons for encounter (low back pain, pregnancy, diabetes and epigastralgia) were monitored by means of the five scales and the SAMI index. The evaluative conclusion that, despite special efforts of the GPs, their approach to migrants has to be reconsidered, is drawn. Above all the field test has shown that the five measurement scales and the global SAMI index are valid instruments, of easy use in general practice, that allow to assess the global health status of patient populations and give opportunities for evaluation of PHC services. |
format |
Text |
author |
Schillemans, Leo De Muynck, Aimé Van Der Stuyft, Patrick Saenen, Rita Baeten, Rita |
author_facet |
Schillemans, Leo De Muynck, Aimé Van Der Stuyft, Patrick Saenen, Rita Baeten, Rita |
author_sort |
Schillemans, Leo |
title |
ASSESSMENT OF PATIENTS' HEALTH STATUS IN FAMILY MEDICINE |
title_short |
ASSESSMENT OF PATIENTS' HEALTH STATUS IN FAMILY MEDICINE |
title_full |
ASSESSMENT OF PATIENTS' HEALTH STATUS IN FAMILY MEDICINE |
title_fullStr |
ASSESSMENT OF PATIENTS' HEALTH STATUS IN FAMILY MEDICINE |
title_full_unstemmed |
ASSESSMENT OF PATIENTS' HEALTH STATUS IN FAMILY MEDICINE |
title_sort |
assessment of patients' health status in family medicine |
publisher |
Oxford University Press |
publishDate |
1990 |
url |
http://intqhc.oxfordjournals.org/cgi/content/short/2/2/161 https://doi.org/10.1093/intqhc/2.2.161 |
genre |
sami |
genre_facet |
sami |
op_relation |
http://intqhc.oxfordjournals.org/cgi/content/short/2/2/161 http://dx.doi.org/10.1093/intqhc/2.2.161 |
op_rights |
Copyright (C) 1990, International Society for Quality in Health Care |
op_doi |
https://doi.org/10.1093/intqhc/2.2.161 |
container_title |
International Journal for Quality in Health Care |
container_volume |
2 |
container_issue |
2 |
container_start_page |
161 |
op_container_end_page |
170 |
_version_ |
1766183844090740736 |