HEALTH-STATUS REPORTS IN THE CARE OF PATIENTS WITH RHEUMATOID-ARTHRITIS

被引:93
|
作者
KAZIS, LE
CALLAHAN, LF
MEENAN, RF
PINCUS, T
机构
[1] BOSTON UNIV,SCH MED,CTR MULTIPURPOSE ARTHRITIS,80 E CONCORD ST,BOSTON,MA 02118
[2] BOSTON CITY HOSP,DEPT MED,BOSTON,MA 02118
[3] BOSTON UNIV HOSP,DEPT MED,BOSTON,MA 02218
[4] VANDERBILT UNIV,MED CTR,SCH MED,DEPT MED,DIV RHEUMATOL & IMMUNOL,NASHVILLE,TN 37232
关键词
Arthritis Impact; Clinical practice; Health Assessment Questionnaire; Health status reports; Measurement Scales; Rheumatoid arthritis;
D O I
10.1016/0895-4356(90)90025-K
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
We examined the use of formal health status reports every 3 months over 1 year in the clinical care of patients with rheumatoid arthritis (RA). The reports consisted of single-page, computer-generated summaries of scores derived from either the AIMS (Arthritis Impact Measurement Scales) or the MHAQ (Modified Health Assessment Questionnaire) health status questionnaires. A total of 1920 subjects from 27 community practice sites were randomly assigned to three study groups in each practice: intervention, attention placebo and control. Results showed that 55% of the physicians found the reports to be at least moderately useful as an aid to patient management, primarily for improving the doctor-patient relationship. However, no detectable differences among the three groups were seen in terms of medication compliance, number of physician visits, number of referrals, frequency of major medication changes, attitudes towards the physician, patient satisfaction or change in health status over 1 year. The failure to demonstrate objective benefits of health status reports in this study may be due to physician unfamiliarity with health status scores, failure to link the report with an office visit, the relative stability of clinical status in the subjects over 1 year and the relatively short time-frame of the study. © 1990.
引用
收藏
页码:1243 / 1253
页数:11
相关论文
共 50 条
  • [41] EFFECTS OF A MODIFIED DANCE-BASED EXERCISE ON CARDIORESPIRATORY FITNESS, PSYCHOLOGICAL STATE AND HEALTH-STATUS OF PERSONS WITH RHEUMATOID-ARTHRITIS
    NOREAU, L
    MARTINEAU, H
    ROY, L
    BELZILE, M
    AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 1995, 74 (01) : 19 - 27
  • [42] ANDROGEN STATUS IN POSTMENOPAUSAL PATIENTS WITH RHEUMATOID-ARTHRITIS - REPLY
    DEIGHTON, CM
    JOURNAL OF RHEUMATOLOGY, 1993, 20 (12) : 2164 - 2164
  • [43] STATUS OF THE OXIDATIVE AND ANTIOXIDATIVE SYSTEMS IN PATIENTS WITH RHEUMATOID-ARTHRITIS
    MIKUNIS, RI
    STANISLAVCHUK, NA
    TERAPEVTICHESKII ARKHIV, 1989, 61 (06) : 121 - 123
  • [44] Evaluation of Oral Health Status and Oral Care of Patients with Rheumatoid Arthritis
    Radwan-Oczko, Malgorzata
    Dus-Ilnicka, Irena
    Richards, Pamela
    Thomsen, Anna Marie
    Rasmussen, Claus
    INTERNATIONAL JOURNAL OF DENTISTRY, 2020, 2020
  • [45] ANTIBODIES TO DNA IN PATIENTS WITH RHEUMATOID-ARTHRITIS AND JUVENILE RHEUMATOID-ARTHRITIS
    BELL, C
    TALAL, N
    SCHUR, PH
    ARTHRITIS AND RHEUMATISM, 1975, 18 (06): : 535 - 540
  • [46] PERCEIVED HEALTH-STATUS, SELF-ESTEEM AND BODY-IMAGE IN WOMEN WITH RHEUMATOID-ARTHRITIS OR SYSTEMIC LUPUS-ERYTHEMATOSUS
    CORNWELL, CJ
    SCHMITT, MH
    RESEARCH IN NURSING & HEALTH, 1990, 13 (02) : 99 - 107
  • [47] PSYCHOSOCIAL OUTCOMES AND HEALTH-STATUS OF ADULTS WHO HAVE HAD JUVENILE RHEUMATOID-ARTHRITIS - A CONTROLLED POPULATION-BASED STUDY
    PETERSON, LS
    MASON, TG
    NELSON, AM
    OFALLON, WM
    GABRIEL, SE
    ARTHRITIS AND RHEUMATISM, 1995, 38 (09): : 190 - 190
  • [48] ALLIED HEALTH TEAM MANAGEMENT OF RHEUMATOID-ARTHRITIS PATIENTS
    FEINBERG, JR
    BRANDT, KD
    AMERICAN JOURNAL OF OCCUPATIONAL THERAPY, 1984, 38 (09): : 613 - 620
  • [49] THE ORAL HEALTH-STATUS OF PATIENTS SEEKING CARE IN TRANSKEI
    RUDOLPH, MJ
    BRAND, AA
    JOURNAL OF DENTAL RESEARCH, 1986, 65 (04) : 626 - 626
  • [50] FUNCTIONAL HEALTH-STATUS LEVELS OF PRIMARY CARE PATIENTS
    NELSON, E
    CONGER, B
    DOUGLASS, R
    GEPHART, D
    KIRK, J
    PAGE, R
    CLARK, A
    JOHNSON, K
    STONE, K
    WASSON, J
    ZUBKOFF, M
    JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1983, 249 (24): : 3331 - 3338