Abstract
The authors conducted a randomized controlled trial of functional disability screening in a hospital-based internal medicine group practice. They assigned 60 physicians and 497 of their patients to either an experimental or a control group. Every four months the patients in both groups completed a self-administered questionnaire measuring physical, psychological, and social function. The experimental group physicians received reports summarizing their patients’ responses; the control group physicians received no report. At the end of one year the authors found no significant difference between the patients of the experimental and control group physicians on any measure of functional status. Functional disability screening alone does not improve patient function.
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References
U.S. Department of Health and Human Services. Healthy People 2000. Washington, DC: U.S. Government Printing Office, 1991.
Rowe JW. Health care of the elderly. N Engl J Med. 1985;312:827–35.
Stewart MA, Buck CW. Physicians’ knowledge and response to patients’ problems. Med Care. 1977;15:578–85.
Nelson E, Conger B, Douglass R, et al. Functional health status levels of primary care patients. JAMA. 1983;249:3331–8.
Wartman SA, Morlock LL, Malitz FE, Palm E. Impact of divergent evaluations of physicians and patients of patients’ complaints. Public Health Rep. 1983;98:141–5.
Calkins DR, Rubenstein LV, Cleary PD, et al. Failure of physicians to recognize functional disability in ambulatory patients. Ann Intern Med. 1991;114:451–4.
Health and Public Policy Committee, American College of Physicians. Comprehensive functional assessment for elderly patients. Ann Intern Med. 1988;109:70–2.
Nelson EC, Berwick DM. The measurement of health status in clinical practice. Med Care. 1989;27(suppl):S77–90.
Rubenstein LV, Calkins DR, Greenfield S, et al. Functional status assessment for elderly patients: report of the Society of General Internal Medicine Task Force on Health Assessment. J Am Geriatr Soc. 1989;37:562–9.
Rubenstein LV, Calkins DR, Young RT, et al. Improving patient function: a randomized trial of functional disability screening. Ann Intern Med. 1989;111:836–42.
Jette AM, Davies AR, Cleary PD, et al. The Functional Status Questionnaire: reliability and validity when used in primary care. J Gen Intern Med. 1986;1:143–9.
Brook RH, Ware JE Jr, Davies-Avery A, et al. Overview of adult health status measures fielded in Rand’s health insurance study. Med Care. 1979;17:1–131.
Bergner M, Bobbitt RA, Pollard WE, Martin DP, Gilson BS. The Sickness Impact Profile: validation of a health status measure. Med Care. 1976;14:57–67.
Rubenstein LZ. Geriatric assessment: an overview of its impacts. Clin Geriatr Med. 1987;3:1–15.
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Supported by a grant from the Robert Wood Johnson Foundation, Princeton, New Jersey.
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Calkins, D.R., Rubenstein, L.V., Cleary, P.D. et al. Functional disability screening of ambulatory patients. J Gen Intern Med 9, 590–592 (1994). https://doi.org/10.1007/BF02599291
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DOI: https://doi.org/10.1007/BF02599291