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Benefits and Obstacles of Health Status Assessment in Ambulatory Settings

The Clinician??s Point of View

Bibliographic Data

ID9101946
AuthorsJohn Wasson, John H Wasson (0000-0002-0216-0572, Dartmouth–Hitchcock Medical Center, corresponding author), Adam Keller (Dartmouth–Hitchcock Medical Center, corresponding author), Lisa V Rubenstein (0000-0002-4186-7191, University of California, Los Angeles), Lisa Rubenstein, Ron D Hays (0000-0001-6697-907X, RAND Corporation), Ron Hays, Eugene C Nelson (0000-0002-3909-4388, HCA Healthcare), Eugene Nelson, Deborah Johnson (0000-0002-7851-7689, Dartmouth–Hitchcock Medical Center, corresponding author)
Year1992
Volume30
IssueSupplement
PagesMS42-MS49
Publication date1992-05-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-199205001-00004
OpenAlexW1481412383
LanguageEN
Citations received14
References cited1

In the past decade physicians have identified the need to expand patient assessment to include global function and quality of life. During the same period, the busy clinic has evolved into the location where this assessment seems most appropriate. Integrating functional health assessment into a busy clinical practice is difficult because the necessary steps require time, thought, recording, and follow-up. Attention to the office ecosystem is very important before any patient care management method is introduced. The clinician must transform the results of health status screening into a specific functional diagnosis. The clinician has to understand the sensitivity, specificity, and predictive value of the measure for a preliminary diagnosis to be made. Often, additional measurements must be taken to establish a specific diagnosis. These steps encompass assessment linkage. Once the specific cause for the dysfunction is recognized, the clinician then has to determine the need for special resources. This is called the resource linkage. By following the steps outlined in this paper, the clinician should be able to overcome many obstacles for functional health status assessment in busy ambulatory settings

Ambulatory · MEDLINE · Political science · Chronic Disease Management Strategies · Chronic Obstructive Pulmonary Disease (COPD) Research · Health disparities and outcomes · Internal Medicine · Medicine · Psychology

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    Colleen A Mchorney, Donald Earl Bricker•Medical Care•2002

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Unique citing works14
Citations per year0,41
Citation span1992 - 2022 (31)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 11
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