COOP/WONCA Charts. A manual. C. van Weel. C. König - Zahn. F.W.M.M. Touw - Otten. N.P. van Duijn. B. Meyboom - de Jong. World Organization of Family. COOP/WONCA Functional Assessment Charts are widely in use in research and reliability testing is discussed, and the use of COOP/WONCA Functional. COOP-WONCA charts: a suitable functional status screening instrument in acute low back pain? EDITH ANDRES. MARITA TEMME. JOACHIM.
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PDF | The COOP-WONCA charts comprise six scales designed to measure functional health status in primary care. A study was undertaken to describe the. PDF | We wanted to examine whether persons needing acute The first 59 patients repeated the COOP/WONCA scoring after a few days to. The COOP-WONCA charts, which comprise six single-item scales, have Get a printable copy (PDF file) of the complete article (K), or click on a page image .
The prevalence of COPD and mortality from the disease are expected to increase due to prolonged life expectancy.
The economic burden of treatment for COPD [ 12 ] and the social burden of the loss of disability-adjusted life years due to COPD [ 13 ] are also increasing because the prevalence of COPD, which is a slowly progressive chronic disease and puts patients at increased risk of infectious disease [ 14 ], is greatly elevated in those who are 40 years or older.
However, little is known about the health status of older patients with COPD in Asia, and no study has compared the health status of Japanese and Chinese populations, who live with completely different medical systems, environments, and other patient circumstances. International comparative studies using questionnaires must consider the cultural background of participants, such as language and customs.
In addition, for research targeting a geriatric subject, a simplified questionnaire is required that is written in short, easy-to-understand sentences; is visually apparent; and can be completed in a short time. The reliability and validity of the English [ 15 ] and Chinese [ 16 ] versions have been verified.
Methods Subjects The survey was conducted in six cities in Japan and China from to Patients ages years visiting outpatient clinics and healthy subjects having medical checkups at health care centers were enrolled. The objectives and other details of the study were explained to the subjects, and their written informed consent was obtained.
Patients with home oxygen therapy were excluded. Pulmonary function of healthy subjects was tested in health care centers. Healthy subjects did not have dyslipidemia or respiratory, circulatory, gastrointestinal, or endocrine disease.
Medical staff distributed and collected the questionnaires at the hospitals and clinics. Health care centers mailed the questionnaires to healthy participants beforehand and collected them at health checkups. Analytical methods All completed questionnaires were assigned identification numbers after collection.
All cases missing values in the questionnaire were removed from the data set before the statistical analyses were performed. Data were analyzed by t-test, chi-square test, correlation analysis, and a multiple-regression analysis by using JMP Ver.
Probability less than 0. InterStudy, a professional association for HMOs and other prepaid health care facilities, has developed the Outcomes Management System for its members. The Short-Form 36 is being developed and marked widely by John Ware and his colleagues as a functional health status measure for outcomes [l].
In the meanwhile, the Nottingham Health Profile continues to be used widely, and there is a proliferation of research to develop new generic and disease specific measures of health status and quality of life. With respect to family practice and primary care, there are neither hard data to suggest that one measure is inherently superior over others, nor is there convincing Book Review evidence to suggest that any one measure is reliable, valid, feasible, and a useful tool for assessing outcomes in patients of individual physicians or group practices.
All things being equal, efficiencies in time and effort would dictate that a short form is preferable to a long form.
The COOP charts are short and easy to use, and there is some evidence to suggest that they work as well as longer instruments [2,3]. At present, health status measures describe the health status of patient groups at one point in time, and they are sensitive to fairly large variations in severity of disease and comorbidity.
As a minimum, for an outcome measure to be systematically incorporated into medical records by family physicians, it should show the superiority of an intervention or a management strategy within the context of a single practice. Optimally, it should be useful for monitoring the functional health of the patient and in positing the prognosis of future health states.
Hopefully researchers in WONCA will implement the COOP charts and measures of health status, systematically evaluate the performance of the measures, and demonstrate the usefulness of the measures in evaluating primary care, monitoring health status, and managing patient care over time. The present monograph demonstrates the potential for the use of the COOP charts. It is an open question as to whether the potential will be realized in actual practice.