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Functional status in primary care: COOP/WONCA charts

¹University of Nijmegen, The Netherlands.

Disability and Rehabilitation

|April 1, 1993

Summary

This review explores patient functional status assessment, introducing the COOP/WONCA charts for international general practice. These charts measure health across various domains, proving useful in chronic disease management.

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Area of Science:

Health assessment
Patient-reported outcomes
Functional status measurement

Background:

Defining and measuring patient functional status is crucial for healthcare.
An international working party contributed to the development of functional status assessment tools.
Functional status is defined as a person's ability to perform and adapt within their environment.

Purpose of the Study:

To review the development of patient functional status assessment.
To introduce the Dartmouth COOP Functional Health Assessment charts/WONCA (COOP/WONCA charts) for international general practice.
To highlight the utility of the COOP/WONCA charts in assessing various health domains.

Main Methods:

Review of an international working party's contributions.
Adaptation of the Dartmouth COOP Functional Health Assessment Charts for international use.
Utilizing the COOP/WONCA charts covering Physical Fitness, Feelings, Daily Activities, Social Activities, Change in Health, and Overall Health.

Main Results:

The COOP/WONCA charts provide a generic, patient-oriented instrument for health assessment.
These charts have demonstrated satisfactory patient acceptability and clinical validity in chronic disease studies.
The instrument covers key domains of health relevant to patient functioning.

Conclusions:

The COOP/WONCA charts are a valuable tool for assessing patient functional status in general practice.
Further research is warranted to address limitations in scale quantification and interpretation.
General practitioners and healthcare providers are encouraged to adopt the COOP/WONCA charts in their practice.

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