1. J Stroke Cerebrovasc Dis. Sep-Oct;20(5) doi: /j. jstrokecerebrovasdis Epub Sep 2. Disabil Rehabil. Apr-Jun;15(2) Functional status in primary care: COOP/WONCA charts. Van Weel C(1). Author information: (1)University of. COOP/WONCA Functional Assessment Charts are widely in use in research and objective is to describe our experiences with COOP/WONCA Charts and to.

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Pictorial depictions of the five possible responses accompany the text. These measurements are particularly important in dealing with ageing and those with chronic problems.

Br J Gen Pract. As a research instrument the test-retest reliability will always be an issue for indicators that are global and influenced by so many variables.

For some time general practitioners have recognised the integral importance of health promotion and the measurement of functional status in consultations. These charts were modified by the classification committee and promoted for use in conjunction with ICPC.

With any measure of functional status, cultural and context issues need to be explored. Some of these instruments were designed for research not clinical purposes, for example, the Sickness Impact Profile. Prescribing antibiotics for respiratory tract infections in primary care: Baseline and follow-up measurements of the charts were compared and correlations of chart scores with patients’ measurements of pain intensity on a visual analogue scale, general practitioners’ ratings of impairment and patients’ measurements of recovery were analysed.

Functional status in primary care: COOP/WONCA charts.

Functional status is a measure of an individual’s overall well-being. ICPC-2 edited rubrics by rubrics in 22 languages and Q-Codes in 10 languages with multiterminological mappings. Even with only one problem, functional status measures go beyond assessing problem status and therefore their relationship a particular ICPC code may not be straightforward.


It thus relates less directly to the ICPC codes than does severity of illness.

Appropriate translation is the first step. To date the Charts have been published in the following languages: The aim of the PRIMEGE Regional Information System in General Practice Project is to collect anonymized data directly from the consultation software without the doctor’s effort in order to supply a database for research purposes in general medicine.

Associated Data Supplementary Materials. Two of the other charts indicated a deterioration at follow up. Of the six charts only the change in health chart proved to be a suitable scale for measuring short-term changes in functional ability among general practice patients with acute low back pain.

Cop Manual 27provides further information about the development and use of the charts, how to translate the charts, and a contact list for further assistance, including authors of the various translations. When too much care makes sick. Open in a separate window.

Several studies have looked at these issues. Some studies of the charts have suggested that they do not exhibit cross-cultural stability.

The functional status of patients. The WICC is in charge of the scientific content and leads the consortium. When more than one chart is used it is recommended that they are administered in the following order: There are now six charts: Wknca preferred method of use of these charts is self administration. However, one study has shown a correlation between self-assessment and provider assessment. Functional status relates to the patient, not to the health problem, disease or episode of care.



Functional status in primary care: COOP/WONCA charts.

A total of 95 patients presenting with acute low back pain were recruited from 15 single-handed general practices in northern Germany. An analysis of German routine data. Validity with respect to the change in asthma. The average time for completion is less than five minutes.

A manual has been edited by the University of Groningen. This may partly be a result of patients misunderstanding the instructions. However since functional status relates to the patient as a whole and not to the health problem, the relationship becomes difficult to interpret when there is more than one active problem, because co-morbidity complicates the interpretation.

PloS coo;, 12 12e Only the chart measuring change in health revealed a deterioration in functional ability associated with the onset of pain and an improvement in functional status at follow up.

COOP Charts

Implicit in any definition of functional status is the importance of factors other than disease in the health of patients. How can it be measured in physicians’ offices? Several have been used in general practice settings.

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