Patient-based health status measurement in clinical practice: a study of its impact on epilepsy patients' care

摘要: The objective was to assess the potential benefits of routine use MOS SF-36 Health Survey (SF-36) in care ambulatory patients. design a longitudinal, prospective, randomized, controlled study set outpatient neurology clinic at New England Medical Center. There were 163 consecutive patients with epilepsy who had 210 follow-up visits one two epileptologists. completed before patient-physician encounter and forms optically scanned. results intervention group given physicians withheld for control For patients, questionnaire assessing impact on process care. After visit, all satisfaction questionnaire. main outcome measures physicians' responses standardized questions about usefulness communication management patients' their indicated that provided new information 63% encounters. A change therapy prompted 13%. rated as least moderately useful 14% encounters 8%. lower (indicating worse health status) scale scores, more by management. It concluded status may enhance