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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This may partly be a result of patients misunderstanding the instructions. Standardisation of test conditions and assessment of inter-rater reliability may improve the results for research projects.

The preferred method of use of these charts is self administration. Functional status could be coded in this component with the addition of an extra digit.

These drawings have enhanced the applicability of these Charts in settings where there is variability of literacy amongst the general practice patient population. Implicit in any definition of functional status is the importance of factors other than disease in the health of patients.

When the charts are used in new cultural settings, it is important to establish that the concepts measured are appropriate and specific to that environment.

PloS one, 12 12e 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.

Functional status in primary care: COOP/WONCA charts.

As the complexity and chronicity of medical problems increase, community medical practitioners will become more reliant on indicators of functioning as well as disease status to monitor their interventions and measure health outcomes. It is suggested that patients consider their present complaints when rating their condition. For example, Rubric 28 of component one symptoms and complaints of all chapters of ICPC refers to limited function and disabilities. Functional status relates to the patient, not to the wojca problem, disease or episode of care.


The average time for completion is less than five minutes. Baseline and follow-up measurements of the charts were compared and correlations of chart scores cpop patients’ measurements of pain intensity on a visual analogue scale, general practitioners’ ratings of impairment and patients’ measurements of recovery were analysed. It is one of the set of global measures of health status, which also include assessments of clinical status and quality of life.

National Center for Biotechnology InformationU. When more than one chart is used it is recommended that they are administered in ciop following order: Two of the other charts indicated a deterioration at follow up. The Medical Xoop Trust Short Form 36 item inventory and derivatives of this instrument have been widely used in primary care settings.

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.

Only the chart measuring change in health was correlated with ratings of pain and impairment at baseline. Instruments for measuring functional status. An analysis of German routine data. Validity with wnca to the change in asthma.

There are a plethora of indicators currently available. A Manual 27provides further information about the development and woca of the charts, how to translate the charts, and a contact list for further ciop, including authors of the various translations. Appropriate translation is the first step. How can it be measured in physicians’ offices? As a research instrument the test-retest reliability will always be an issue for indicators that are global and influenced by so many variables.


Author information Copyright and License information Disclaimer. Functional status is considered an important measure of health status in primary care. 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 eonca back pain. A copy of the Chart is available at the bottom of this file. Use of the Charts.

Functional status in primary care: COOP/WONCA charts.

Several have been used in general practice settings. A study was carried out to determine whether the charts are able to measure the degree of functional impairment associated with acute illness and the improvement in functional ability accompanying the process of recovery. Some studies of the charts have suggested that they do not exhibit cross-cultural stability. Do high prescribers diagnose differently?

Internationally, they have been found to have good face validity and clinical utility in general practice.

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