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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COOP Charts

These drawings have enhanced the applicability of these Charts in settings where there is variability of literacy amongst the general practice patient population. When more than one chart is used it is recommended that they are administered in the following order: Several have been used in general practice settings. 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.

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.

With any measure of functional status, cultural and context issues need to be explored.

The Medical Outcomes Trust Ccoop Form 36 item inventory and derivatives of this instrument have been widely used in primary care settings. 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.

Functional status in primary care: COOP/WONCA charts.

Pictorial depictions of the five possible responses accompany the text. To date the Charts have been published in the following languages: 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. Each chart consists of a lead sentence with five options for response.


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Some of these instruments were designed for research not clinical purposes, for example, the Sickness Impact Profile. For some time general wonc have recognised the integral importance of health promotion and the measurement of functional status in consultations.

COOP-WONCA charts: a suitable functional status screening instrument in acute low back pain?

The functional status of patients. At follow up, strong correlations were found between general practitioners’ assessments of impairment, patients’ ratings of pain and patients’ ratings of recovery for all scales except for those measuring social activities and daily activities.

Similarly, the Duke Health Profile has been used successfully in North American settings In Europe, several other instruments have been used. The measurement of clinical pain intensity: This may partly be a result of patients misunderstanding the instructions. Author information Copyright and License information Disclaimer. General practitioners have found the charts easy to use within the consultation and helpful as measures of overall patient status and as outcomes of care.

It is suggested that patients consider their present complaints when rating their condition. For example, hypertension and diabetes in one patient can both impact on functional status, but their relative importance and effects cannot be determined from routine recording.

These measurements are particularly important in dealing with ageing and those with chronic problems.

Do high prescribers diagnose differently? A manual has been edited by the University of Groningen. An analysis of German routine data.

Functional status in primary care: COOP/WONCA charts.

Only the chart measuring change in health was correlated with ratings of pain and impairment wpnca baseline. Prescribing antibiotics for respiratory tract infections in primary care: How can woncs be measured in physicians’ offices? For example, Rubric 28 of component one symptoms and complaints of all chapters of ICPC refers to limited function and disabilities. There are now six charts: However, one study has shown a correlation between self-assessment and provider assessment.


PloS one, 12 12e A total of 95 patients presenting with acute qonca back pain were recruited from 15 single-handed general practices in northern Germany.

ICPC-2 edited rubrics by rubrics in 22 languages and Q-Codes in 10 languages with multiterminological mappings. Functional status relates to the patient, not to the health problem, disease or episode of care. As a research instrument the test-retest reliability will always be an issue for indicators that are global and influenced by so many variables. Support Center Support Center. A 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.

Implicit in any definition of functional status is the importance of factors other than disease in the health wonfa patients.

Measuring functional status in a population survey. These charts were modified by the classification committee and promoted for use in conjunction with ICPC. There are a plethora of indicators currently available. Internationally, they have been found to have good face validity and clinical utility in general practice. 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.

The WICC is in charge of the scientific content and leads the consortium. When too much care makes sick.