Objectives: The 36 item short form health survey (SF-36) has proved to be of use in a variety of settings where a short generic health measure of patient-assessed outcome is required. This measure can provide an eight...
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Objectives: The 36 item short form health survey (SF-36) has proved to be of use in a variety of settings where a short generic health measure of patient-assessed outcome is required. This measure can provide an eight dimension profile of health status, and two summary scores assessing physical function and mental well-being. The developers of the SF-36 in America have developed algorithms to yield the two summary component scores in a questionnaire containing only one-third of the original 36 items, the SF-12. This paper documents the construction of the UK SF-12 summary measures from a large-scale dataset from the UK in which the SF-36, together with other questions on health and lifestyles, was sent to randomly selected members of the population. Using these data we attempt here to replicate the findings of the SF-36 developers in the UK setting, and then to assess the use of SF-12 summary scores in a variety of clinical conditions. Methods: Factor analytical methods were used to derive the weights used to construct the physical and mental component scales from the SF-36. Regression methods were used to weight the 12 items recommended by the developers to construct the SF-12 physical and mental component scores. This analysis was undertaken on a large community sample (n = 9332), and then the results of the SF-36 and SF-12 were compared across diverse patient groups (Parkinson's disease, congestive heart failure, sleep apnoea, benign prostatic hypertrophy). Results: Factor analysis of the SF-36 produced a two factor solution, The factor loadings were used to weight the physical component summary score (PCS-36) and mental component summary score (MCS-36). Results gained from the use of these measures were compared with results gained from the PCS-12 and MCS-12, and were found to be highly correlated (PCS: p = 0.94, p < 0.001;MCS: p = 0.96, p < 0.001), and produce remarkably similar results, both in the community sample and across a variety of patient groups. Concl
Patient outcomes...indicators..measurement. What do these concepts mean to you? More importantly, what do they mean to our customers, the patients? The department of nursing at the University of Maryland Medical Syste...
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Patient outcomes...indicators..measurement. What do these concepts mean to you? More importantly, what do they mean to our customers, the patients? The department of nursing at the University of Maryland Medical System (UMMS) embarked on a 6-month initiative to begin to identify the major outcome indicators of nursing practice. This article will discuss the outcome indicator project from its inception to the identification of the actual outcome indicators. The rationale for undertaking this project and the process of selecting the indicators also will be addressed.
This study is unique in that it involved the efforts of several professional groups at eight medical centers to solve a common quality assurance problem. The study used a systematic approach to evaluate and improve th...
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This study is unique in that it involved the efforts of several professional groups at eight medical centers to solve a common quality assurance problem. The study used a systematic approach to evaluate and improve the quality of care provided to veterans transferred from one facility to another. The initial survey of personnel identified perceived problems with the transfer process. Both the concurrent and the retrospective focused reviews substantiated these problems. As a result of the study, an inter-hospital transfer form was developed and implemented at eight VA medical centers with plans to expand its use to other facilities. An important benefit of the inter-hospital transfer form is the ability to use it to continuously monitor and improve the quality of inter-hospital transfers. The study was conducted by Medical District No. 1 MEDIPRO. The Medical District Initiated Peer Review Organization is a physician directed system of quality assurance within the Department of Veterans Affairs. In each geographic District, VA medical centers provide physician representatives to a medical peer review board. The MEDIPRO board, with staff support, identifies potential quality issues, designs studies, establishes standards and thresholds, and analyzes and reports study results to the medical centers. The goal of MEDIPRO is to assure and continuously improve the quality of medical care provided in VA medical centers.
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