Quality of life and functional health of primary care patients.

Published

Journal Article

Quality of life and functional health were measured cross-sectionally for 314 adult ambulatory primary care patients in a rural clinic and found to be much better for patients with low severity of illness who required no confinement to home because of health problems, than for patients with high severity of illness who required confinement. Severity of illness was the strongest predictor for patient-reported physical health function and for patient quality of life when assessed by the health provider. Confinement was the strongest predictor for patient quality of life when assessed by the patient. There was very little agreement between patient-assessed and provider-assessed quality of life. Family stress was the strongest predictor of function in terms of mental health, social health, general health, self-esteem, anxiety, and depression. These data suggest that clinicians should direct increased attention to patient-assessed quality of life, patient-reported functional health status, and psychosocial factors such as family stress in an effort to improve medical outcomes.

Full Text

Duke Authors

Cited Authors

  • Parkerson, GR; Broadhead, WE; Tse, CK

Published Date

  • November 1992

Published In

Volume / Issue

  • 45 / 11

Start / End Page

  • 1303 - 1313

PubMed ID

  • 1432010

Pubmed Central ID

  • 1432010

International Standard Serial Number (ISSN)

  • 0895-4356

Digital Object Identifier (DOI)

  • 10.1016/0895-4356(92)90171-i

Language

  • eng

Conference Location

  • United States