The Seattle appropriate level of care survey

Health status and health services use in ambulatory persons with AIDS

W. C. McCormick, Richard (Rick) Deyo, R. W. Wood, C. D. Wood, R. A. Deyo, T. S. Inui

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

We surveyed 77 persons with AIDS, their physicians and their social workers during the autumn of 1987 to ascertain health status and to quantify use of health services in Seattle, Washington. Participants included the majority (59%) of persons living with AIDS in the area. Information was gathered regarding demography, health status, functional status, medical history and the use of health services. The validity of self-assessed general health was corroborated by the physician-rated Karnovsky score (kappa = 0.59), by social worker assessment (kappa = 0.41), and by correlation with functional status (r = 0.6-0.8). We found more frequent use of health services (categorized into skilled services, chore services and physician services) among AIDS patients who were dependent in basic and instrumental daily activities, had low income, had poor self-assessed general health, lived alone or lacked an available support person at home. These associations persisted in multivariate analyses, and accounted for 6-23% of the variability in service use. We conclude that health and functional status of persons with AIDS can be estimated via mailed questionnaires and accounts for a modest amount of the variability in use of health services.

Original languageEnglish (US)
Pages (from-to)369-378
Number of pages10
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume5
Issue number3
StatePublished - 1993
Externally publishedYes

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Health Status
health status
Health Services
health service
Acquired Immunodeficiency Syndrome
AIDS
human being
physician
Physicians
social worker
health
Health
demography
low income
Multivariate Analysis
Demography
Surveys and Questionnaires
questionnaire
Social Workers

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Social Sciences (miscellaneous)
  • Health(social science)
  • Health Professions(all)

Cite this

The Seattle appropriate level of care survey : Health status and health services use in ambulatory persons with AIDS. / McCormick, W. C.; Deyo, Richard (Rick); Wood, R. W.; Wood, C. D.; Deyo, R. A.; Inui, T. S.

In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Vol. 5, No. 3, 1993, p. 369-378.

Research output: Contribution to journalArticle

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