TY - JOUR
T1 - In Practice The Seattle appropriate level of care survey
T2 - Health status and health services use in ambulatory persons with AIDS
AU - McCormick, W. C.
AU - Deyo, R. A.
AU - Inui, T. S.
AU - Hopkins, S. G.
AU - Wood, R. W.
AU - Wood, C. D.
N1 - Funding Information:
Dr McCormick was a VA Fellow in the Robert Wood Johnson Clinical Scholars Program during this work, which was supported primarily by the Seattle/King County Department of Public Health, Seattle, Washington, AIDS Prevention Project, and also by the Northwest Health Services Research and Development Field Program, Seattle VA Medical Center. The statements, opinions and proposals herein are the authors' and do not necessarily represent the views of the Robert Wood Johnson Foundation or the Seattle/King County Department of Public Health or the Department of Veterans Affairs. We thank Andy Kruzich and Bill Ford for their help in data gathering. This information was presented in part at the W International AIDS Conference, Stockholm, Sweden, June 1988.
PY - 1993/7/1
Y1 - 1993/7/1
N2 - 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 Kamovsky score (kappa = 0.59), by social worker assessment (kappa = 0.41), and by correlation with functional status (t - 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.
AB - 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 Kamovsky score (kappa = 0.59), by social worker assessment (kappa = 0.41), and by correlation with functional status (t - 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.
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U2 - 10.1080/09540129308258619
DO - 10.1080/09540129308258619
M3 - Article
C2 - 8218471
AN - SCOPUS:0027442337
SN - 0954-0121
VL - 5
SP - 369
EP - 378
JO - AIDS Care
JF - AIDS Care
IS - 3
ER -