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Article: Feasibility and acceptability of the COOP/WONCA Charts for identification of functional limitations in rural patients of the People's Republic of China

TitleFeasibility and acceptability of the COOP/WONCA Charts for identification of functional limitations in rural patients of the People's Republic of China
Authors
Issue Date2001
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.intjrehabilres.com
Citation
International Journal Of Rehabilitation Research, 2001, v. 24 n. 3, p. 207-219 How to Cite?
AbstractThe aim of this study was to test whether the COOP/WONCA Charts could help doctors in three specialty outpatient clinics of Hebei Provincial Hospital, China to identify functional limitations in rural patients and promote more patient-centred care. In this descriptive, cross-sectional study, a sample of 113 rural patients from Hebei Province attending outpatient Neurology, Orthopaedic and Cancer clinics completed the COOP/WONCA Charts. The 80 rural patients who indicated significant functional difficulty and 11 doctors then responded to questionnaires to determine perceived usefulness and satisfaction with use of the COOP/WONCA Charts. Respondents remained blind to the other's responses. A focus group interview was conducted to expand overall views on perceived advantages and disadvantages of the charts. Of the 113 patients completing the COOP/WONCA Charts, 71% (n = 80) were considered to report significant difficulty on at least one chart. Fifty-six per cent of patients rated themselves as having significant functional problems in physical fitness and 65% for daily activities. In contrast, a response indicating 'no or little limitation or effect' was given regarding patients' feelings and/or participation in social activities by 75% of patients in all three clinics. There was no statistically significant difference in the proportion of patients with functional impairment between the three clinics when analysed using a Chi-square test. Over 90% of doctors and patients perceived the COOP/WONCA Charts as helpful with 'increased communication' as an outstanding benefit. This study has shown the COOP/WONCA Charts to be feasible and useful tools: to help identify functional limitations in Chinese outpatients; to trigger a more functionally focused patient-centred model of practice; and to encourage appropriate referrals to existing rehabilitation efforts in large Chinese hospitals. © 2001 Lippincott Williams & Wilkins.
Persistent Identifierhttp://hdl.handle.net/10722/168675
ISSN
2015 Impact Factor: 1.25
2015 SCImago Journal Rankings: 0.569
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorMurphy, DDen_US
dc.contributor.authorLam, CLKen_US
dc.date.accessioned2012-10-08T03:28:54Z-
dc.date.available2012-10-08T03:28:54Z-
dc.date.issued2001en_US
dc.identifier.citationInternational Journal Of Rehabilitation Research, 2001, v. 24 n. 3, p. 207-219en_US
dc.identifier.issn0342-5282en_US
dc.identifier.urihttp://hdl.handle.net/10722/168675-
dc.description.abstractThe aim of this study was to test whether the COOP/WONCA Charts could help doctors in three specialty outpatient clinics of Hebei Provincial Hospital, China to identify functional limitations in rural patients and promote more patient-centred care. In this descriptive, cross-sectional study, a sample of 113 rural patients from Hebei Province attending outpatient Neurology, Orthopaedic and Cancer clinics completed the COOP/WONCA Charts. The 80 rural patients who indicated significant functional difficulty and 11 doctors then responded to questionnaires to determine perceived usefulness and satisfaction with use of the COOP/WONCA Charts. Respondents remained blind to the other's responses. A focus group interview was conducted to expand overall views on perceived advantages and disadvantages of the charts. Of the 113 patients completing the COOP/WONCA Charts, 71% (n = 80) were considered to report significant difficulty on at least one chart. Fifty-six per cent of patients rated themselves as having significant functional problems in physical fitness and 65% for daily activities. In contrast, a response indicating 'no or little limitation or effect' was given regarding patients' feelings and/or participation in social activities by 75% of patients in all three clinics. There was no statistically significant difference in the proportion of patients with functional impairment between the three clinics when analysed using a Chi-square test. Over 90% of doctors and patients perceived the COOP/WONCA Charts as helpful with 'increased communication' as an outstanding benefit. This study has shown the COOP/WONCA Charts to be feasible and useful tools: to help identify functional limitations in Chinese outpatients; to trigger a more functionally focused patient-centred model of practice; and to encourage appropriate referrals to existing rehabilitation efforts in large Chinese hospitals. © 2001 Lippincott Williams & Wilkins.en_US
dc.languageengen_US
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.intjrehabilres.comen_US
dc.relation.ispartofInternational Journal of Rehabilitation Researchen_US
dc.subject.meshActivities Of Daily Livingen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshChinaen_US
dc.subject.meshFamily Practice - Methodsen_US
dc.subject.meshFeasibility Studiesen_US
dc.subject.meshFemaleen_US
dc.subject.meshHealth Statusen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPatient Acceptance Of Health Careen_US
dc.subject.meshPatient Satisfactionen_US
dc.subject.meshPhysical Fitness - Physiology - Psychologyen_US
dc.subject.meshPhysician-Patient Relationsen_US
dc.subject.meshPrimary Health Care - Methodsen_US
dc.subject.meshQuality Of Life - Psychologyen_US
dc.subject.meshQuestionnairesen_US
dc.subject.meshRural Populationen_US
dc.titleFeasibility and acceptability of the COOP/WONCA Charts for identification of functional limitations in rural patients of the People's Republic of Chinaen_US
dc.typeArticleen_US
dc.identifier.emailLam, CLK:clklam@hku.hken_US
dc.identifier.authorityLam, CLK=rp00350en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1097/00004356-200109000-00006-
dc.identifier.pmid11560236-
dc.identifier.scopuseid_2-s2.0-0034863040en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0034863040&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume24en_US
dc.identifier.issue3en_US
dc.identifier.spage207en_US
dc.identifier.epage219en_US
dc.identifier.isiWOS:000170840500006-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridMurphy, DD=7404062714en_US
dc.identifier.scopusauthoridLam, CLK=24755913900en_US

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