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Article: Functional needs: Agreement between perception of rural patients and health professionals in China

TitleFunctional needs: Agreement between perception of rural patients and health professionals in China
Authors
KeywordsChinese healthcare
COOP/WONCA Charts
Functional priorities
Patient-centred treatment
Rural patients
Issue Date2002
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/112094317
Citation
Occupational Therapy International, 2002, v. 9 n. 2, p. 91-110 How to Cite?
AbstractThis study aimed to investigate the common areas of functional needs of patients with different chronic diseases and to compare the level of agreement between patients and doctors, and patients and an occupational therapist, on perceived priority functional goals. A sample of 113 rural patients from Hebei Province attending outpatient neurology, orthopaedic and cancer clinics completed the COOP/WONCA Charts. These charts are a screening tool that assess limitations in a set of functional domains. The 80 patients who indicated significant functional difficulty on the charts, 11 doctors and one occupational therapist then responded to questionnaires to elicit the perceived priority functional needs. Respondents remained blind to one another's responses. A consulting doctor and the occupational therapist saw each patient's COOP/WONCA Charts before interviewing the patient. Additional questionnaire items and a focus group interview provided data by professionals on health services thought to be beneficial to improve the function of clinic patients. The difference between the mean percentage of agreement on perceived functional difficulty in therapist/patient matches and doctor/patient matches was 18.5% (95% CI for the difference = 12.4% to 24.6%). The therapist on average agreed or matched with patients significantly more often than did doctors (p<0.0001). The discrepancy between the doctor's and patient's perception of priority functional goals was substantial, indicating a need for initiated effort to narrow this gap. The match rate of doctors with patients in choosing priority goals was significantly lower than for the therapist with patients in this study. Doctors expressed a desire for closer involvement in clinics by appropriate rehabilitation staff. This could expedite the process towards the starting level of a patient-centred approach to health care, within the natural context of teamwork, and with little disruption to clinic routines. Replication of this study using a control group would allow direct comparison of patient incidents when the charts are used and when they are not.
Persistent Identifierhttp://hdl.handle.net/10722/77664
ISSN
2015 Impact Factor: 0.683
2015 SCImago Journal Rankings: 0.461
References

 

DC FieldValueLanguage
dc.contributor.authorMurphy, DDen_HK
dc.contributor.authorLam, CLKen_HK
dc.date.accessioned2010-09-06T07:34:22Z-
dc.date.available2010-09-06T07:34:22Z-
dc.date.issued2002en_HK
dc.identifier.citationOccupational Therapy International, 2002, v. 9 n. 2, p. 91-110en_HK
dc.identifier.issn0966-7903en_HK
dc.identifier.urihttp://hdl.handle.net/10722/77664-
dc.description.abstractThis study aimed to investigate the common areas of functional needs of patients with different chronic diseases and to compare the level of agreement between patients and doctors, and patients and an occupational therapist, on perceived priority functional goals. A sample of 113 rural patients from Hebei Province attending outpatient neurology, orthopaedic and cancer clinics completed the COOP/WONCA Charts. These charts are a screening tool that assess limitations in a set of functional domains. The 80 patients who indicated significant functional difficulty on the charts, 11 doctors and one occupational therapist then responded to questionnaires to elicit the perceived priority functional needs. Respondents remained blind to one another's responses. A consulting doctor and the occupational therapist saw each patient's COOP/WONCA Charts before interviewing the patient. Additional questionnaire items and a focus group interview provided data by professionals on health services thought to be beneficial to improve the function of clinic patients. The difference between the mean percentage of agreement on perceived functional difficulty in therapist/patient matches and doctor/patient matches was 18.5% (95% CI for the difference = 12.4% to 24.6%). The therapist on average agreed or matched with patients significantly more often than did doctors (p<0.0001). The discrepancy between the doctor's and patient's perception of priority functional goals was substantial, indicating a need for initiated effort to narrow this gap. The match rate of doctors with patients in choosing priority goals was significantly lower than for the therapist with patients in this study. Doctors expressed a desire for closer involvement in clinics by appropriate rehabilitation staff. This could expedite the process towards the starting level of a patient-centred approach to health care, within the natural context of teamwork, and with little disruption to clinic routines. Replication of this study using a control group would allow direct comparison of patient incidents when the charts are used and when they are not.en_HK
dc.languageengen_HK
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/112094317en_HK
dc.relation.ispartofOccupational Therapy Internationalen_HK
dc.rightsOccupational Therapy International. Copyright © John Wiley & Sons Ltd.en_HK
dc.subjectChinese healthcareen_HK
dc.subjectCOOP/WONCA Chartsen_HK
dc.subjectFunctional prioritiesen_HK
dc.subjectPatient-centred treatmenten_HK
dc.subjectRural patientsen_HK
dc.titleFunctional needs: Agreement between perception of rural patients and health professionals in Chinaen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0966-7903&volume=9&issue=2&spage=91&epage=111&date=2002&atitle=Functional+needs:+agreement+between+perception+of+rural+patients+and+health+professionals+in+Chinaen_HK
dc.identifier.emailLam, CLK:clklam@hku.hken_HK
dc.identifier.authorityLam, CLK=rp00350en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1002/oti.158-
dc.identifier.pmid12375000-
dc.identifier.scopuseid_2-s2.0-0036082581en_HK
dc.identifier.hkuros69080en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0036082581&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume9en_HK
dc.identifier.issue2en_HK
dc.identifier.spage91en_HK
dc.identifier.epage110en_HK
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridMurphy, DD=7404062714en_HK
dc.identifier.scopusauthoridLam, CLK=24755913900en_HK

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