Wagner A K, Ehrenberg B L, Tran T A, Bungay K M, Cynn D J, Rogers W H
Health Institute, New England Medical Center, Boston, MA 02111, USA.
Qual Life Res. 1997 May;6(4):329-41. doi: 10.1023/a:1018479209369.
The objective was to assess the potential benefits of the routine use of the MOS SF-36 Health Survey (SF-36) in the care of ambulatory patients. The design was a longitudinal, prospective, randomized, controlled study set in the outpatient neurology clinic at the New England Medical Center. There were 163 consecutive patients with epilepsy who had 210 follow-up visits with one of two epileptologists. The patients completed the SF-36 before the patient-physician encounter and the forms were optically scanned. The SF-36 results of the intervention group patients were given to the physicians before the encounter and withheld for control group patients. For intervention group patients, the physicians completed a questionnaire assessing the impact of the SF-36 on the process of care. After the visit, all patients completed a satisfaction questionnaire. The main outcome measures were the physicians' responses to standardized questions about the usefulness of the SF-36 for communication with and management of epilepsy patients and the patients' responses to standardized questions about their satisfaction with care. The physicians indicated that the SF-36 provided new information in 63% of the intervention group encounters. A change in therapy was prompted in 13%. The physicians rated the SF-36 as at least moderately useful for communication in 14% of the encounters and to management in 8%. The lower (indicating worse health status) the patients' SF-36 scale scores, the more useful the SF-36 results were rated by the physicians for communication and management. It was concluded that the routine use of health status measures may enhance patients' care.
目的是评估在门诊患者护理中常规使用MOS SF - 36健康调查（SF - 36）的潜在益处。该研究设计为一项纵向、前瞻性、随机对照研究，在新英格兰医疗中心的门诊神经科诊所进行。共有163例连续性癫痫患者，他们接受了两位癫痫专家之一的210次随访。患者在医患会面之前完成SF - 36，表格进行光学扫描。干预组患者的SF - 36结果在会面之前交给医生，而对照组患者的结果则不予提供。对于干预组患者，医生完成一份问卷，评估SF - 36对护理过程的影响。就诊后，所有患者完成一份满意度问卷。主要结局指标是医生对关于SF - 36在与癫痫患者沟通及管理方面有用性的标准化问题的回答，以及患者对关于其对护理满意度的标准化问题的回答。医生表示，在干预组63%的会面中，SF - 36提供了新信息。促使治疗改变的占13%。医生在14%的会面中将SF - 36评为至少对沟通有一定用处，在8%的会面中评为对管理有一定用处。患者的SF - 36量表得分越低（表明健康状况越差），医生认为SF - 36结果在沟通和管理方面就越有用。研究得出结论，常规使用健康状况测量指标可能会改善患者护理。
