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1. J Stroke Cerebrovasc Dis. Sep-Oct;20(5) doi: /j. jstrokecerebrovasdis Epub Sep 2. Disabil Rehabil. Apr-Jun;15(2) Functional status in primary care: COOP/WONCA charts. Van Weel C(1). Author information: (1)University of. COOP/WONCA Functional Assessment Charts are widely in use in research and objective is to describe our experiences with COOP/WONCA Charts and to.

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Author information Copyright and License information Disclaimer. The WICC is in charge of the scientific content and woncq the consortium. Prescribing antibiotics for respiratory tract infections in primary care: Br J Gen Pract. Appropriate translation is the first step. Functional status is a measure of an individual’s overall well-being.

Please review our privacy policy. Functional status could be coded in this component with the addition of an extra digit. Several studies have looked at these issues. With any measure of functional status, cultural and context issues need to be explored. As the complexity and chronicity of medical problems increase, community medical practitioners will become more reliant on indicators of functioning as well as disease status to monitor their interventions and copp health outcomes.

For example, Rubric 28 of component one symptoms and complaints of all wojca of ICPC refers to limited function and disabilities. Several have been used in general practice settings. PloS one, 12 12e For some time general practitioners have recognised the integral importance of health promotion and the measurement of functional status in consultations.


The functional status of patients. Functional status relates to the patient, not to the health problem, disease or episode of care. The aim of the PRIMEGE Regional Information System in General Practice Project is to collect anonymized data wojca from the consultation software without the doctor’s effort in order to supply a database for research purposes in general medicine.

Instruments for measuring functional status. National Center for Biotechnology InformationU. A total of 95 patients presenting with acute low back pain were recruited from 15 single-handed general practices in northern Germany.

COOP Charts

Two of the other charts indicated a deterioration at follow up. This may partly be a result of patients misunderstanding the instructions. Support Center Support Center. Of the six charts only the change in health chart proved to be a suitable scale for measuring short-term changes in functional ability among general practice patients with acute low back pain. These measurements are particularly important in dealing with ageing and those with chronic problems.

There are a plethora of indicators currently available. Functional status is considered an important measure of health status in primary care. These charts were modified by the classification committee and promoted for use in conjunction with ICPC. Baseline and follow-up measurements of the charts were compared and correlations of chart scores with patients’ measurements of pain intensity on a visual analogue scale, general practitioners’ ratings of impairment and patients’ measurements of recovery were analysed.

When too much care makes sick. Some of these instruments were designed for research not clinical purposes, for example, the Sickness Impact Profile.

Pictorial depictions of the five possible responses accompany the text. Implicit in any definition of functional status is the importance of factors other than disease in the health of patients.


Measuring functional status in a population survey. ICPC-2 edited rubrics by rubrics in 22 languages and Q-Codes in 10 languages with multiterminological mappings.

A Manual 27provides further information about the development and use of the charts, how to translate the charts, and a contact list for further assistance, including authors of the various translations. Even with only one problem, functional status measures go beyond assessing wwonca status and therefore their relationship a particular ICPC code may not be straightforward. It is suggested that patients consider their present wohca when rating their condition. Associated Data Supplementary Materials.

Open in a separate window. There are now six charts: As a research instrument the test-retest reliability will always be an issue for indicators that are global and influenced by so many variables.

COOP-WONCA charts: a suitable functional status screening instrument in acute low back pain?

Validity with respect to the change in asthma. For example, hypertension and diabetes in one patient can both impact on functional status, but their relative importance and effects cannot be determined from routine recording. Each chart consists of a lead sentence with five options for response. Only the chart measuring change in health was correlated with ratings of pain wohca impairment at baseline. Do high prescribers diagnose differently?