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Biomedical subjects

C J Martini

Publications and source records attributed to C J Martini.

21 records · Page 2Linked to original sources

Problems and new directions in the evaluation of primary care.

The nature of many contacts between patients and first-contact doctors (e.g. general practitioners) is such that the traditional morbidity and mortality indices of outcome are inadequate for evaluating the care provided. Preliminary results of a study developing a more appropriate index of the outcome of primary care, expressed in terms of the patient's functional abilities, are discussed. Beyond its use in evaluating the social and psychological components of care, the method may be applicable in population health surveys and in estimating the need for care.

Activities of Daily Living↗

A study of the validity of the Hospital Activity Analysis information.

For a number of years the medical profession and its administrators have been using statistical tabulations from the Hospital Activity Analysis returns. The quality of this information has often been criticized and no attempt has been made to quantify the levels of 'errors' in England and Wales. This paper reports the findings of such a study in Nottingham, and concludes that the Hospital Activity Analysis system in that area is almost as good as the clinical notes from which it is derived.

Demography↗

Health status: patient and physician judgments.

Patients at a rehabilitation center in Derbyshire, England, were asked to assess their own functional abilities at admission and again at discharge, using an 82-item questionnaire concerning 12 areas of daily living. Questionnaire responses were correlated with results of physical examinations, assessments by center personnel, and assessments of capacity for specific body movements. The highest correlations were observed in areas that related most directly to physical movements and to dressing and toileting. The results suggest that self-assessment of health status using this questionnaire may provide a viable alternative to judgments made by trained assessors.

Activities of Daily Living↗