Future Issues in the Use of Health Status Assessment Measures in Clinical Settings

  • Sheldon Greenfield
  • Sherrie H. Kaplan
  • Ira B. Wilson


Compared to 10 years ago, there is considerable agreement that quality of life is an important aim in the provision of medical care and in the promotion of health. Research in recent years has rendered concrete, meaningful and feasible measures that have turned a vague abstract notion into useful ratings that can find their place alongside mortality, physiologic measures and symptoms in the spectrum of outcomes.


Biliary Tract Disease Interpersonal Care Medical Illness Severity Physical Function Index Care Outcome Research 
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  1. 1.
    Hannan EL, Kilburn H, Racz M, et al. Improving the outcomes of coronary artery bypass surgery in New York State. JAW. 271 (I0): 761–766, 1994.CrossRefGoogle Scholar
  2. 2.
    O’Connor GT, et al. A regional prospective study of in-hospital mortality associated with coronary artery bypass grafting. JA NIA. 1991; 266 (6): 803–809.Google Scholar
  3. 3.
    Albertson PC, Fryback DG, Storer BE, Kolon TF, Fine H. Long-term survival among men with conservatively treated localized prostate cancer. JAMA. 1995; 274 (8): 626–631.CrossRefGoogle Scholar
  4. 4.
    Krousel-Wood MA, Abdoh A, Re R. Comparing comorbid-illness indices assessing outcome variation: The case of prostatectomy. Journal of General Internal Medicine. 1996; 11: 32–38.PubMedCrossRefGoogle Scholar
  5. 5.
    Greenfield S, Sullivan L, Dukes KA, Silliman R, D’Agostino R, Kaplan SH. Development and Testing of a New Measure of Case-Mix for Use in Office Practice. Medical Care. Vol 33(4):AS47–AS57, April, 1995.Google Scholar
  6. 6.
    Kaplan SH, Shea J, Khan A, Dukes KA, Bachwich D, Escarce J, Clark J, Schwartz JS, Greenfield S. The impact of surgery vs. non-operative treatment on the health outcomes of gallstone patients: Results from the Biliary Tract Disease Patient Outcomes Research Team. In preparation.Google Scholar
  7. 7.
    Greenfield S, Dukes KA, Sullivan L, Kaplan SH. Under estimation of severity of illness in the urban poor. In preparation.Google Scholar
  8. 8.
    Mark DB, Naylor CD, Hlatky MA, et al. Use of medical resources and quality of life after acute myocardial infarction in Canada and the United States. NEJM. 331: 1130–1135, 1994.PubMedCrossRefGoogle Scholar
  9. 9.
    Greenfield S, Sullivan LM, Silliman RA, et al. Principles and practice of case mix adjustment: Applications to end-stage renal disease. Am J Kid Dis. 24 (2): 298–307, 1994.PubMedGoogle Scholar
  10. 10.
    Epstein RS, Deverka PA, Chute CG, et al. Validation of a new quality of life questionnaire for benign pro-static hyperplasia. Journal of Clinical Epidemiology. 45 (12): 143I - 1445, 1992.CrossRefGoogle Scholar
  11. 11.
    Haas JS, Cleary PD, Guadagnoli E, et al. The Impact of Socioeconomic Status on the Intensity of ambulatory Treatment and Health Outcomes after Hospital Discharge for Adults with Asthma. Journal ref General Internal Medicine. March 1994;(9):121–126.Google Scholar
  12. 12.
    Kaplan SH, Greenfield S, Ware JE, Jr., Assessing the effects of physician-patient interactions on the outcomes of chronic disease. Medical Care. 27 (3): 5110 - S127, 1989.Google Scholar
  13. 13.
    Wilson IB, Cleary PD. Clinical predictors of functioning in persons with acquired immune deficiency syndrome. Medical Care,In Press.Google Scholar
  14. 14.
    Deyo RA, Patrick DL. Barriers to the use of health status measures in clinical investigation, patient care, and policy research. Medical Care,1989;27(3):S254- S268.Google Scholar
  15. 15.
    Greenfield S, Nelson E. Recent development and future issues in the use of health status assessment measures in clinical settings. Medical Care, 1992; 30 (5S): 23–41.Google Scholar

Copyright information

© Springer Science+Business Media New York 1997

Authors and Affiliations

  • Sheldon Greenfield
    • 1
  • Sherrie H. Kaplan
    • 1
  • Ira B. Wilson
    • 1
  1. 1.From The Primary Care Outcomes Research InstituteNew England Medical CenterBostonUSA

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