Abstract
We surveyed 77 persons with AIDS, their physicians and their social workers during the autumn of 1987 to ascertain health status and to quantify use of health services in Seattle, Washington. Participants included the majority (59%) of persons living with AIDS in the area. Information was gathered regarding demography, health status, functional status, medical history and the use of health services. The validity of self-assessed general health was corroborated by the physician-rated Karnovsky score (kappa = 0.59), by social worker assessment (kappa = 0.41), and by correlation with functional status (r = 0.6-0.8). We found more frequent use of health services (categorized into skilled services, chore services and physician services) among AIDS patients who were dependent in basic and instrumental daily activities, had low income, had poor self-assessed general health, lived alone or lacked an available support person at home. These associations persisted in multivariate analyses, and accounted for 6-23% of the variability in service use. We conclude that health and functional status of persons with AIDS can be estimated via mailed questionnaires and accounts for a modest amount of the variability in use of health services.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 369-378 |
| Number of pages | 10 |
| Journal | AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV |
| Volume | 5 |
| Issue number | 3 |
| State | Published - 1993 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
- Social Sciences (miscellaneous)
- Health(social science)
- Health Professions(all)
Cite this
The Seattle appropriate level of care survey : Health status and health services use in ambulatory persons with AIDS. / McCormick, W. C.; Hopkins, S. G.; Inui, Thomas; Wood, C. D.; Deyo, R. A.; Inui, T. S.
In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Vol. 5, No. 3, 1993, p. 369-378.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The Seattle appropriate level of care survey
T2 - Health status and health services use in ambulatory persons with AIDS
AU - McCormick, W. C.
AU - Hopkins, S. G.
AU - Inui, Thomas
AU - Wood, C. D.
AU - Deyo, R. A.
AU - Inui, T. S.
PY - 1993
Y1 - 1993
N2 - We surveyed 77 persons with AIDS, their physicians and their social workers during the autumn of 1987 to ascertain health status and to quantify use of health services in Seattle, Washington. Participants included the majority (59%) of persons living with AIDS in the area. Information was gathered regarding demography, health status, functional status, medical history and the use of health services. The validity of self-assessed general health was corroborated by the physician-rated Karnovsky score (kappa = 0.59), by social worker assessment (kappa = 0.41), and by correlation with functional status (r = 0.6-0.8). We found more frequent use of health services (categorized into skilled services, chore services and physician services) among AIDS patients who were dependent in basic and instrumental daily activities, had low income, had poor self-assessed general health, lived alone or lacked an available support person at home. These associations persisted in multivariate analyses, and accounted for 6-23% of the variability in service use. We conclude that health and functional status of persons with AIDS can be estimated via mailed questionnaires and accounts for a modest amount of the variability in use of health services.
AB - We surveyed 77 persons with AIDS, their physicians and their social workers during the autumn of 1987 to ascertain health status and to quantify use of health services in Seattle, Washington. Participants included the majority (59%) of persons living with AIDS in the area. Information was gathered regarding demography, health status, functional status, medical history and the use of health services. The validity of self-assessed general health was corroborated by the physician-rated Karnovsky score (kappa = 0.59), by social worker assessment (kappa = 0.41), and by correlation with functional status (r = 0.6-0.8). We found more frequent use of health services (categorized into skilled services, chore services and physician services) among AIDS patients who were dependent in basic and instrumental daily activities, had low income, had poor self-assessed general health, lived alone or lacked an available support person at home. These associations persisted in multivariate analyses, and accounted for 6-23% of the variability in service use. We conclude that health and functional status of persons with AIDS can be estimated via mailed questionnaires and accounts for a modest amount of the variability in use of health services.
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UR - http://www.scopus.com/inward/citedby.url?scp=0027442337&partnerID=8YFLogxK
M3 - Article
C2 - 8218471
AN - SCOPUS:0027442337
VL - 5
SP - 369
EP - 378
JO - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
JF - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
SN - 0954-0121
IS - 3
ER -