Access

You are not currently logged in.

Access JSTOR through your library or other institution:

login

Log in through your institution.

Journal Article

Health Status and Severity of Illness as Predictors of Outcomes in Primary Care

George R. Parkerson, Jr., W. Eugene Broadhead and Chiu-Kit J. Tse
Medical Care
Vol. 33, No. 1 (Jan., 1995), pp. 53-66
Stable URL: http://www.jstor.org/stable/3766738
Page Count: 14
Were these topics helpful?
See something inaccurate? Let us know!

Select the topics that are inaccurate.

Cancel
  • More info
  • Add to My Lists
  • Cite this Item
Health Status and Severity of Illness as Predictors of Outcomes in Primary Care
Preview not available

Abstract

Two measures of health status and severity of illness were tested as indicators of patient case-mix to predict health-related outcomes in a rural primary care community health clinic, using a convenience sample of 413 ambulatory adults (mean age = 40.4 years: 58.6% women, and 47.2% black). At baseline; patients completed the Duke Health Profile, and providers completed the Duke Severity of Illness Checklist. During the 18-month follow-up study, patients experienced the following outcomes: at least one follow-up visit (74.3%), more than six visits (20.6%), at least one referral or hospital admission (17.3%), upper tertile severity scores (24.9%), and upper tertile office charges (24.9%). Baseline physical health, perceived health, and severity scores were statistically significantly predictive of all five outcomes. Predictive accuracy (i.e., area under the receiver operating characteristic curves) for outcome probabilities estimated from a case-mix model of physical health, severity, age, gender, and race was 72.3% for follow-up, 69.7% for frequent follow-up, 70.5% for referral and/or hospital stay, 65.7% for high follow-up severity of illness, and 67.6% for high follow-up charges. These data support health status and severity of illness as case-mix indicators and outcome predictors of follow-up utilization, severity of illness, and cost in the primary care setting.

Page Thumbnails

  • Thumbnail: Page 
53
    53
  • Thumbnail: Page 
54
    54
  • Thumbnail: Page 
55
    55
  • Thumbnail: Page 
56
    56
  • Thumbnail: Page 
57
    57
  • Thumbnail: Page 
58
    58
  • Thumbnail: Page 
59
    59
  • Thumbnail: Page 
60
    60
  • Thumbnail: Page 
61
    61
  • Thumbnail: Page 
62
    62
  • Thumbnail: Page 
63
    63
  • Thumbnail: Page 
64
    64
  • Thumbnail: Page 
65
    65
  • Thumbnail: Page 
66
    66