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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Several have been used in general practice settings. Functional status is a measure of an individual’s overall well-being. Only the chart measuring change in health revealed a deterioration in functional ability associated with the onset of pain and an improvement in functional status at follow up.

COOP Charts

PloS one, 12 12e Pictorial depictions of the five possible responses accompany the text. There are now six charts: However, one study has shown a correlation between self-assessment and provider assessment. A copy of the Chart is available at the bottom of this file. It is suggested that patients consider their present complaints when rating their condition. When more than one chart is used it is recommended that they are administered in the following order: A manual has been edited by the University of Groningen.

Internationally, they woncx been found to have good face validity and clinical utility in general practice. 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.

COOP Charts Primary Health Care Classification Consortium – WICC WONCA

At follow up, strong correlations were found between general wpnca assessments of impairment, patients’ ratings of pain and patients’ ratings of recovery for all scales except for those measuring social activities and daily activities. Do high prescribers diagnose differently? When the charts are used in new cultural settings, it is important to establish that the concepts measured are appropriate and specific to that environment.


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This article has been cited by other articles in PMC. Version in French updated in the spring of Use of the Charts. How can it be measured in physicians’ offices?

This may partly be a result of patients misunderstanding cokp instructions. There are a plethora of indicators currently available. ICPC-2 edited rubrics by rubrics in 22 languages and Q-Codes in 10 languages with multiterminological mappings.

When too much care makes sick. 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 coo; practice patients with acute low back pain.

Cooop WICC is in charge of the scientific content and leads the consortium. Validity with respect to the change in asthma.

Implicit in any definition of functional status is the importance of factors other than disease in the health of patients.

Functional status in primary care: COOP/WONCA charts.

The average time for completion is less than five minutes. Several studies have looked at these issues. For some time general practitioners have recognised the integral importance of health promotion and the measurement of functional status in consultations.

Some studies of the charts have suggested that they do not exhibit cross-cultural stability. These charts were modified by the classification committee and promoted for use in conjunction with ICPC. Br J Gen Pract. The measurement of clinical pain intensity: It is one of the set of global measures cooo health status, which also include assessments of clinical status and quality of life. Two of the other charts indicated a deterioration at follow up. Associated Data Supplementary Materials.


For example, Rubric 28 of component one symptoms and complaints of all chapters of ICPC refers to limited function and disabilities. Even with only one problem, functional status measures go beyond assessing problem status and therefore their relationship a particular ICPC code may not be straightforward.

These measurements are particularly important in dealing with ageing and those with chronic problems.

An analysis of German routine data. Open in a separate window. Each chart consists of a lead sentence with five options for response. These drawings have enhanced the applicability of these Charts in settings where there is variability of literacy amongst the general practice patient population.

Functional status cokp be coded in this component with the addition of an extra digit.

With any measure of functional status, cultural and context issues need to be explored. National Center for Biotechnology InformationU. The Medical Outcomes Trust Short Form 36 item inventory and derivatives of this instrument have wonac widely used in primary care settings. Prescribing antibiotics for respiratory tract infections in primary care: The charts ask patients to use the timescale of the past two weeks when rating their condition.