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Functional status and well-being of patients with chronic conditions. Results from the Medical Outcomes Study
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1989
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Quality Of LifeFamily MedicineOffice VisitsClinical Health PsychologyMental HealthDaily FunctioningChronic Disease ManagementSocial HealthPublic HealthPsychological Well-beingPsychiatryHealth PolicyEmotional Well-beingFunctional StatusRehabilitationWellness ProgramsMedical Outcomes StudyWellness MeasurementSubjective Well-beingChronic DiseaseHealth BehaviorChronic ConditionsMedicinePatient ExperiencePatient SatisfactionComorbidity
Enhancing daily functioning and well‑being is an increasingly advocated goal in the treatment of patients with chronic conditions, yet substantial variations within each chronic condition group remain to be explained. We evaluated functioning and well‑being of 9,385 adults during office visits to 362 physicians in three U.S. cities using brief surveys completed by patients and physicians. Patients with eight of nine common chronic medical conditions exhibited markedly worse physical, role, social functioning, mental health, health perceptions, and/or bodily pain compared with patients without chronic conditions; each condition had a unique profile, with hypertension having the least overall impact and heart disease and gastrointestinal disorders having the greatest impact, and patients with multiple conditions showed greater decrements than those with only one.
Enhancing daily functioning and well-being is an increasingly advocated goal in the treatment of patients with chronic conditions. We evaluated the functioning and well-being of 9385 adults at the time of office visits to 362 physicians in three US cities, using brief surveys completed by both patients and physicians. For eight of nine common chronic medical conditions, patients with the condition showed markedly worse physical, role, and social functioning; mental health; health perceptions; and/or bodily pain compared with patients with no chronic conditions. Each condition had a unique profile among the various health components. Hypertension had the least overall impact; heart disease and patient-reported gastrointestinal disorders had the greatest impact. Patients with multiple conditions showed greater decrements in functioning and well-being than those with only one condition. Substantial variations in functioning and well-being within each chronic condition group remain to be explained. (<i>JAMA</i>. 1989;262:907-913)