MEASURING HEALTH STATUS DURING CLINICAL CARE

患者状态测量似乎对预后和 监测慢性病的结局。风湿学，功能性 和来自两页临床自我报告的心理指数 调查问卷已被证明可以提供有意义的临床应用 信息。这些指数为我们提供了可衡量的洞察 临床医生一直承认的患者的心理社会问题 是非常重要的，但没有简单的方法来评估。他们有 还被证明可以记录和预测长期功能 风湿性疾病中的下降、工作残疾和死亡率。这些 自行填写问卷，评估患者状况和临床情况 对结果的可靠性和有效性进行了彻底的检查 各种心理测量方法，在许多方面都被发现有价值 研究性研究。然而，尽管它们有记载的价值， 问卷调查尚未纳入常规临床护理。 这项研究的目标是进一步检查合并患者的 类风湿患者常规护理与管理的思考 通过患者自填式问卷调查关节炎(RA)。两页纸 自我报告问卷，活动和生活方式指数，以评估 日常生活活动、疼痛、疲劳和心理困扰会 适用于所有招募的参与医生的患者，地址为 每一次临床相遇。一页的健康状况报告将是 提供给医生，随机抽取50%的患者。之后 一年，患者和医生的满意度，治疗的变化，以及 临床状态的变化将被评估。

Patient status measures appear quite useful in the prognosis and monitoring of outcomes in chronic disease. In rheumatology, functional and psychological indices derived from two-page clinical self-report questionnaires have been shown to provide meaningful clinical information. The indices have offered measurable insight into the psychosocial problems of patients that clinicians always acknowledged were of great importance, but had no simple way to assess. They have also been demonstrated to document and predict longterm functional declines, work disability, and mortality in rheumatic diseases. These self-administered questionnaires to assess patient status and clinical outcomes have been thoroughly examined for reliability and validity by various psychometric methods, and have been found valuable in many research studies. However, despite their documented value, questionnaires have not been incorporated into usual clinical care. The goal of this study is to further examine incorporating the patient's perspective into routine care and management of patients with rheumatoid arthritis (RA) through patient self-report questionnaires. A tow-page self-report questionnaire, the Activities and Lifestyle Index, to assess activities of daily living, pain, fatigue and psychological distress will be administered to all recruited patients of participating physicians at each clinical encounter. A one-page health status report will be provided to physicians for a random sample of 50% of the patients. After one year, patient and physician satisfaction, changes in treatment, and changes in clinical status will be evaluated.