Abstract:
BACKGROUND:A methodology is needed for classification of health problems by severity. OBJECTIVES:We aimed to test the Duke Severity of Illness Checklist (DUSOI) for feasibility and usefulness. METHOD:The DUSOI was field tested internationally by 22 family/general practitioners in 9 countries. RESULTS:The DUSOI was found to be feasible for rating severity of illness of health problems in family/general practice. The measure was shown to be clinically useful in older patients and those with chronic and more severe health problems. Variability of severity ratings was less within the same rater than between different raters (i.e. higher intrarater than interrater reliability). Clinical face validity was supported by the finding that DUSOI ratings classified patients with the same diagnosis and those with different diagnoses according to the severity differences that would be expected clinically. CONCLUSIONS:Although research is needed to improve reliability and to test validity further, the DUSOI was shown in the present study to be a methodology that is reasonable for consideration as an international classification of health problems by their severity in primary care patients.
journal_name
Fam Practjournal_title
Family practiceauthors
Parkerson GR Jr,Bridges-Webb C,Gervas J,Hofmans-Okkes I,Lamberts H,Froom J,Fischer G,Meyboom-de Jong B,Bentsen B,Klinkman M,de Maeseneer Jdoi
10.1093/fampra/13.3.303subject
Has Abstractpub_date
1996-06-01 00:00:00pages
303-9issue
3eissn
0263-2136issn
1460-2229journal_volume
13pub_type
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