At present general practitioners lack a tool for defining the level of disability of individual patients and groups of patients with arthritis. An assessment technique (health assessment questionnaire) developed in the United States is described,' and its use in general practice evaluated. Sixty two patients agreed to be visited at home to compare their observed abilities when performing the tasks of the health assessment questionnaire. The health assessment questionnaire (HAQ) is easily understood and takes patients only 10-15 minutes to complete. The numerical scores (range 0-3) for disability obtained on the postal questionnaire are close to the observed scores when patients are visited at home.
Opinions of women from deprived communities on the NHS stop smoking service in England -person-centered perspectives Article (Published Version) http://sro.sussex.ac.uk This document is made available in accordance with publisher policies and may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher's version. Please see the URL above for details on accessing the published version. Copyright and reuse:Sussex Research Online is a digital repository of the research output of the University.Copyright and all moral rights to the version of the paper presented here belong to the individual author(s) and/or other copyright owners. To the extent reasonable and practicable, the material made available in SRO has been checked for eligibility before being made available.Copies of full text items generally can be reproduced, displayed or performed and given to third parties in any format or medium for personal research or study, educational, or not-for-profit purposes without prior permission or charge, provided that the authors, title and full bibliographic details are credited, a hyperlink and/or URL is given for the original metadata page and the content is not changed in any way.Europe a n J ourna l for Pe rson Ce nt e re d H e a lt hc a re 2 0 1 6 V ol 4 I ssue 2 pp 3 4 6-3 5 1 346 ARTICLE Opinions of w om e n from de prive d c om m unit ie s on t he N H S st op sm ok ing se rvic e in Engla nd -pe rson-c e nt e re d pe rspe c t ive s Abst ra c t Background:In most European countries, women are relatively more susceptible to smoking-related diseases, find it more difficult to quit and are more likely to relapse than men. With the aim of improving the understanding of women's needs from smoking cessation services, this qualitative study examines perceptions of women from deprived communities on the National Health Service stop smoking service in England, UK. Methods: A qualitative study of 11 women, smokers and ex-smokers, who had used the stop smoking service located in disadvantaged communities in East Sussex, England, UK. Data were collected through focus group and semi-structured interviews and were subjected to thematic analysis. Results: Women felt that services tailored to their needs would improve cessation rates. They expect smoking cessation facilitators to be non-judgemental and to offer psychological insight into addiction. However, women's opinions differed on the importance for facilitators to be female or ex-smokers and on the preference of group or one-to-one services, some women expressed a preference for women only groups. The women praised the continuity of care, capacity for peer support, flexibility of time and location and free cessation aids offered. Conversely, the women felt that services were poorly advertised, that access was not universally good and that services at the work place and drop-in groups would improve access for working women and women with young children. Conclusion: Flexible, person-centered se...
The accuracy of diagnosis was tested by comparing the results with a consultant's review of a sample of patients. Patients were sent questionnaires to elicit further demographic details and assess their levels of disability using the Health Assessment Questionnaire, which we have previously found useful.9 It gives a range of scores from 0 to 3 in'eight activity areas (dressing and grooming, rising, eating, walking, hygiene, reach, grip, and household activities) which may be analysed as separate components or averaged to give an overall disability score from 0=no disability to 3=severe disability.The general practitioners' assessment of available rheumatological facilities was assessed by a simple five item questionnaire, which covered distance to the referral centre and time taken to travel, adequacy of public transport, availability of a specialist rheumatologist, and a global rating of adequacy.Results Table 1 describes the samples, and the practices from which they were derived. Agreement on diagnosis between general practitioners and hospital consultants was achieved in 78% of a sample of 44 patients whose notes, radiographs and laboratory results were reviewed by a consultant. When a global assessment schedule was used practices B and C felt that their access to rheumatological facilities was good or adequate and practices A and D did not. This assessment related principally to waiting time for first appointments as it did not depend upon distance to hospital, journey time, or adequacy of public transport. A proportionately greater number of patients with rheumatoid arthritis were attending the hospital clinic than any other major diagnostic groupings, but neither distance nor access to facilities had any effect on the proportion of patients attending hospital clinics in the previous year.
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