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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COOP Charts Primary Health Care Classification Consortium – WICC WONCA

PloS one, 12 12e Appropriate translation is the first step. As the complexity and chronicity of medical problems increase, community medical practitioners will become more reliant on indicators of functioning as well as disease status to monitor their interventions and measure health outcomes.

The functional status of patients. Some of these instruments were designed for research not clinical purposes, for example, the Sickness Impact Profile. It wknca one of the set of global measures of health status, which also include assessments of clinical status and quality of life. Associated Data Supplementary Materials. The Medical Outcomes Trust Short Form 36 item inventory and derivatives of this instrument have been widely used copp primary care settings.

For example, hypertension and diabetes in one patient can both impact on functional status, but their relative importance and effects cannot be determined from routine recording. Functional status relates to the patient, not to the health problem, disease or episode of care. Pictorial depictions of the five possible responses accompany the text. A manual has been edited by the University of Groningen. coo;


Some studies of the charts have suggested that they do not exhibit cross-cultural stability. The charts ask patients to use the timescale of the past two weeks when rating their condition. Two of the other charts indicated a deterioration at follow up.

These drawings have enhanced the applicability of these Charts in settings where there is variability of literacy amongst the general practice patient population. The WICC is in charge of the scientific content and leads the consortium. At follow up, strong correlations were found between general practitioners’ assessments of impairment, patients’ ratings of pain and patients’ ratings of recovery for all scales except for those measuring social activities and daily activities.

When too much care makes sick.

COOP Charts

wona 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 general practice patients with acute low back pain. The average time for completion is less than five minutes. How can it be measured in physicians’ offices? Version in French updated in the spring of These charts were modified by the classification committee and promoted for use in conjunction with ICPC. However since functional status relates to the patient as a whole and not to the health problem, the relationship becomes difficult to interpret when there is more than one active problem, because co-morbidity complicates the interpretation.


To date the Woonca have been published in the following languages: Validity with respect to the change in asthma. Br J Gen Pract. 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.

Functional status in primary care: COOP/WONCA charts.

When more than one chart is used it is recommended that they are administered in the following order: These measurements are particularly important in dealing with ageing and those with chronic problems. Only the chart measuring change in health was correlated with ratings of wknca and impairment at baseline. 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.

ICPC-2 edited rubrics by rubrics xoop 22 languages and Q-Codes in 10 languages with multiterminological mappings. Internationally, they have been found to have good face validity and clinical utility in general practice.