Cover: Functional Disability Screening of Ambulatory Patients

Functional Disability Screening of Ambulatory Patients

A Randomized Controlled Trial in a Hospital-Based Group Practice

Published in: Journal of General Internal Medicine, v. 9, no. 10, Oct. 1994, p. 590-592

Posted on 1994

by David Calkins, Lisa V. Rubenstein, Paul Cleary, Allyson Ross Davies, Alan M. Jette, Arlene Fink, Jacqueline Kosecoff, Roy Young, Robert H. Brook, Thomas L. Delbanco

The authors conducted a randomized controlled trial of functional disability screening in a hospital-based internal medicine group practice. They assigned 60 physicians and 497 of their patients to either an experimental or a control group. Every four months the patients in both groups completed a self-administered questionnaire measuring physical, psychological, and social function. The experimental group physicians received reports summarizing their patients' responses; the control group physicians received no report. At the end of one year the authors found no significant difference between the patients of the experimental and control group physicians on any measure of functional status. Functional disability screening alone does not improve patient function.

This report is part of the RAND external publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

RAND is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.