Cover: Conceptualization and Measurement of Physiologic Health for Adults

Conceptualization and Measurement of Physiologic Health for Adults

Vol. 17, Peptic Ulcer Disease

by John V. Zielske, Kathleen N. Lohr, George A. Goldberg, Robert H. Brook, Caren Kamberg

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Peptic ulcer disease is a prevalent condition. Data on its prevalence and adverse consequences are used in the Health Insurance Study (HIS) to investigate the effects of different levels of health insurance on health status and the quality of medical care because of its prevalence, potentially serious consequences, and responsiveness to treatment. This volume reviews pertinent medical literature, describes HIS methods for measuring its presence and impact on people's lives, discusses enrollment data from six HIS sites, and outlines quality-of-care criteria. Of 5,713 adults, 395 stated they had been told by a doctor that they had an ulcer, and 311 of this set stated that the ulcer was confirmed by X-ray. 3.4 percent of the adults had current ulcer disease. If the 184 persons with healed ulcers were also included, then the total with ulcers was 6.6 percent. A large percent (98 percent) with active ulcers reported one or more adverse effects of the condition on their lives: pain, worry, activity restriction, and being restricted to bed rest.

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