Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2004-1-13
pubmed:abstractText
The goal of the Veterans Health Study (VHS) was to extend the work of the Medical Outcomes Study (MOS) into the VA, by developing methodology for monitoring patient-based outcomes of care for use in ambulatory outpatient care. The principal objective of the VHS was developing valid and reliable measures to assess general health-related quality of life (HRQoL) and identifying the presence of selected health conditions, their severity, and their impact on HRQoL. In this article, we provide an overview of the historical context, framework, objectives, and applications of the VHS for the purpose of assessing the health outcomes of veteran patients. The VHS is a prospective observational study that has followed 2425 VA patients for up to 2 years. The patients were sampled from users of the Veterans Affairs (VA) ambulatory care system in the Boston area. The health conditions selected were hypertension, diabetes, chronic lung disease, osteoarthritis of the knee, chronic low-back pain, and alcohol-related problems. These conditions were chosen because they are both prevalent in the VA and have measurable impacts on HRQoL. One of the cornerstones of the VHS was the development of the Veterans SF-36, modified from the MOS SF-36 for use in veteran ambulatory populations. Other key accomplishments included the development of patient-based disease-specific measures of health and the establishment of methods and logistics for comprehensive health outcomes research in large health care systems such as the VA, using these patient-based measures. Selected measures developed in the VHS, eg, the Veterans SF-36, have been integrated into the VA outcomes measurement system. The scope of the VHS is unique; it resulted in the development of a broad range of patient-focused process and outcome measures, as well as methodologies for assessing large numbers of patients, that have been widely used in the VA outpatient health care system for monitoring health outcomes across the nation.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
H
pubmed:status
MEDLINE
pubmed:issn
0148-9917
pubmed:author
pubmed:issnType
Print
pubmed:volume
27
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
70-83
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:14717468-Adult, pubmed-meshheading:14717468-Aged, pubmed-meshheading:14717468-Ambulatory Care, pubmed-meshheading:14717468-Attitude to Health, pubmed-meshheading:14717468-Comorbidity, pubmed-meshheading:14717468-Delivery of Health Care, Integrated, pubmed-meshheading:14717468-Health Services Accessibility, pubmed-meshheading:14717468-Health Services Research, pubmed-meshheading:14717468-Health Status, pubmed-meshheading:14717468-Hospitals, Veterans, pubmed-meshheading:14717468-Humans, pubmed-meshheading:14717468-Middle Aged, pubmed-meshheading:14717468-Outcome Assessment (Health Care), pubmed-meshheading:14717468-Patient-Centered Care, pubmed-meshheading:14717468-Quality of Life, pubmed-meshheading:14717468-Questionnaires, pubmed-meshheading:14717468-Self Concept, pubmed-meshheading:14717468-Social Class, pubmed-meshheading:14717468-United States, pubmed-meshheading:14717468-United States Department of Veterans Affairs, pubmed-meshheading:14717468-Veterans
pubmed:articleTitle
Patient-reported measures of health: The Veterans Health Study.
pubmed:affiliation
Center for Health Quality Outcomes, and Economic Research (CHQOER), Edith Nourse Rogers Memorial Veterans Hospital, Bedford, Mass 01730, USA. lek@bu.edu
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, Non-P.H.S.