Duncan B. Neuhauser, PhD; Jacquelinn Studer, BSN
Physician A: "Patients should be systematically assessed for functional disability. The American College of Physicians and Society of General Internal Medicine recommend it. It makes obvious good sense."
Physician B: "The study by Rubenstein and colleagues [Reference 1] shows that such efforts are not beneficial. Internists were randomly assigned to experimental and control groups. The experimental group doctors were educated and given functional status reports on their patients. All patients were evaluated quarterly for functional status and no differences in health outcomes were observed. I conclude that systematic functional assessment is not beneficial and is not worth the effort."
Neuhauser DB, Studer J. Who Is To Decide: Functional Disability Screening as an Example. Ann Intern Med. ;111:775–776. doi: 10.7326/0003-4819-111-10-775
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Published: Ann Intern Med. 1989;111(10):775-776.
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