Researching limiting long-term illness

Author(s): Ong, B. N., Croft, P.

Journal/Book: Soc Sci Med. 2000; 50: the Boulevard Langford Lane, Kidlington, Oxford Ox5 1GB, England. Pergamon-Elsevier Science Ltd. 397-405.

Abstract: Needs assessment has become one of the cornerstones for commissioning health care in the UK but, as yet, no agreed methodological framework exists. This study attempts to build on a number of different approaches used in needs assessment in order to formulate a more complex and integrated model. We have taken limiting long-term illness (LLI) as a starting point and examined its prevalence within the primary care setting in an area of North Staffordshire. This was followed by the application of a health status measure on two sub-samples (those reporting LLI and those not reporting LLI), The diagnostic assessments of the GP was placed alongside the results of the health status measure in order to compare self-assessment with the professional perspective. Finally, in-depth interviews with people with LLI were carried out examining their own experience of ill-health. We argue that this detailed and complex needs assessment allows for a more targeted approach to commissioning and service development.

Note: Article Jordan K, Univ Keele, Ctr Hlth Planning & Management, Darwin Bldg, Keele ST5 5BG, Staffs, ENGLAND

Keyword(s): limiting long-term illness; short form-36; primary care; needs assessment; UK; PRIMARY-CARE; HEALTH

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