The Primary-Specialty Care Interface in Chronic

RESEARCH PAPER
The Primary-Specialty Care Interface in Chronic Diseases: Patient and
Practice Characteristics Associated with Co-Management
Interrelation entre services de première ligne et soins spécialisés dans les cas
de maladie chronique : caractéristiques des patients et des cliniques associées à
la cogestion
J E A N - L O U I S L A RO C H E L L E , D E BBI E E H R M A N N F E L D M A N A N D J E A N - F R E D E R IC L E V E S Q U E
Appendix A. Survey Question Used at Baseline to Determine Number of
Co-morbidities
Do you presently have any of the following diagnosed chronic diseases? (i.e., disease that
you’ve had for a while and that you will probably have for some time)
1. Congestive heart failure (water on the lungs)
2. Chronic lung disease (chronic bronchitis, emphysema or chronic bronchial asthma)
3.Diabetes
4.Arthritis
5. High blood pressure (hypertension)
6. High cholesterol
7.Osteoporosis
8. Chronic musculo-skeletal pain
9. Depression or burn-out
10. Anxiety disorders
11. Migraines or dizziness
12. Thyroid problem (thyroid gland)
13. Digestive problem (e.g., Crohn’s disease, ulcerative colitis, irritable bowel syndrome)
14. Serious neurological disease (e.g., Parkinson, Alzheimer, multiple sclerosis, amyotrophic
lateral sclerosis)
15.Cancer
16. Have you ever had a cerebral vascular accident (as a thrombosis or a stroke)?
17. Have you ever had other cardiac diseases (e.g., angina, myocardial infarction)?
[1] HEALTHCARE POLICY Vol.10 No.2, 2014