142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

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Making Patient Friendly Intake Forms

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014

Erin Bange , Jefferson Medical College, Philadelphia, PA
Christina Szperka, MD , Children's Hopsital of Philadelphia, Philadelphia, PA
In the health care setting, intake forms are often not comprensible to patients. In order to obtain accurate information, questions must be presented in a way that allows the information to be utilized both for patient care and medical research.  In the pediatric headache community there is a range of conditions including migraine, tension type headache, and cluster headache/ other trigeminal autonomic cephalagias. Each of these headache histories requires different treatment protocols and varying levels of specialist care. Therefore it is essential to have good new patient screening methods in order to establish the patient’s needs before the initial office visit. With the initiation of the headache center at the Children’s Hospital of Philadelphia we created intake forms that were not only patient friendly, but also extensive so to be able to abstract the patient history for clinical purposes as well as for future research. 

Learning Areas:

Administer health education strategies, interventions and programs
Provision of health care to the public

Learning Objectives:
Design patient intake forms that were both health literate as well as able to collect adequate patient information for research and clinical purposes.

Keyword(s): Health Literacy, Children and Adolescents

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a medical student who worked on this project throughout the summer at the Children's Hospital of Philadelphia to help start their new Headache Division. I am very interested in public health and I am currently taking classes towards a public health concentration as well.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.