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Health needs assessment tools: Progress and potential

Published online by Cambridge University Press:  04 August 2005

Mohsen Asadi-Lari
Affiliation:
University of Nottingham and Ministry of Health & Education, Iran
David Gray
Affiliation:
University of Nottingham and Queen's Medical Centre

Abstract

Objectives: Health needs has attracted the interest of policy-makers, health economists, and health professionals as modern health services try to satisfy individual and population health needs to optimize resource utilization. Health needs can be assessed by administering various types of survey or interview-based instruments. If health needs are to be satisfied in changing health agendas in developed and developing countries, it is essential to employ valid and reliable tools. Despite the importance of needs assessment, no comprehensive review of tools is currently available. We carried out a literature search to define and categorize existing health needs assessment tools.

Methods: We reviewed medical and social search engines for items containing specific health needs–related words to identify needs tools across a range of specialties. Papers were reviewed in terms of design, subject matter, psychometric features, and method of administration method.

Results: Thirty-one employed in 52 studies including cancer, mental health, palliative care, multiple sclerosis, and cardiovascular disease tools were identified.

Conclusions: This report summarizes available health needs instruments in a range of diseases to assist researchers in accessing health needs resources more easily and to encourage further research in this field.

Type
GENERAL ESSAYS
Copyright
© 2005 Cambridge University Press

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References

1999 The Centers for Disease Control and Prevention. Needs assessment following hurricane Georges—Dominican Republic, 1998. JAMA. 281: 890891.
Akbari ME, Farshad AA, Asadi-Lari M. 2004 The devastation of Bam: An overview of health issues 1 month after the earthquake. Public Health. 118: 403408.Google Scholar
Arthur D. 2002 The validity and reliability of the measurement of the concept ‘expressed emotion’ in the family members and nurses of Hong Kong patients with schizophrenia. Int J Ment Health Nurs. 11: 192198.Google Scholar
Asadi-Lari M, Packham C, Gray D. 2003; Is quality of life measurement likely to be a proxy for health needs assessment in patients with coronary artery disease? Health Qual Life Outcomes. 1: 50.
Asadi-Lari M, Packham C, Gray D. 2003 Need for redefining needs. Health Qual Life Outcomes. 1: 34.Google Scholar
Asadi-Lari M, Packham C, Gray D. 2003 Patients' satisfaction and quality of life in coronary artery disease. Health Qual Life Outcomes. 1: 57.Google Scholar
Asadi-Lari M, Packham C, Gray D. 2003 Unmet health needs in patients with coronary heart disease: Implications and potential for improvement in caring services. Health Qual Life Outcomes. 1: 26.Google Scholar
Baldwin CD, Levine HG, McCormick DP. 1995 Meeting the faculty development needs of generalist physicians in academia. Acad Med. 70 (Suppl): S97S103.Google Scholar
Barbosa JC, Willoughby P, Rosenberg CA, Mrtek RG. 1998 Statistical methodology: VII. Q-methodology, a structural analytic approach to medical subjectivity. Acad Emerg Med. 5: 10321040.Google Scholar
Barrowclough C, Marshall M, Lockwood A, et al. 1998 Assessing relatives' needs for psychosocial interventions in schizophrenia: A relatives' version of the Cardinal Needs Schedule (RCNS). Psychol Med. 28: 531542.Google Scholar
Barry MM, Doherty A, Hope A, et al. 2000 A community needs assessment for rural mental health promotion. Health Educ Res. 15: 293304.Google Scholar
Barton JA, Smith MC, Brown NJ, Supples JM. 1993 Methodological issues in a team approach to community health needs assessment. Nurs Outlook. 41: 253261.Google Scholar
Bebbington P, Brewin CR, Marsden L, Lesage A. 1996 Measuring the need for psychiatric treatment in the general population: The community version of the MRC Needs for Care Assessment. Psychol Med. 26: 229236.Google Scholar
Berry C, Kennedy P. 2003 A psychometric analysis of the Needs Assessment Checklist (NAC). Spinal Cord. 41: 490501.Google Scholar
Blackwell D, Holden K, Tregoning D. 2002 An interim report of health needs assessment of asylum seekers in Sunderland and North Tyneside. Public Health. 116: 221226.Google Scholar
Bonevski B, Sanson-Fisher R, Girgis A, et al. 2000 Evaluation of an instrument to assess the needs of patients with cancer. Supportive Care Review Group. Cancer. 88: 217225.Google Scholar
Brewin CR, Wing JK, Mangen SP, et al. 1987 Principles and practice of measuring needs in the long-term mentally ill: The MRC needs for care assessment. Psychol Med. 17: 971981.Google Scholar
Britten N. 2000. Qualitative interviews in health care research. In:Pope C, Mays N, eds. Qualitative research in health care. London: BMJ Books;
Bruhn JG, Trevino FM. 1979 A method for determining patients' perceptions of their health needs. J Fam Pract. 8: 809818.Google Scholar
Buran CF, McDaniel AM, Brei TJ. 2002 Needs assessment in a spina bifida program: A comparison of the perceptions by adolescents with spina bifida and their parents. Clin Nurse Spec. 16: 256262.Google Scholar
Carter MF, Crosby C, Geertshuis S, Startup M. 1996 Developing reliability in client-centred mental health needs assessment. J Mental Health. 5: 233243.Google Scholar
Cheah YC, Parker G, Roy K. 2000 Evaluation and validation of a measure profiling needs and problems of psychiatric patients in the community: A Malaysian study. Soc Psychiatry Psychiatr Epidemiol. 35: 170176.Google Scholar
Chinnis AS, Paulson DJ, Davis SM. 2001 Using Q methodology to assess the needs of emergency medicine support staff employees. J Emerg Med. 20: 197203.Google Scholar
Clark D, Dellasega C. 1998 Unmet health care needs. Comparison of rural and urban senior center attendees. J Gerontol Nurs. 24: 2433.Google Scholar
Cowley S, Houston AM. 2003 A structured health needs assessment tool: Acceptability and effectiveness for health visiting. J Adv Nurs. 43: 8292.Google Scholar
Coyle N, Goldstein ML, Passik S, et al. 1996 Development and validation of a patient needs assessment tool (PNAT) for oncology clinicians. Cancer Nurs. 19: 8192.Google Scholar
Cramer JA, Silberstein SD, Winner P. 2001 Development and validation of the Headache Needs Assessment (HANA) survey. Headache. 41: 402409.Google Scholar
Denzin N. 1970. The research act in sociology. 1st ed. Englewood Cliffs, NJ: Prentice Hall;
Erickson P, Kendall EA, Anderson JP, Kaplan RM. 1989 Using composite health status measures to assess the nation's health. Med Care. 27 (Suppl): S66S76.Google Scholar
Evans S, Greenhalgh J, Connelly J. 2000 Selecting a mental health needs assessment scale: Guidance on the critical appraisal of standardized measures. J Eval Clin Pract. 6: 379393.Google Scholar
Foot G, Sanson-Fisher R. 1995 Measuring the unmet needs of people living with cancer. Cancer Forum. 19: 131135.Google Scholar
Ford P, McCormack B. 1999 Determining older people's need for registered nursing in continuing healthcare: The contribution of the Royal College of Nursing's Older People Assessment Tool. J Clin Nurs. 8: 731742.Google Scholar
Gilbody SM, House AO, Sheldon T. 2002 Routine administration of Health Related Quality of Life (HRQoL) and needs assessment instruments to improve psychological outcome—a systematic review. Psychol Med. 32: 13451356.Google Scholar
Glass RI, Cates W Jr, Nieburg P, et al. 1980 Rapid assessment of health status and preventive-medicine needs of newly arrived Kampuchean refugees, Sa Kaeo, Thailand. Lancet. 1: 868872.Google Scholar
Hlady WG, Quenemoen LE, Armenia-Cope RR, et al. 1994 Use of a modified cluster sampling method to perform rapid needs assessment after Hurricane Andrew. Ann Emerg Med. 23: 719725.Google Scholar
Horne R, Hankins M, Jenkins R. 2001 The Satisfaction with Information about Medicines Scale (SIMS): A new measurement tool for audit and research. Qual Health Care. 10: 135140.Google Scholar
1990. House of Commons, National Health Service and Community Care Act. London: HMSO;
Houston AM, Cowley S. 2003 Health needs assessment in the health visiting service and the impact on the ethnic community. Int J Nurs Stud. 40: 8594.Google Scholar
Huyse FJ, Lyons JS, Stiefel FC, et al. 1999 “INTERMED”: A method to assess health service needs. I. Development and reliability. Gen Hosp Psychiatry. 21: 3948.Google Scholar
Jordan J, Wright J. 1997 Making sense of health needs assessment. Br J Gen Pract. 47: 695696.Google Scholar
Kazarian SS, McCabe SB, Joseph LW. 1997 Assessment of service needs of adult psychiatric inpatients: A systematic approach. Psychiatr Q. 68: 523.Google Scholar
Kennedy P, Hamilton LR. 1999 The needs assessment checklist: A clinical approach to measuring outcome. Spinal Cord. 37: 136139.Google Scholar
Kersten P, George S, McLellan L, et al. 2000 Disabled people and professionals differ in their perceptions of rehabilitation needs. J Public Health Med. 22: 393399.Google Scholar
Kersten P, George S, McLellan L, et al. 2000 Met and unmet needs reported by severely disabled people in southern England. Disabil Rehabil. 22: 737744.Google Scholar
Kersten P, Low JT, Ashburn A, et al. 2002 The unmet needs of young people who have had a stroke: Results of a national UK survey. Disabil Rehabil. 24: 860866.Google Scholar
Kersten P, McLellan DL, Gross-Paju K, et al. 2000 A questionnaire assessment of unmet needs for rehabilitation services and resources for people with multiple sclerosis: Results of a pilot survey in five European countries. Needs Task group of MARCH (Multiple Sclerosis and Rehabilitation, Care and Health Services Research in Europe). Clin Rehabil. 14: 4249.Google Scholar
Kersten P, McLellan L, George S, et al. 2001 Needs of carers of severely disabled people: Are they identified and met adequately? Health Soc Care Community. 9: 235243.Google Scholar
Kersten P, McLellan L, George S, Smith JA. 2000 The Southampton Needs Assessment Questionnaire (SNAQ): A valid tool for assessing the rehabilitation needs of disabled people. Clin Rehabil. 14: 64150.Google Scholar
Kersten P, McLellan L, George S, et al. 2000 To what extent are the needs of severely disabled people met by community rehabilitation services? A follow-up study. Disabil Rehabil. 22: 855861.Google Scholar
Knouse S, Dansby M. 1999 Percentage of work-group diversity and work-group effectiveness. J Psychol. 133: 486494.Google Scholar
Koopman W. 2003 Needs assessment of persons with multiple sclerosis and significant others: Using the literature review and focus groups for preliminary survey questionnaire development. Axone. 24: 1015.Google Scholar
Krishnasamy M, Wilkie E, Haviland J. 2001 Lung cancer health care needs assessment: Patients' and informal carers' responses to a national mail questionnaire survey. Palliat Med. 15: 213227.Google Scholar
Kroll L, Woodham A, Rothwell J, et al. 1999 Reliability of the Salford needs assessment schedule for adolescents. Psychol Med. 29: 891902.Google Scholar
Leese M, Johnson S, Slade M, et al. 1998 User perspective on needs and satisfaction with mental health services. PRiSM Psychosis Study. 8. Br J Psychiatry. 173: 409415.Google Scholar
Lefebvre J, Cyr M, Lesage A, et al. 2000 Unmet needs in the community: Can existing services meet them? Acta Psychiatr Scand. 102: 6570.Google Scholar
Lesage AD, Fournier L, Cyr M, et al. 1996 The reliability of the community version of the MRC needs for care assessment. Psychol Med. 26: 237243.Google Scholar
Lim LL, Dobbins T. 1996 Reproducibility of data collected by patient interview. Aust N Z J Public Health. 20: 517520.Google Scholar
Lockwood A, Marshall M. 1999; Can a standardized needs assessment be used to improve the care of people with severe mental disorders? A pilot study of ‘needs feedback.’ J Adv Nurs. 30: 14081415.Google Scholar
Low JT, Kersten P, Ashburn A, et al. 2003 A study to evaluate the met and unmet needs of members belonging to Young Stroke groups affiliated with the Stroke Association. Disabil Rehabil. 25: 10521056.Google Scholar
Malterud K. 2001 Qualitative research: Standards, challenges, and guidelines. Lancet. 358: 483488.Google Scholar
Marshall M, Hogg LI, Gath DH, Lockwood A. 1995 The cardinal needs schedule—a modified version of the MRC needs for care assessment schedule. Psychol Med. 25: 605617.Google Scholar
Martin M, Pehrson J, Orrell M. 1999 A survey of social services needs assessments for elderly mentally ill people in England and Wales. Age Ageing. 28: 575577.Google Scholar
McEwen J, Russell EM, Stewart S. 1995 Needs assessment in Scotland: Collaboration in public health. Public Health. 109: 179185.Google Scholar
McWalter G, Toner H, McWalter A, et al. 1998 A community needs assessment: The care needs assessment pack for dementia (CarenapD)—its development, reliability and validity. Int J Geriatr Psychiatry. 13: 1622.Google Scholar
Mesters I, Pieterse M, Meertens R. 1991 Pediatric asthma, a qualitative and quantitative approach to needs assessment. Patient Educ Couns. 17: 2334.Google Scholar
Mitcheson J, Cowley S. 2003 Empowerment or control? An analysis of the extent to which client participation is enabled during health visitor'client interactions using a structured health needs assessment tool. Int J Nurs Stud. 40: 413426.Google Scholar
Mullersdorf M, Soderback I. 2000 Assessing health care needs: The actual state of self-perceived activity limitation and participation restrictions due to pain in a nationwide Swedish population. Int J Rehabil Res. 23: 201207.Google Scholar
Murphy E, Dingwall R, Greatbatch D, et al. 1998 Qualitative research methods in health technology assessment: A review of the literature. Health Technol Assess. 2: iii–ix 1274.Google Scholar
Murray SA. 1999 Experiences with “rapid appraisal” in primary care: Involving the public in assessing health needs, orientating staff, and educating medical students. BMJ. 318: 440444.Google Scholar
Murray SA, Graham LJ. 1995 Practice based health needs assessment: Use of four methods in a small neighbourhood. BMJ. 310: 14431448.Google Scholar
Murray SA, Tapson J, Turnbull L, et al. 1994 Listening to local voices: Adapting rapid appraisal to assess health and social needs in general practice. BMJ. 308: 698700.Google Scholar
Nyein K, Turner-Stokes L, Robinson I. 1999 The Northwick Park Care Needs Assessment (NPCNA): A measure of community care needs: Sensitivity to change during rehabilitation. Clin Rehabil. 13: 482491.Google Scholar
O'Mahony PG, Thomson RG, Dobson R, et al. 1999 The prevalence of stroke and associated disability. J Public Health Med. 21: 166171.Google Scholar
Ong BN, Humphris G, Annett H, Rifkin S. 1991 Rapid appraisal in an urban setting, an example from the developed world. Soc Sci Med. 32: 909915.Google Scholar
Osse BH, Vernooij-Dassen MJ, de Vree BP, et al. 2000 Assessment of the need for palliative care as perceived by individual cancer patients and their families: A review of instruments for improving patient participation in palliative care. Cancer. 88: 900911.Google Scholar
Osse BH, Vernooij-Dassen MJ, Schade E, et al. 2002 Problems to discuss with cancer patients in palliative care: A comprehensive approach. Patient Educ Couns. 47: 195204.Google Scholar
Perry CL, Griffin G, Murray DM. 1985 Assessing needs for youth health promotion. Prev Med. 14: 379393.Google Scholar
Phelan M, Slade M, Thornicroft G, et al. 1995 The Camberwell Assessment of Need: The validity and reliability of an instrument to assess the needs of people with severe mental illness. Br J Psychiatry. 167: 589595.Google Scholar
Poncia HD, Ryan J, Carver M. 2000 Next day telephone follow up of the elderly: A needs assessment and critical incident monitoring tool for the accident and emergency department. J Accid Emerg Med. 17: 337340.Google Scholar
Pope C, Mays N, 2000. Qualitative methods in health research. In: Pope C, Mays N, eds. Qualitative research in health care. 2nd ed. London: BMJ Books;
Reynolds T, Thornicroft G, Abas M, et al. 2000 Camberwell Assessment of Need for the Elderly (CANE). Development, validity and reliability. Br J Psychiatry. 176 (Pt1): 444452.Google Scholar
Ritchie KA, McEwen J. 1994 Employee perceptions of workplace health and safety issues. Can a questionnaire contribute to health needs assessment? Occup Med (Oxf). 44: 7782.Google Scholar
Sandelowski M. 2000 Whatever happened to qualitative description?. Res Nurs Health. 23: 334.Google Scholar
Sanson-Fisher R, Girgis A, Boyes A, et al. 2000 The unmet supportive care needs of patients with cancer. Supportive Care Review Group. Cancer. 88: 226237.Google Scholar
Schultz AA. 1997 Identification of needs of and utilization of resources by rural and urban elders after hospital discharge to the home. Public Health Nurs. 14: 2836.Google Scholar
Slade M, Phelan M, Thornicroft G. 1998 A comparison of needs assessed by staff and by an epidemiologically representative sample of patients with psychosis. Psychol Med. 28: 543550.Google Scholar
Slade M, Phelan M, Thornicroft G, Parkman S. 1996 The Camberwell Assessment of Need (CAN): Comparison of assessments by staff and patients of the needs of the severely mentally ill. Soc Psychiatry Psychiatr Epidemiol. 31: 109113.Google Scholar
Stiefel FC, de Jonge P, Huyse FJ, et al. 1999 “INTERMED”: A method to assess health service needs. II. Results on its validity and clinical use. Gen Hosp Psychiatry. 21: 4956.Google Scholar
Tamburini M, Gangeri L, Brunelli C, et al. 2000 Assessment of hospitalised cancer patients' needs by the Needs Evaluation Questionnaire. Ann Oncol. 11: 3137.Google Scholar
Tickle M, Craven R, Blinkhorn AS. 1996 Use of self-report postal questionnaires for district-based adult oral health needs assessment. Community Dent Health. 13: 193198.Google Scholar
Turner-Stokes L, Nyein K, Halliwell D. 1999 The Northwick Park Care Needs Assessment (NPCNA): A directly costable outcome measure in rehabilitation. Clin Rehabil. 13: 253267.Google Scholar
Wainwright D. 1994 Needs assessment. On the waterfront. Health Serv J. 104: 2829.Google Scholar
Walters K, Iliffe S, Tai SS, Orrell M. 2000 Assessing needs from patient, carer and professional perspectives: The Camberwell Assessment of need for elderly people in primary care. Age Ageing. 29: 505510.Google Scholar
WHO. 1992. Guidelines for rapid appraisal to assess community health needs. Geneva: World Health Organization;
WHO and UNICEF, 1978 International Conference on Primary Health Care: Report of the International Conference on Primary Health Care, Alma-Ata, USSR, September 6-12, 1978. Geneva: World Health Organization; 79.
Wiles R, Payne S, Jarrett N. 1999 Improving palliative care services: A pragmatic model for evaluating services and assessing unmet need. Palliat Med. 13: 131137.Google Scholar
Williams SE, Bond CM, Menzies C. 2000 A pharmaceutical needs assessment in a primary care setting. Br J Gen Pract. 50: 9599.Google Scholar
Willis J. 1998 The voice of the people. Nurs Times. 94: 3436.Google Scholar
Wing JK. 1990 Meeting the needs of people with psychiatric disorders. Soc Psychiatry Psychiatr Epidemiol. 25: 28.Google Scholar
Wright J, Walley J. 1998 Assessing health needs in developing countries. BMJ. 316: 18191823.Google Scholar