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. 2008 Aug;4(1):51–58.

TABLE 2.

Definition of adults with health problems

Study definition Commonwealth Fund definition>
Poor or fair self-rated health Poor or fair self-rated health
Had at least one chronic illness and contacted a healthcare provider* 10 times or more in the past 12 months Had a serious or chronic illness, injury or disability requiring intensive medical care in the past two years
Was an overnight hospital patient for four or more days in the past 12 months** Had major surgery or was hospitalized for something other than a normal pregnancy in the past two years
*

“Healthcare provider” includes family physician/general practitioner, eye specialist, dentist/orthodontist, chiropractor and/or other medical doctor. The 10 visits could be distributed among any of the providers listed.

**

The criterion for a heavy user of medical care (four or more overnight hospital days) was based on similar definitions used by investigators in the following study: Statistics Canada 1999. “Health Care Services – Recent Trends.” Health Reports 11(3): 91–112; catalogue no. 82-003-XPB.