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Focus on function in geriatric assessment and rehab.

S Slaughter1, D Cartwright, W C Chang

  • 1Bethany Care Society, Calgary, University of Calgary.

The Canadian Nurse
|February 28, 2002
PubMed
Summary

Alberta

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Area of Science:

  • Health Services Research
  • Health Care Policy
  • Outcome Measurement

Background:

  • In 1994, Alberta initiated a significant provincial health care system restructuring.
  • This reform aimed at deficit reduction and emphasized accountability for service delivery.
  • Outcome measures were introduced to assess the effectiveness of health services.

Purpose of the Study:

  • To describe the evaluation of a specific program's service delivery effectiveness.
  • To assess functional patient outcomes amidst health system changes.
  • To examine service evaluation under budget constraints.

Main Methods:

  • The study focuses on the efforts of one program within the restructured system.
  • Evaluation centered on functional patient outcomes.
  • Data collection occurred during a period of significant system-wide change.

Main Results:

  • The paper details the process of evaluating service effectiveness.
  • Functional patient outcomes were the primary metric used.
  • Challenges related to restructuring and budget limitations were encountered.

Conclusions:

  • Evaluating service delivery through patient outcomes is feasible during health system reform.
  • Program evaluation requires adaptation to changing policy and financial environments.
  • This case study highlights strategies for outcome measurement in constrained settings.

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