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A quality assurance method for community occupational therapy.

M A McColl, B Quinn

    The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
    |September 1, 1985
    PubMed
    Summary

    This study introduces a quality assurance method for community occupational therapy, focusing on accountability in healthcare. The process audit approach demonstrated good reliability and validity in a pilot study with depressed patients.

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    Area of Science:

    • Healthcare Management
    • Occupational Therapy
    • Quality Assurance

    Background:

    • Increasing fiscal constraints and litigation necessitate greater accountability in health services.
    • Community occupational therapy requires robust quality assurance mechanisms.
    • Existing quality assurance methods may not adequately address the complexities of community-based care.

    Purpose of the Study:

    • To present and evaluate a novel quality assurance method for community occupational therapy.
    • To address methodological considerations in selecting and applying a quality assurance approach.
    • To pilot the proposed method with a specific patient population and assess its preliminary psychometric properties.

    Main Methods:

    • A process audit approach was selected for quality assurance.

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  • The method was pilot-tested on a sample of patients receiving community occupational therapy for depression.
  • Reliability (test-retest, interrater) and validity (normative, criterion) were preliminarily assessed.
  • Main Results:

    • The process audit method showed promising results in the pilot study.
    • Test-retest reliability was .734 and interrater reliability was .728.
    • Preliminary evidence supported the normative and criterion validity of the method.

    Conclusions:

    • The developed quality assurance method is a viable tool for community occupational therapy.
    • Further refinement of the method is indicated based on pilot study findings.
    • The study highlights the importance of rigorous quality assurance in community-based healthcare services.