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Perspectives on functional assessment: its use for policy making

C M Frattali1

  • 1Health Services Division, American Speech-Language-Hearing Association, Rockville, MD 20852.

Disability and Rehabilitation
|January 1, 1993
PubMed
Summary

Functional assessment tools are crucial for healthcare policy but may be premature for decision-making due to development flaws. Building confidence in these tools is vital for equitable care allocation.

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Area of Science:

  • Health Services Research
  • Public Health Policy
  • Rehabilitation Science

Background:

  • Functional assessment tools significantly influence healthcare access and resource allocation.
  • Current functional assessment tools are often criticized as flawed or still in development, raising concerns about their policy-making readiness.
  • This creates a conflict between consumers, providers, researchers, and policymakers regarding healthcare decisions.

Purpose of the Study:

  • To present diverse stakeholder perspectives on the readiness of functional assessment tools for informing healthcare policy.
  • To analyze the current state of functional assessment in the context of US healthcare trends and the WHO's International Classification of Impairments, Disabilities, and Handicaps (ICIDH).
  • To identify pathways for enhancing confidence in the utility of these tools for policy development.

Main Methods:

  • A qualitative approach synthesizing views from key constituencies (consumers, practitioners, researchers, policymakers, payers).
  • Contextual analysis within US healthcare trends and the ICIDH framework.
  • Review of characteristics of widely used functional assessment tools.

Main Results:

  • Significant concerns exist regarding the developmental stage and validity of current functional assessment tools for policy implementation.
  • Stakeholder perspectives highlight a gap between the perceived need for these tools and their current capabilities.
  • The ICIDH framework provides a context, but tool application for policy remains debated.

Conclusions:

  • Policy decisions based on current functional assessment tools may be premature, necessitating caution.
  • Further development and validation are required to build confidence in these instruments for robust healthcare policy.
  • Addressing stakeholder concerns is crucial for the effective and equitable use of functional assessments in healthcare policy.

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