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Related Experiment Videos

Can we achieve accountability for long-term outcomes?

R W Batterham1, D R Dunt, P B Disler

  • 1Program Evaluation Unit, Centre for Health Program Evaluation, University of Melbourne, Australia.

Archives of Physical Medicine and Rehabilitation
|December 1, 1996
PubMed
Summary

Developing population-based outcome indicators for people with disabilities is feasible. Key elements for success include construct validity and involving individuals with disabilities in indicator development and application.

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Area of Science:

  • Health Services Research
  • Disability Studies
  • Health Informatics

Background:

  • Assessing long-term outcomes for individuals with disabilities is crucial for effective healthcare and policy.
  • Existing indicator systems may not adequately capture the nuances of long-term recovery and sustainability.
  • There is a need for robust indicators to evaluate the impact of interventions and support systems on disability outcomes.

Purpose of the Study:

  • To explore the development of a comprehensive set of indicators for assessing long-term outcomes in populations with disabling conditions.
  • To identify criteria for indicators suitable for accountability systems.
  • To examine the relationship between short-term and long-term outcomes in disability.

Main Methods:

  • Systematic review of empirical studies on predictive indicators.

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  • Analysis of theoretical literature on long-term recovery processes.
  • Examination of administrative science literature on indicator use in accountability.
  • Main Results:

    • Certain outcome states function as thresholds, indicating usability, sustainability, or potential for further improvement.
    • These thresholds can meet construct validity criteria for accountability indicators.
    • A combination of objective and subjective indicators is necessary due to the interplay of psychological and physical factors.

    Conclusions:

    • A concise set of population-based outcome indicators for people with disabilities can be developed.
    • Ensuring construct validity is essential for indicator reliability and applicability.
    • Active involvement of people with disabilities in indicator development and utilization is paramount.