职业治疗的质量指标:一个范围审查
Thomas Ballmer1, Sara Frey2, Andrea Petrig3
1Institute of Occupational Therapy, School of Health Sciences, ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland. thomasmichael.ballmer@zhaw.ch.
职业治疗师使用各种质量指标来证明服务的有效性. 目标实现量表 (GAS) 和PRO-Ergo是评估患者结果和经验的多功能工具.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 职业治疗实践 职业治疗实践
背景情况:
- 职业治疗师面临着资助机构越来越多的要求,以证明干预的有效性,适当性和效率.
- 在证明服务质量和相关的卫生政策背景的实践中存在国际差异.
研究的目的:
- 进行范围审查,以确定国际上使用的质量指标,以向资助机构证明职业治疗的有效性,适当性和效率.
主要方法:
- 进行了范围审查,重点是欧洲和英语国家文学.
- 搜索包括专门的数据库 (CINAHL Complete,MEDLINE) 和谷歌,并通过与国家职业治疗协会联系来补充成员专用文件.
主要成果:
- 来自六个国家的32项研究和文件被确定,详细介绍了过程级指标,功能结果指标,目标实现量表 (GAS) 和PRO-Ergo (患者报告的体验量).
- 关于使用质量指标来向资助者展示职业治疗服务的有限的公开信息.
- 识别的过程指标通常不特定于职业治疗,而功能结果指标则是特定于条件的. GAS和PRO-Ergo在不同的评估水平上表现出了多功能性.
结论:
- 所有的质量指标都有明显的优点和缺点.
- 针对职业治疗的过程级指标可以促进最佳实践.
- 目标实现量表 (GAS) 和PRO-Ergo是评估活动和参与水平的多功能评估,功能结果指标提供了附加价值.
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