Evaluation of medical rehabilitation in community based rehabilitation
Almost all governments and non-governmental organisations in developing countries use a community-based rehabilitation (CBR) approach to work with disabled people. Although disabled people's organisations reject the categorisation of disability in individual terms, 'medical rehabilitation&...
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| Veröffentlicht in: | Social science & medicine (1982) 2001-08, Vol.53 (3), p.333-348 |
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| container_title | Social science & medicine (1982) |
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| creator | EVANS, P. J ZINKIN, P HARPHAM, T CHAUDURY, G |
| description | Almost all governments and non-governmental organisations in developing countries use a community-based rehabilitation (CBR) approach to work with disabled people. Although disabled people's organisations reject the categorisation of disability in individual terms, 'medical rehabilitation' is still regarded as an important but time limited process within rehabilitation. The paper lists measures and methods used in a comprehensive evaluation, and presents a practical method to examine the quality of medical rehabilitation. The method was developed and applied in an evaluation of service needs and service provision for disabled people in low-income communities, for the Ministry of Welfare, Government of India. The method described is a tracer approach. It assesses quality in three aspects of medical rehabilitation: (i) Technical quality, based on application of minimum technical standards for each impairment. (ii) Interpersonal quality, by observation of service sessions and interviews with service users. (iii) Management (structural) quality, by comparing the rehabilitation goals of service users and service providers. The method differs from most others in that it is process oriented, as opposed to output oriented. The method meets the challenges of providing low-cost assessment of a difficult outcome measure (the quality of medical rehabilitation), within a complex process (CBR). It is anticipated that the tracer method will be useful to the objective evaluation of disability services throughout the developing world. |
| doi_str_mv | 10.1016/S0277-9536(00)00321-X |
| format | Article |
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It assesses quality in three aspects of medical rehabilitation: (i) Technical quality, based on application of minimum technical standards for each impairment. (ii) Interpersonal quality, by observation of service sessions and interviews with service users. (iii) Management (structural) quality, by comparing the rehabilitation goals of service users and service providers. The method differs from most others in that it is process oriented, as opposed to output oriented. The method meets the challenges of providing low-cost assessment of a difficult outcome measure (the quality of medical rehabilitation), within a complex process (CBR). It is anticipated that the tracer method will be useful to the objective evaluation of disability services throughout the developing world.</description><identifier>ISSN: 0277-9536</identifier><identifier>EISSN: 1873-5347</identifier><identifier>DOI: 10.1016/S0277-9536(00)00321-X</identifier><identifier>PMID: 11439817</identifier><identifier>CODEN: SSMDEP</identifier><language>eng</language><publisher>Oxford: Elsevier</publisher><subject>Activities of Daily Living ; Biological and medical sciences ; Community ; Community Health Services - standards ; Developing Countries ; Disabled people ; Disabled persons ; Disabled Persons - rehabilitation ; Disabled rehabilitation ; Evaluation ; General aspects ; Goals ; Handicapped ; Health ; Health Care Services ; Health services ; Humans ; India ; LDCs ; Low income ; Low Income Areas ; Management Audit ; Medical sciences ; Non-governmental organizations ; People with disabilities ; Physical Therapy Modalities - standards ; Planification. Prevention (methods). Intervention. Evaluation ; Process Assessment (Health Care) - methods ; Professional-Patient Relations ; Program Evaluation - methods ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Quality assessment ; Quality Assurance, Health Care - methods ; Quality Indicators, Health Care ; Quality of Health Care ; Rehabilitation ; Urbanization</subject><ispartof>Social science & medicine (1982), 2001-08, Vol.53 (3), p.333-348</ispartof><rights>2001 INIST-CNRS</rights><rights>Copyright Pergamon Press Inc. 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J</creatorcontrib><creatorcontrib>ZINKIN, P</creatorcontrib><creatorcontrib>HARPHAM, T</creatorcontrib><creatorcontrib>CHAUDURY, G</creatorcontrib><title>Evaluation of medical rehabilitation in community based rehabilitation</title><title>Social science & medicine (1982)</title><addtitle>Soc Sci Med</addtitle><description>Almost all governments and non-governmental organisations in developing countries use a community-based rehabilitation (CBR) approach to work with disabled people. Although disabled people's organisations reject the categorisation of disability in individual terms, 'medical rehabilitation' is still regarded as an important but time limited process within rehabilitation. The paper lists measures and methods used in a comprehensive evaluation, and presents a practical method to examine the quality of medical rehabilitation. The method was developed and applied in an evaluation of service needs and service provision for disabled people in low-income communities, for the Ministry of Welfare, Government of India. The method described is a tracer approach. It assesses quality in three aspects of medical rehabilitation: (i) Technical quality, based on application of minimum technical standards for each impairment. (ii) Interpersonal quality, by observation of service sessions and interviews with service users. (iii) Management (structural) quality, by comparing the rehabilitation goals of service users and service providers. The method differs from most others in that it is process oriented, as opposed to output oriented. The method meets the challenges of providing low-cost assessment of a difficult outcome measure (the quality of medical rehabilitation), within a complex process (CBR). It is anticipated that the tracer method will be useful to the objective evaluation of disability services throughout the developing world.</description><subject>Activities of Daily Living</subject><subject>Biological and medical sciences</subject><subject>Community</subject><subject>Community Health Services - standards</subject><subject>Developing Countries</subject><subject>Disabled people</subject><subject>Disabled persons</subject><subject>Disabled Persons - rehabilitation</subject><subject>Disabled rehabilitation</subject><subject>Evaluation</subject><subject>General aspects</subject><subject>Goals</subject><subject>Handicapped</subject><subject>Health</subject><subject>Health Care Services</subject><subject>Health services</subject><subject>Humans</subject><subject>India</subject><subject>LDCs</subject><subject>Low income</subject><subject>Low Income Areas</subject><subject>Management Audit</subject><subject>Medical sciences</subject><subject>Non-governmental organizations</subject><subject>People with disabilities</subject><subject>Physical Therapy Modalities - standards</subject><subject>Planification. Prevention (methods). Intervention. Evaluation</subject><subject>Process Assessment (Health Care) - methods</subject><subject>Professional-Patient Relations</subject><subject>Program Evaluation - methods</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Quality assessment</subject><subject>Quality Assurance, Health Care - methods</subject><subject>Quality Indicators, Health Care</subject><subject>Quality of Health Care</subject><subject>Rehabilitation</subject><subject>Urbanization</subject><issn>0277-9536</issn><issn>1873-5347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><sourceid>7QJ</sourceid><recordid>eNqF0U1Lw0AQBuBFFFurP0EJIqKH6O7OfkyOUloVCh5U8BY2mw2u5KNmE6H_3kirQi89zWEehuF9CTll9IZRpm6fKdc6TiSoK0qvKQXO4rc9MmaoIZYg9D4Z_5EROQrhg1LKKMIhGTEmIEGmx2Q--zJlbzrf1FFTRJXLvTVl1Lp3k_nSd-uNryPbVFVf-24VZSa4fEsck4PClMGdbOaEvM5nL9OHePF0_zi9W8RLjtjFCWgNUuYmKzgKK7gUOnMKuBLGuiIzjllBC8cSJzhKkesBci3QMlQaE5iQy_XdZdt89i50aeWDdWVpatf0IdU0QSW13AkVE0oi7IZSIyguYScE5AKAqQGeb8GPpm_rIZaUAxXIecIHdLZBfTaEni5bX5l2lf42M4CLDTBhaKRoTW19-HdUqJ_3vwH7pZwG</recordid><startdate>20010801</startdate><enddate>20010801</enddate><creator>EVANS, P. 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J ; ZINKIN, P ; HARPHAM, T ; CHAUDURY, G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p288t-9377355dabf284c42547be63264acefbae1c40fe19e42854d7bf22748c1867893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Activities of Daily Living</topic><topic>Biological and medical sciences</topic><topic>Community</topic><topic>Community Health Services - standards</topic><topic>Developing Countries</topic><topic>Disabled people</topic><topic>Disabled persons</topic><topic>Disabled Persons - rehabilitation</topic><topic>Disabled rehabilitation</topic><topic>Evaluation</topic><topic>General aspects</topic><topic>Goals</topic><topic>Handicapped</topic><topic>Health</topic><topic>Health Care Services</topic><topic>Health services</topic><topic>Humans</topic><topic>India</topic><topic>LDCs</topic><topic>Low income</topic><topic>Low Income Areas</topic><topic>Management Audit</topic><topic>Medical sciences</topic><topic>Non-governmental organizations</topic><topic>People with disabilities</topic><topic>Physical Therapy Modalities - standards</topic><topic>Planification. 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| source | MEDLINE; Elsevier ScienceDirect Journals; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Activities of Daily Living Biological and medical sciences Community Community Health Services - standards Developing Countries Disabled people Disabled persons Disabled Persons - rehabilitation Disabled rehabilitation Evaluation General aspects Goals Handicapped Health Health Care Services Health services Humans India LDCs Low income Low Income Areas Management Audit Medical sciences Non-governmental organizations People with disabilities Physical Therapy Modalities - standards Planification. Prevention (methods). Intervention. Evaluation Process Assessment (Health Care) - methods Professional-Patient Relations Program Evaluation - methods Public health. Hygiene Public health. Hygiene-occupational medicine Quality assessment Quality Assurance, Health Care - methods Quality Indicators, Health Care Quality of Health Care Rehabilitation Urbanization |
| title | Evaluation of medical rehabilitation in community based rehabilitation |
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