نمونه INSTRUMENT برای تجزیه و تحلیل خصوصیات حجم IN MEDICAL سرپایی مراکز توانبخشی
Abstract: The purpose of the present study was to develop an instrument prototype for the analysis of caseload characteristics in outpatient rehabilitation centers. Specifically, the purposes of this study were the following: (1) Identify patient disability descriptors which will serve the needs of selected outpatient centers. (2) Incorporate the essential elements required for accreditation by CARF into the prototype. (3) Design a format for the use of patient disability descriptors in the analysis of caseload characteristics. Materials. The following elements were used as component parts of the prototype: (a) the Easter Seal Society, Annual Program Services Report descriptor system and the Services Data section were identified as the descriptors to use in the prototype; (b) interpretation of the Commission on Accreditation of Rehabilitation Facilities (CARF) guidelines was accomplished through the use of CARF (1983) Standards Manual, and the CARF (1980) Program Evaluation in Outpatient Medical Rehabilitation Facilities; (c) the Harvey and Jellinek (1981) PECS Gain Scale was used in the prototype; and (d) consideration of the form of the prototype resulted in the use of a matrix format as suggested by Carter (1981). Procedure. Permission was obtained for use of the Easter Seal Society descriptor system and Services Data section, and the Harvey and Jellinek (1981) PECS Gain Scale. Following the acquisition of permission, the prototype was designed in a matrix format. Disability types were interrelated with other characteristics which originated from the CARF guidelines. Instructions were developed and questionnaires were sent to four directors chosen by the President of the Board of Directors of the Easter Seal Society in Texas. Selected directors reviewed the prototype and responded to a written questionnaire. Results. Revisions were made in compliance with suggestions received from the reviewers. The addition of a tracking chart and instructions for group training were incorporated into the prototype. Conclusions. The prototype was developed using selected elements suggested in the literature. The instrument was reviewed by experts and deemed logically relevant for use in Outpatient Medical Rehabilitation Centers belonging to the Easter Seal Society in Texas. Recommendations for further study were presented.