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Patrick Fougeyrollas

Spring

Development of a Classification System for Patients Referred to a Rehabilitation Program for Visual Impairment: A Method for Analysis and Budgetary Control

Authors:
Pages:
49-74

Program evaluation makes assessments from various perspectives. In health care areas, evaluation generally focuses on the relationship between the care process and the clinical results. Our study is of particular interest because it adds a cost dimension to that relationship, thus introducing a method for evaluating visual impairment rehabilitation programs that integrates full operating costs. Starting from the functional level of patients on admission to a clinical program, an experimental approach was used to divide them into five homogeneous groups according to their consumption of financial resources during the care process. This method could be used in measuring and evaluating the financial performance of all rehabilitation programs and help improve budgetary control. With the added dimension of costs per client profile, it could provide a framework for other areas requiring program evaluations.

Fall

Développement d'un cadre de classement des résultats de la réadaptation pour documenter la progression des clientèles

Authors:
Pages:
139-164

In the field of rehabilitation, documenting intervention results and the progress of clients is a major concern at all levels, be it clinical, administrative, or scientific. Using new information technologies, it is now possible to meet this challenge by developing an information system capable of taking into account the complexity of the variables involved. To identify those variables, 27 programs representative of the Quebec rehabilitation continuum took part in a study to identify progress indicators in abilities, life habits, and environmental factors. A harmonized framework for the classification of variables and progress indicators was validated with clients by the clinical teams. This framework is a groundbreaking tool and will be useful not only as a resource in individual client follow-up but also in program and policy evaluation support.

Fall

La mesure des résultats dans le domaine de la réadaptation

Authors:
Pages:
35-60

There are many obstacles to introducing outcome measures into the physical impairment rehabilitation sector. The developmental research report in this article discusses and proposes solutions for three of the problems identified. The first concerns a lack of consensus on the definitions of some of the concepts used as criteria for treatment success. The second pertains to the choice of performance indications for the chosen success criteria, and the third is methodological. Two theoretical models, measurement instruments, and methodological considerations are proposed as solutions.