The quality of care in occupational therapy: an assessment of selected Michigan hospitals.
In this study, a methodology was developed and tested for assessing the quality of care in occupational therapy between educational and noneducational clinical settings, as measured by process and outcome. An instrument was constructed for an external audit of the hospital record. Standards drafted by the investigator were established as normative by a panel of experts for use in judging the programs. Hospital records of 84 patients with residual hemiparesis or hemiplegia in three noneducational settings and of 100 patients with similar diagnoses in two educational clinical settings from selected Michigan facilities were chosen by proportionate stratified random sampling. The process study showed that occupational therapy was of significantly higher quality in the educational settings. The outcome study did not show significant differences between types of settings. Implications for education and practice are discussed.
D000328:Adult; D002561:Cerebrovascular Disorders / Q000534:rehabilitation; D006429:Hemiplegia / Q000534:rehabilitation; D006784:Hospitals, Teaching; D006801:Humans; D007902:Length of Stay; D008824:Michigan; D008875:Middle Aged; D009788:Occupational Therapy / Q000193:education / Q000379:methods*; D010043:Outcome and Process Assessment, Health Care; D011787:Quality of Health Care