title: Skill acquisition and client movement indices. Implementing cost-effective analysis in rehabilitation programs.
abstract: This article outlines the development and implementation of a cost-effective approach to client and program evaluation. The indices presented summarize a client's acquisition of behavioral skills (Skill Acquisition Index) and progression along a continuum of becoming less dependent and more productive (Client Movement Index). Data are presented summarizing how the two non-monetary outcome measures have been used in formative program evaluation. The paper also discusses some of the problems involved in implementing cost-effective analyses in rehabilitation programs and suggests specific strategies to overcome the problems.
mesh_terms: D000203:Activities of Daily Living; D003266:Continuity of Patient Care / Q000191:economics*; D003362:Cost-Benefit Analysis / Q000379:methods*; D005069:Evaluation Studies as Topic; D006801:Humans; D009329:Nebraska; D010043:Outcome and Process Assessment, Health Care / Q000191:economics*; D011320:Primary Health Care / Q000191:economics*; D012046:Rehabilitation / Q000191:economics*