Holm M B
School of Health and Rehabilitation Sciences, University of Pittsburgh, Pennsylvania 15260, USA.
Am J Occup Ther. 2000 Nov-Dec;54(6):575-85. doi: 10.5014/ajot.54.6.575.
The health care environment of the past quarter century went through numerous evolutionary processes that affected how occupational therapy services were provided. The last iterations of these processes included requests for the evidence that supported what we were doing. This year's Eleanor Clarke Slagle Lecture (a) examines the strength of the evidence associated with occupational therapy interventions--what we do and how we do it--(b) raises dilemmas we face with our ethical principles when some of our practices are based on limited evidence, and (c) proposes a framework of continued competency to advance the evidence base of occupational therapy practice in the new millennium.
过去四分之一个世纪的医疗保健环境经历了无数的演变过程，这些过程影响了职业治疗服务的提供方式。这些过程的最新阶段包括对支持我们所做工作的证据的要求。今年的埃莉诺·克拉克·斯莱格尔讲座（a）审视了与职业治疗干预相关的证据的力度——我们做什么以及如何做——（b）提出了当我们的一些实践基于有限证据时我们在道德原则上面临的困境，以及（c）提出了一个持续能力框架，以推进新千年职业治疗实践的证据基础。
