Ortega-Benito J M, Mundy K
Farnham Road Hospital, Guildford, Surrey.
J Public Health Med. 1992 Sep;14(3):310-20.
Following the recommendation of a report on the performance of two geriatric day hospitals (GDHs) in West Surrey and North East Hampshire District Health Authority in 1988, a pilot study was set up to assess the efficacy of a proposed form of audit involving multidisciplinary teams. An outcome measure which consisted of four different scales was developed and agreed upon by the multi-professional team. These scales were used to work out a composite index (Patient Achievement Inventory-PAI). In addition, a new data form was designed for collection of patient data. To carry out this prospective clinical audit, targets were agreed for each patient, and progress was measured against them. Sixty-one (61) patients were studied (30 and 31 per respective hospital). Data form completion was 90 per cent and 81 per cent respectively. The PAI index proved to be reliable (kappa index of agreement = 0.72), and useful as an outcome measure. However, because the PAI index is made up of ordinal scales, it can only be used to measure change within individuals, not between them. The outcome measures, data forms and the continuous audit of these two GDHs proved to be meaningful and acceptable in practice.
根据1988年一份关于西萨里和东北汉普郡地区卫生局两所老年日间医院（GDHs）绩效的报告建议，开展了一项试点研究，以评估一种由多学科团队参与的拟议审计形式的效果。一个由四个不同量表组成的结果测量指标由多专业团队制定并达成共识。这些量表用于计算一个综合指数（患者成就量表 - PAI）。此外，还设计了一种新的数据表格用于收集患者数据。为进行这项前瞻性临床审计，为每位患者确定了目标，并据此衡量进展情况。对61名患者进行了研究（两所医院分别为30名和31名）。数据表格填写率分别为90%和81%。PAI指数被证明是可靠的（一致性kappa指数 = 0.72），并且作为一种结果测量指标很有用。然而，由于PAI指数由有序量表组成，它只能用于测量个体内部的变化，而不能用于测量个体之间的变化。这两所老年日间医院的结果测量指标、数据表格以及持续审计在实践中被证明是有意义且可接受的。
