Mullen Robert
American Speech-Language-Hearing Association, 10801 Rockville Pike, Rockville, MD 20852-3279, USA.
J Commun Disord. 2004 Sep-Oct;37(5):413-7. doi: 10.1016/j.jcomdis.2004.04.004.
The growth of managed care and increasing demands by school systems resulted in of a number of new audiences looking for the evidence underlying the practice of speech-language pathology (SLP). Third-party payers, operating in an environment emphasizing "return-on-investment," sought data linking expenditures on SLP services with tangible outcomes affecting resource utilization, such as required level of care and ability to discharge. ASHA's National Outcomes Measurement System (NOMS) was developed to address these types of needs. This paper provides an overview of NOMS and its intended uses in the field.
(1) Readers will understand the rationale behind the development of NOMS. (2) Readers will be aware of the strengths and limitations of NOMS.
管理式医疗的发展以及学校系统不断增加的需求,导致许多新的受众开始寻求言语语言病理学(SLP)实践背后的证据。在强调“投资回报率”的环境中运作的第三方支付方,寻求将SLP服务支出与影响资源利用的切实结果联系起来的数据,例如所需护理水平和出院能力。美国言语语言听力协会(ASHA)的国家成果测量系统(NOMS)就是为满足这类需求而开发的。本文概述了NOMS及其在该领域的预期用途。
(1)读者将理解NOMS开发背后的基本原理。(2)读者将了解NOMS的优势和局限性。