Hart Dennis L, Deutscher Daniel, Werneke Mark W, Holder Judy, Wang Ying-Chih
Focus On Therapeutic Outcomes, Inc., White Stone, VA 22578, USA.
J Appl Meas. 2010;11(3):288-303.
This paper traces the development, testing and use of CATs in outpatient rehabilitation from the perspective of one proprietary international medical rehabilitation database management company, Focus On Therapeutic Outcomes, Inc. (FOTO). Between the FOTO data in the United States and Maccabi Healthcare Services data in Israel, over 1.5 million CATs have been administered. Using findings from published studies and results of internal public relations surveys, we discuss (1) reasons for CAT development, (2) how the CATs were received by clinicians and patients in the United States and Israel, (3) results of psychometric property assessments of CAT estimated measures of functional status in routine clinical practice, (4) clinical interpretation of CAT functional status measures, and (5) future development directions. Results of scientific studies and business history provide confidence that CATs are pertinent and valuable to clinicians, patients and payers, and suggest CATs will be prominent in the development of future integrated computerized electronic medical record systems with electronic outcomes data collection.
本文从一家专有的国际医疗康复数据库管理公司——聚焦治疗结果公司（FOTO）的角度，追溯了门诊康复中计算机自适应测试（CATs）的开发、测试及应用情况。在美国的FOTO数据与以色列的马卡比医疗服务数据中，已实施了超过150万次CATs测试。利用已发表研究的结果和内部公关调查的结果，我们讨论了：（1）CATs开发的原因；（2）美国和以色列的临床医生及患者对CATs的接受情况；（3）在常规临床实践中，对CATs估计的功能状态测量指标进行心理测量学特性评估的结果；（4）CATs功能状态测量指标的临床解读；以及（5）未来的发展方向。科学研究结果和业务发展历程表明，CATs对临床医生、患者及支付方而言是相关且有价值的，并表明CATs在未来集成了电子结果数据收集功能的计算机化电子病历系统的发展中将占据重要地位。
