Robinson Christopher, Fatone Stefania
Northwestern University, Chicago, USA.
Prosthet Orthot Int. 2013 Feb;37(1):30-42. doi: 10.1177/0309364612446650. Epub 2012 Jun 8.
In today's healthcare environment it is increasingly important to be able to quantify the amount of change associated with a given intervention; this can be accomplished using one or more appropriate outcome measures. However, the selection and integration of outcome measures within clinical practice requires careful consideration. This includes identification of the measure construct which can be assisted by the International Classification of Functioning, Disability, and Health; selection of outcome measures based on need, appropriateness and feasibility; and careful use in regular clinical practice including data collection, analysis and re-assessment of the process. We describe this process, focusing on orthotic management of stroke, in particular the improvement of mobility as a common goal. Clinical relevance The growing emphasis on improved documentation of patient care and outcomes requires that clinicians integrate clinically relevant outcome measures into their practice. We suggest a process to assist clinicians integrate outcome measures into clinical practice with a particular emphasis on the orthotic management of stroke.
在当今的医疗环境中，能够量化与特定干预措施相关的变化量变得越来越重要；这可以通过使用一种或多种适当的结果指标来实现。然而，在临床实践中选择和整合结果指标需要仔细考虑。这包括确定测量结构，国际功能、残疾和健康分类可对此提供帮助；根据需求、适当性和可行性选择结果指标；以及在常规临床实践中谨慎使用，包括数据收集、分析和对该过程的重新评估。我们描述了这个过程，重点是中风的矫形器管理，特别是将改善活动能力作为一个共同目标。临床相关性 对改善患者护理和结果记录的日益重视要求临床医生将临床相关的结果指标纳入他们的实践。我们建议一个过程来帮助临床医生将结果指标纳入临床实践，特别强调中风的矫形器管理。
