Bush Shane S
NeuroRehabilitation. 2015;36(4):383-6. doi: 10.3233/NRE-151227.
Rehabilitation professionals provide valuable clinical services to persons who have sustained neurologic injuries and illnesses. Accurate diagnosis and treatment planning require that neurorehabilitation professionals base their decisions on true information and genuine patient performance. That is, the patient must have responded honestly to questions and put forth adequate effort on ability measures. When in possession of valid information about the patient's history, symptoms, and abilities levels, clinicians are well positioned to serve the patient. In contrast, inaccurate information and invalid functional presentations lead to misdiagnosis, unhelpful or potentially harmful interventions, and wasted resources. Ethically, consistent with the principles of beneficence and justice, clinicians have a responsibility to use the assessment measures and procedures that are needed to answer clinical questions and provide appropriate services, using and conserving valuable resources in the process. With validity assessment measures and procedures comprising an important part of clinical evaluations, a formal, structured approach to validity assessment promotes ethical practice. Interdisciplinary collaboration in validity assessment in neurorehabilitation contexts can often be more thorough and efficient than evaluations performed by a single discipline.
康复专业人员为遭受神经损伤和疾病的患者提供重要的临床服务。准确的诊断和治疗计划要求神经康复专业人员依据真实信息和患者的实际表现来做出决策。也就是说，患者必须诚实地回答问题，并在能力测试中付出足够的努力。当掌握了有关患者病史、症状和能力水平的有效信息时，临床医生就能更好地为患者服务。相比之下，不准确的信息和无效的功能表现会导致误诊、无益或潜在有害的干预措施以及资源浪费。从伦理上讲，符合行善和公正原则，临床医生有责任使用必要的评估措施和程序来回答临床问题并提供适当的服务，在此过程中合理使用和节约宝贵资源。由于效度评估措施和程序是临床评估的重要组成部分，采用正式、结构化的效度评估方法可促进符合伦理的实践。在神经康复环境中，效度评估的跨学科协作通常比单一学科进行的评估更为全面和高效。
