Needs and outcome indicators for rehabilitation services
Needs and outcome indicators for rehabilitation services
The main hypothesis tested in this study was that there are systematic differences between young disabled people, their carers and nominated key professionals in their perceptions of their unmet needs for rehabilitation services and resources.
Unmet needs of disabled people and of carers were explored. A two-phase cross-sectional survey of people with physical disabilities in two Health Authorities in Southern England, aged 16-65, recruited to the study from two disability registers. Disabled people identified their main carer and key professional.
The outcome measured employed were the OPCS Disability Severity Scale, Functional Independence Measure, Frenchay Activities Index, Nottingham Health Profile and SF-36. The proportion of needs identified by each disabled person that was also identified by (1) the carer and professional, (2) the carer and (3) the professional was calculated. A method for calculating the level of concordance between different participants was developed. The consequence of meeting or not meeting unmet needs were explored in a follow-up study one year later.
Ninety six disabled people (median age 48; IQR 39 to 55), 70 carers (median age 53; OQR 42 to 62) and 90 professionals participated at baseline. The median level of disability as measured on the OPCS scale was 8.0 (IQR 6.0-9.8).
Unmet needs of disabled people. In the initial survey good concordance between disabled people, their carers and professionals was achieved in 3% of cases; zero concordance in 77% of cases. General practitioners were significantly poorer at reporting the needs of disabled people than other professionals. Good concordance was demonstrated between disabled people and their carers in 25% of cases (41% at follow-up) and between disabled people and their professionals in 5% of cases (15% at follow-up). Different service usage and self-reported needs were reported by disabled people from the two Health Authorities, people with chronic progressive compared with stable or improving conditions and people with formal or informal carers.
University of Southampton
Kersten, Paula
039a54d8-5629-47fd-ba55-5b60e7d3e7dc
1999
Kersten, Paula
039a54d8-5629-47fd-ba55-5b60e7d3e7dc
Kersten, Paula
(1999)
Needs and outcome indicators for rehabilitation services.
University of Southampton, Doctoral Thesis.
Record type:
Thesis
(Doctoral)
Abstract
The main hypothesis tested in this study was that there are systematic differences between young disabled people, their carers and nominated key professionals in their perceptions of their unmet needs for rehabilitation services and resources.
Unmet needs of disabled people and of carers were explored. A two-phase cross-sectional survey of people with physical disabilities in two Health Authorities in Southern England, aged 16-65, recruited to the study from two disability registers. Disabled people identified their main carer and key professional.
The outcome measured employed were the OPCS Disability Severity Scale, Functional Independence Measure, Frenchay Activities Index, Nottingham Health Profile and SF-36. The proportion of needs identified by each disabled person that was also identified by (1) the carer and professional, (2) the carer and (3) the professional was calculated. A method for calculating the level of concordance between different participants was developed. The consequence of meeting or not meeting unmet needs were explored in a follow-up study one year later.
Ninety six disabled people (median age 48; IQR 39 to 55), 70 carers (median age 53; OQR 42 to 62) and 90 professionals participated at baseline. The median level of disability as measured on the OPCS scale was 8.0 (IQR 6.0-9.8).
Unmet needs of disabled people. In the initial survey good concordance between disabled people, their carers and professionals was achieved in 3% of cases; zero concordance in 77% of cases. General practitioners were significantly poorer at reporting the needs of disabled people than other professionals. Good concordance was demonstrated between disabled people and their carers in 25% of cases (41% at follow-up) and between disabled people and their professionals in 5% of cases (15% at follow-up). Different service usage and self-reported needs were reported by disabled people from the two Health Authorities, people with chronic progressive compared with stable or improving conditions and people with formal or informal carers.
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Published date: 1999
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Local EPrints ID: 463640
URI: http://eprints.soton.ac.uk/id/eprint/463640
PURE UUID: 1dfd323f-541a-4e1a-8681-ca3dfb35f192
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Date deposited: 04 Jul 2022 20:54
Last modified: 04 Jul 2022 20:54
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Author:
Paula Kersten
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