Summary: | 碩士 === 臺北醫學大學 === 醫務管理學研究所 === 98 === Title of thesis: The Pilot Study of Developing Quality Indicators of Psychiatric
Occupational Therapy
Author: Ching-Fei Hsieh
Thesis advised by: Kuo-Cherh Huang, Dr.PH
Background: The issue of quality of health care has been discussed widely and is a topic of current concern. However, the topic of indicators of occupational therapy services has been rarely touched on. Quality assessment in health care is a growing need and interest among health professionals, and occupational therapy staffers need a set of comprehensive quality indicators as to review and improve clinical services.
Objective: The aim of the study was to develop quality indicators of psychiatric occupational therapy.
Methods: Potential quality indicators of psychiatric occupational therapy had been obtained from literature review and the evaluation criteria of the Taiwan Joint Commission on Hospital Accreditation. A multidisciplinary expert panel then was asked to rate the potential indicators by two rounds of Delphi technique.
Results: In the end, seven indicators were identified as quality indicators of psychiatric occupational therapy, including number of types of occupational therapy assessment tools, number of occupational therapy staffers per patient, hours of occupational therapy received per patient, number of patients served per occupational therapy staffer, the content of occupational assessment report, occupational participation of the patient, and functional activities of daily living of the patient.
Discussion: Among the seven identified quality indicators of the study, number of types of occupational therapy assessment tools, number of occupational therapy staffers per patient, hours of occupational therapy received per patient, number of patients served per occupational therapy staffer, and the content of occupational assessment report were mentioned in the evaluation criteria of the Taiwan Joint Commission on Hospital Accreditation. On the other hand, the content of occupational assessment report, and occupational participation of the patient were mentioned in the guideline for occupational therapy of the American Occupational Therapy Association. Finally functional activities of daily living of the patient was among the categories of the Australian Therapy Outcome Measures. The findings of the study should provide some suggestions to occupational therapy staffers as to review and improve clinical services.
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