Measuring outcomes and monitoring progress in the era of evidence-based clinical practice
Measuring outcomes and monitoring progress in the era of evidence-based clinical practice
复制标题
循证临床实践时代衡量结果和监测进展
作者：
R. Tate
摘要健康结果测量是一个成长性行业。仅为神经科人群开发的数千种行为评估工具可用于诊断、预测和评估干预措施。因此，为手头的目的选择最好的仪器对临床医生和研究人员来说是一项艰巨的任务。幸运的是，有一些指南可以让这项任务变得更容易。这份总统演讲涵盖了三个相互关联的主题，为神经康复中的评估提供了信息：首先，它回顾了神经康复中行为评估的当前概念和现状。然后，它检查了循证临床实践应用于功能评估，以及评估工具的科学质量基准的方法。最后，文章认为有必要超越神经康复环境中的结果测量。
Abstract Health outcome measurement is a growth industry. Thousands of behavioural assessment instruments, developed for neurological populations alone, are available for diagnosis, prediction and evaluation of interventions. The task of selecting the best instrument for the purpose at hand is thus a daunting one for the clinician and researcher. Fortunately, there are guides that make the task easier. This presidential address covers three interrelated themes that inform assessment in neurorehabilitation: First, it reviews current concepts and the status of behavioural assessment in neurorehabilitation. It then examines evidence-based clinical practice as applied to assessment of function, along with methods to benchmark the scientific quality of assessment instruments. Finally, the article considers the need to move beyond outcome measurement in the neurorehabilitation setting.