The Northwick Park Care Needs Assessment (NPCNA): a directly costable outcome measure in rehabilitation
The Northwick Park Care Needs Assessment (NPCNA): a directly costable outcome measure in rehabilitation
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DOI：
10.1191/026921599677787870
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发表时间：
1999-06-01
影响因子：
3
通讯作者：
Halliwell, D
中科院分区：
文献类型：
--
作者：
Turner-Stokes, L;Nyein, K;Halliwell, D
背景：Northwick Park Dependency Score（NPDS）已被证明是有效、可靠和实用的。它的目的是与一组简短的附加问题一起使用，以告知社区的护理需求，并促进出院规划。目的：开发一个转换公式，将来自NPDS的信息转换为社区护理需求的通用评估-Northwick Park Care Needs Assessment（NPCNA）-并评估其作为康复结果的直接成本可承受措施的潜力。一个住院神经康复单位的年轻患者脑injure.Method：第1部分，发展：对于每个任务中的NPDS，一组假设，以反映人数，所需的时间和频率的帮助。任务被收集到一个每日的时间表和最低和最高分配每个时隙。由此可以计算出每周的护理时间。确定了一系列一揽子护理类别及其大致费用，并与有经验的社区护理规划人员制定了一套简单的标准，以确定适用每一类别的情况。第2部分，评价：在35例病例的前瞻性比较研究中评价了假设和衍生护理包。护理需求的时间表是使用（a）NPDS衍生的护理需求评估（NPCNA）和（B）与独立评估员进行的详细结构化访谈制定的。然后，由第三名独立评估员根据严格的规则应用所述公式确定每组时间表的每周护理小时数、护理包和近似成本。
Background: The Northwick Park Dependency Score (NPDS) has been shown to be valid, reliable and practical to use. It was designed to be used together with a short set of additional questions to inform care needs in the community and facilitate discharge planning.Aim: To develop a conversion formula to translate information derived from the NPDS into a generic assessment of care needs in the community - the Northwick Park Care Needs Assessment (NPCNA)- and to evaluate its potential as a directly costable measure of outcome in rehabilitation.Setting: An inpatient neurorehabilitation unit for young patients with brain injury.Method: Part 1, Development: For each task in the NPDS, a set of assumptions was developed to reflect the number of people, the time taken and the frequency of help required. Tasks were collected into a daily timetable and minimum and maximum allocations made for each time slot. From this the weekly care hours can be calculated. A range of care package categories and their approximate costs were identified, and a simple set of criteria developed with experienced community care planners to determine the circumstances under which each category is applied. Part 2, Evaluation: The assumptions and derived care package were evaluated in a prospective comparative study in 35 cases. Timetables of care needs were drawn up using (a) the NPDS-derived Care Needs Assessment (NPCNA) and (b) detailed structured interview with an independent assessor. The weekly hours of care, care package and approximate cost were then determined for each set of timetables, by a third independent assessor, applying the formula described according to strict rules.Results: Assessment of the total weekly hours of care showed an excellent correlation between the two methods (rho 0.90, p