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Titolo:
A MODEL FOR CONDUCTING CLINICAL-OUTCOME RESEARCH - AN ADAPTATION OF THE STANDARD PROTOCOL FOR USE IN APHASIOLOGY
Autore:
ROBEY RR; SCHULTZ MC;
Indirizzi:
UNIV VIRGINIA,COMMUN DISORDERS PROGRAM,SUITE 202,2205 FOUNTAINE AVE CHARLOTTESVILLE VA 22903 UNIV NEW MEXICO ALBUQUERQUE NM 87131
Titolo Testata:
Aphasiology
fascicolo: 9, volume: 12, anno: 1998,
pagine: 787 - 810
SICI:
0268-7038(1998)12:9<787:AMFCCR>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
RANDOMIZED CONTROLLED TRIALS; CANCER CONTROL; TREATMENT EFFICACY; HEALTH PROMOTION; CROSSOVER DESIGN; GOLD STANDARD; THERAPY; PSYCHOTHERAPY; REHABILITATION; QUALITY;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
118
Recensione:
Indirizzi per estratti:
Citazione:
R.R. Robey e M.C. Schultz, "A MODEL FOR CONDUCTING CLINICAL-OUTCOME RESEARCH - AN ADAPTATION OF THE STANDARD PROTOCOL FOR USE IN APHASIOLOGY", Aphasiology, 12(9), 1998, pp. 787-810

Abstract

Communication disorders scientists and practitioners face critical fiscal pressures to establish the efficacy and effectiveness of treatments. The pressures come about from (a) increasing demands from reimbursers that a variety of professions test the effectiveness of their treatments, thereby generating demands for the resources to do so; (b) increasing demands for reimbursement of those same clinical services provided by the same variety of professions; and (c) a general recision inavailable funds for each. While there is strong evidence that the treatments of speech-language pathologists and audiologists have generally proved patent as they have been tested, the accepted standards for clinical-outcome testing used throughout the research community (e.g. by other clinical disciplines, regulatory agencies of the federal government, and third-party payers) have been mostly ignored. In a marketplace of competition for scarce resources, and a recognized set of procedures for demonstrating the efficacy of intervention, it seems obviousthat this profession cannot continue to depend on idiosyncratic approaches to clinical-outcome research. Ensuring successful claims for reimbursement requires that assertions of efficacy be justified on the basis of broadly accepted criteria of the general outcome-research community. Critical aspects of accepted standards are described, including prospective adaptations to the clinical-outcome research of our own discipline. A plausible means for conforming to the standard model is proposed in the context of treatment for aphasia.

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Documento generato il 27/10/20 alle ore 10:44:09