In this 2 part series on Adherence, we have already discussed the basic concept of adherence, the rates of adherence within physiotherapy, factors associated with it and its clinical implications. In this article we shall discuss measurement of health outcomes in a clinical setting and more specifically regarding adherence outcome measures within physiotherapy.
WHAT ARE HEALTH OUTCOME MEASURES? With the rising costs of healthcare throughout the world, physiotherapists have been subjected to increasing pressure to be accountable for the services that they provide. In addition, growing competition within the field has also made it necessary for therapists to provide proof of treatment effectiveness (Beattie 2001). One way to fulfill the above criteria is by using appropriate outcome measures in clinical and research practices. An outcome can be viewed as a degree of change in a patient’s status from one time period to another (Kane, 1994). Ideally the outcome measure should reflect an improvement of some meaningful factor in a time period during and after the course of a treatment. Although the physiotherapy profession has been active in developing and supporting the appropriate use of outcome measures; their widespread use in the clinical setting has not yet occurred (Russek et al. 1997).
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