Prioritizing patients for Community Rehabilitation Services: do clinicians agree on triage decisions?
| Autor: | Sandra G. Leggat, Vicki L Wise, Nicholas F. Taylor, Katherine E. Harding |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Occupational therapy
Adult Male medicine.medical_specialty Referral Adolescent Waiting Lists medicine.medical_treatment MEDLINE Physical Therapy Sports Therapy and Rehabilitation Sub acute Young Adult Occupational Therapy medicine Humans Community Health Services Referral and Consultation Physical Therapy Modalities Aged Protocol (science) Aged 80 and over Observer Variation Rehabilitation business.industry Health Priorities Patient Selection Reproducibility of Results Middle Aged medicine.disease Triage Ambulatory Physical therapy Female Medical emergency business |
| Zdroj: | Clinical rehabilitation. 24(10) |
| ISSN: | 1477-0873 |
| Popis: | Objective: To evaluate agreement between independent clinician raters using a triage protocol to prioritize referrals for occupational therapy and physiotherapy within a community rehabilitation program. Design: The priority category allocated to consecutive referrals by one of six clinicians in the referral office was compared with a second rating made by an independent occupational therapist, blinded to the initial priority rating. Setting: A centralized referral office staffed by allied health and nursing professionals designed as a single point of access for sub acute and ambulatory services within a large metropolitan health network. Participants: 214 referrals for adults requiring community based occupational therapy or physiotherapy rehabilitation for orthopaedic, neurological or other conditions (such as falls or cardio-respiratory conditions). Main Measure: Agreement (weighted kappa = κw) between the two ratings. Results: Overall agreement was moderate (κw = 0.60), but disagreement occurred in 30% of cases. Professional discipline of the raters did not affect agreement. Agreement varied between diagnostic subgroups, with significantly lower agreement for referrals for rehabilitation following elective orthopaedic surgery (κw = 0.25) than the other categories combined. Differences in agreement were observed between the four triage categories, with the lowest observed agreement in the most urgent category. Conclusions: Clinicians in a centralized model of triage showed only moderate agreement when making decisions about client priority for community rehabilitation for occupational therapy and physiotherapy. |
| Databáze: | OpenAIRE |
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