Can we achieve accountability for long-term outcomes ?
To explore options for the development of a set of indicators to assess the long-term outcomes achieved by all people with a given disabling condition in a given population.
The review draws on empirical studies of predictive indicators, theoretical literature on long-term recovery processes, and literature from administrative science on the use of indicators in accountability systems.
Studies were selected that explicitly sought to relate short-term and long-term outcomes or that explored the mediating factors in the relationship between impairment, disability, and handicap.
The focus of the review is on (1) empirical evidence of the relationship between short-and long-term outcomes, particularly in causal claims, and (2) theoretical analyses of the factors that mediate this relationship.
Evidence is presented that certain outcome states can be considered thresholds that make the outcome usable and, hence, sustainable or that create the opportunity for further improvement.
Such thresholds could meet the construct validity criteria necessary for measures that are to be used as indicators in an accountability system.
The interaction between psychological and physical factors in setting thresholds means that both objective and subjective indicators are required in an indicator system. (...)
Mots-clés Pascal : Réhabilitation, Qualité vie, Economie santé, Indicateur, Australie, Océanie, Traitement, Evaluation, Homme, Evolution
Mots-clés Pascal anglais : Rehabilitation, Quality of life, Health economy, Indicator, Australia, Oceania, Treatment, Evaluation, Human, Evolution
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0080454
Code Inist : 002B26O. Création : 21/05/1997.