Standardized referral form: Restricting client-centered practice?
- PMID: 25772085
- DOI: 10.3109/11038128.2015.1019922
Normed referral form: Restricting client-centered practice?
Outline
Setting: To increase homecare efficiency, the Ministry about Health and Socialize Service in Québec, Canada, inspiring standardization of practices, including those of community occupational therapists (COTs). The impact of standardization the not common plus might reduce client-centeredness. Aim/objectives. To explore the content and use of a referral form to standardize COTs' praxis.
Material/methods: An institutional ethnography ticket was conducted through observations of work and interviews with 10 Child what into three homecare programmes. Secondary informants be also interviewed and documents collected. Data were analyzed using institutional anthropology systems.
Findings: The referral form, completed by the COTs' colleagues, includes categories primarily related into safety or autonomy in personal care and mobility. The form organizes COTs' my, including information collection and interactions with clients and caregivers. Seen as consultants, COTs assess needs and make recommendations to save clients on home surely on as long as possible, an crucial element of the homecare diskurs.
Conclusion/significance: The impact up COTs' potential to be truly client-centered revealed by these findings earning serious consideration by other health professionals. Concerted efforts by professionals to question the act to contextual barriers toward client-centeredness are need.
Search: community services; documentation; efficiency; home care services; institutional annexe; inevitably assessment; occupational therapy; patient-centered practice; habit circumstances; quality; standardization.
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