An exploratory study of quality assurance methodology in therapeutic recreation using the Delphi Technique.
The nation?s health care system is designed to deliver patient services that are consistent with the highest standards of quality. Quality assurance (QA) is a mechanism employed to systematically monitor important patient care activities. Health care providers monitor the quality and appropriateness...
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| Format: | Thesis Electronic eBook |
| Language: | English |
| Published: |
1989
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| Subjects: | |
| Online Access: | Static URL is not available. In OregonPDF, search for the Author using the All tab. Static URL is not available. In OregonPDF, search for the Author using the All tab |
MARC
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| 100 | 1 | |a Riley, Robert G. | |
| 245 | 1 | 3 | |a An exploratory study of quality assurance methodology in therapeutic recreation using the Delphi Technique. |
| 260 | |c 1989 | ||
| 300 | |a 329 pp | ||
| 336 | |a text |b txt |2 rdacontent | ||
| 337 | |a computer |b c |2 rdamedia | ||
| 338 | |a online resource |b cr |2 rdacarrier | ||
| 500 | |a [Advisor:] Lundegren, HM. | ||
| 502 | |c Pennsylvania State University |d 1989 | ||
| 520 | |a The nation?s health care system is designed to deliver patient services that are consistent with the highest standards of quality. Quality assurance (QA) is a mechanism employed to systematically monitor important patient care activities. Health care providers monitor the quality and appropriateness of patient care by focusing on the ?important elements? of their service. The purpose of this study was to identify aspects of care important for the systematic measurement and evaluation of quality patient care in therapeutic recreation services and assess current QA methodology in therapeutic recreation services utilizing a sample of therapeutic recreation service departments (Veterans Administration Medical Centers). A modified Delphi technique was used to generate consensus from a national panel of therapeutic recreation experts (N=51) concerning the most important elements of therapeutic recreation service. The results of this three phase Delphi exercise were then used to formulate the Quality Assurance Ranking Instrument (QARI) which served as the primary data collection instrument of the study. Spearman rank-order correlation coefficient was used to determine the association between experts? importance rankings and VAMC (N=71) importance rankings and actual usage patterns regarding elements and indicators of quality care listed in the QARI instrument. Pearson product-moment correlation coefficient and chi-square analysis were used to test the level of association between respondents? professional demographic profiles and their reported importance scores as well as their actual usage patterns as derived from the QARI instrument. Each association was examined at the .05 alpha level of significance. A significant degree of association was found between the Expert Panel and VA therapeutic recreation practitioners with respect to the ranking of therapeutic recreation elements and indicators. Significant statistical findings were found in 16 of 19 correlation analyses with respect to importance scores, and 11 of the 19 correlation coefficients were significant with respect to VA actual usage patterns. Generally, there was very little statistical significance found between respondents? demographic profiles and their reported importance and usage scores as measured by the QARI instrument. Results suggest a strong consensus regarding important aspects of quality service among therapeutic recreation experts and practitioners. Therefore, a model of QA practice in therapeutic recreation was deemed viable and thus, should be further tested for validity and reliability purposes. Finally, although consensus about QA activities was observed, no significant demographic patterns were found to be in association with importance rankings of usage scores. | ||
| 533 | |a Electronic reproduction. |b Eugene : |c Kinesiology Publications, University of Oregon. |n Mode of access: World Wide Web; requires Adobe Acrobat Reader. | ||
| 655 | 7 | |a Academic theses |2 lcgft | |
| 690 | 0 | 0 | |a EVALUATION |
| 690 | 0 | 0 | |a DELPHI TECHNIQUE |
| 690 | 0 | 0 | |a PROGRAM |
| 690 | 0 | 0 | |a HEALTH CENTRE |
| 690 | 0 | 0 | |a THERAPY |
| 690 | 0 | 0 | |a RECREATION |
| 690 | 0 | 0 | |a UNITED STATES |
| 690 | 0 | 0 | |a VETERAN |
| 710 | 2 | |a Pennsylvania State University, |e degree granting institution. | |
| 730 | 0 | |a OregonPDF online | |
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| 907 | |a 3558065 |b 06-26-17 |c 06-26-17 | ||
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| 952 | f | f | |a Middle Tennessee State University |b Main |c James E. Walker Library |d Electronic Resources |t 0 |h Library of Congress classification |
| 856 | 4 | 0 | |t 0 |u https://ezproxy.mtsu.edu/login?url=http://www.oregonpdf.org/search.cfm |z Static URL is not available. In OregonPDF, search for the Author using the All tab |
