+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Standardized performance tests and their impact on the decisions determining the type of rehabilitation program. A health service case study from a vocational rehabilitation clinic



Standardized performance tests and their impact on the decisions determining the type of rehabilitation program. A health service case study from a vocational rehabilitation clinic



Scandinavian Journal of Social Medicine 15(4): 253-260



In the health and social sectors, many diagnostic and prognostic tests are carried out without a constant watch on (1) what influence the test results have on decisions, and (2) the impact of these decisions on every day clinical work. Consequently, it is not known whether the additional information gained, if any, justified the expenditure necessary for resources involved in a testing procedure. In fact, the net impact of testing in every day clinical work may be negative. By carrying out a testing procedure, under the before mentioned conditions, resources would be wasted. Since the early 1970's a battery of standardized performance test have been used at the Vocational Rehabilitation Clinic in Aarhus, Denmark. Originally, the aim of the tests was to identify and give an early discharge to those clients, that were, in any case, shown to be fit for a social pre-term pension. An early discharge of these clients would enable the Clinic to counsel a greater number of clients who were suited to vocational rehabilitation. The test period lasts two weeks, and the average stay in the Clinic amounts to about 3 months. During the years 1981 to 1983, a total of 607 clients were discharged from the Clinic. Out of the 607, 379 had been given the battery of tests. Those tested stayed 16 days longer at the clinic than the rest of the clients. A few clients got an early discharge. The associations between the test results and case closure status were weak. Furthermore, these weak associations occurred in 6 out of 51 tests. On the other hand, case closure status could be predicted on the basis of already available demographic, social, and health information on the individual clients. The conclusion is, that standardized performance testing seems to have raised the resource consumption of the clinic without any demonstrable benefit in terms of client selection. The need for continuous socio-medical and epidemiological evaluation of rehabilitation tests and procedures is stressed.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 006472429

Download citation: RISBibTeXText

PMID: 3685927


Related references

Vocational rehabilitation case manager factors associated with vocational rehabilitation service program outcomes for people with disabilities in Taiwan - an exploratory study. Disability and Rehabilitation 39(3): 244-250, 2017

Standardized performance tests and vocational rehabilitation prognosis. Ugeskrift for Laeger 149(12): 801-805, 1987

Vocational outcome impact of a cooperative physiatrist rehabilitation counselor out patient clinic program. Archives of Physical Medicine & Rehabilitation 63(10): 543, 1982

Best Practice Models of Effective Vocational Rehabilitation Service Delivery in the Public Rehabilitation Program: A Review and Synthesis of the Empirical Literature. Rehabilitation Counseling Bulletin 56(3): 146-159, 2013

Validating Vocational Rehabilitation-Service-Related Stress Scale (Vrss) for Vocational Rehabilitation Service Providers in Japan. The Australian Journal of Rehabilitation Counselling 24(2): 103-114, 2018

Vocational rehabilitation in spinal cord injury: what vocational service activities are associated with employment program outcome?. Topics in Spinal Cord Injury Rehabilitation 21(1): 31-39, 2015

Allocation decisions of health insurance rehabilitation managers--An explorative case study concerning stroke rehabilitation. Die Rehabilitation 42(6): 354-362, 2003

Vocational Rehabilitation and Employment Program--basic entitlement; effective date of induction into a rehabilitation program; cooperation in initial evaluation. Final rule. Federal Register 75(12): 3163-3165, 2010

Vocational rehabilitation--early versus delayed. The effect of early vocational rehabilitation compared to delayed vocational rehabilitation among employed and unemployed, long-term sick-listed people. International Journal of Rehabilitation Research. Internationale Zeitschrift für Rehabilitationsforschung. Revue Internationale de Recherches de Readaptation 22(3): 161-170, 1999

Vocational Rehabilitation Index assessment of rehabilitation medicine service patients. International Disability Studies 13(1): 5-8, 1991

Adaptive Performance in Vocational Rehabilitation - A Standardized Self-assessment Questionnaire (ReHadapt) for Application in RehaAssessment® and RehaConsulting. Die Rehabilitation 55(1): 26-33, 2016

Relationship between illness, rehabilitation and work (ZERA)--an training program for medical-vocational rehabilitation of the mentally ill. Die Rehabilitation 40(1): 28-35, 2001

Place of the office of vocational rehabilitation in the total rehabilitation program. Journal-MichiganStateMedicalSociety48(11):1387, 1949

Vocational tests as measures of performance of schizophrenics in two rehabilitation activities. Journal of Clinical Psychology 12(3): 236-242, 1956

Employment after rehabilitation for musculoskeletal impairments: The impact of vocational rehabilitation and working on a trial basis. Archives of Physical Medicine and Rehabilitation 76(10): 950-954, 1995